Cone-beam computed tomography in pediatrics. Calculus, both subgingival and supragingival, was described as moderate to heavy. At this time, he was re-treated with micro-ultrasonics and chlorhexidine for irrigation. As far as restorative periodontal therapy goes, this is a procedure that will take time to perform and the periodontist uses it in place of more invasive procedures. Trends suggest that an increasing amount of periodontal care is being provided in the offices of general dentists. Long-term treatment goals include the possibility of a referral to a periodontist if there is not enough pocket reduction to achieve health and stability. Patients with mild to moderate periodontal disease can respond incredibly well to conservative therapy. Crown lengthening is another procedure that will, ideally, help restore gum health by better maintaining the tissue. We performed co-diagnosis techniques with the patient by using a hand mirror, radiographs, and intraoral camera in order to have the patient involved in the clinical data process and understanding the findings as we presented them. He was also evaluated for healing and plaque control. A renewed interest in conservative surgical techniques has been fueled by new technology, changes in referral patterns to periodontists and a desire to achieve periodontal health in the least invasive, most cost-efficient manner possible. Test your oral pathology and dental hygiene knowledge against these cases. Does your office allow them during work hours? An effective alternative to dental hygiene burnout is four-handed conservative periodontal therapy. Other Restorative Gum Disease Treatments. Two groups received conservative periodontal therapy. Focus on intrabony defects--conservative therapy Periodontol 2000. Some marginal redness was noted on the upper arch. Treatment would consist of four to six PTs, which include scaling and root planing, micro-ultrasonics with chlorhexidine for irrigation, soft tissue laser to reduce and contour the bulbous infected tissue, and decontamination of the periodontal pockets. The patient is also aware of the importance of SPTs to maintain and control the disease process. The methodology to accomplish this is conservative, non-surgical treatment with active patient involvement. Additionally, these new technologies aid us in our philosophy of a conservative treatment plan. The ultimate goal of periodontal therapy (PT) is to stop disease progression and to stabilize and improve tooth attachment. Corresponding Author. There are other treatments in addition to scaling and root planning used to treat periodontal disease. Since plaque and tartar are the things that cause periodontal disease, removing them will be the first step in treatment. We started by conducting a comprehensive clinical and diagnostic evaluation. Our method to achieve this identity is to offer each patient customized, comprehensive, state-of-the-art care. The patient was also instructed to dry brush for at least 10 minutes per day and to use a rubber tip stimulator to massage and help re-contour the tissue. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. Six months later, periodontal progress had been tremendous, but periodontal health was still not ideal, so the patient was placed on Periostat. The unit we use is Dual Select by Dentsply. Dianne Glasscoe Watterson, MBA, RDH, provides some tips for temping as a dental hygienist. Sedation. Lisa O'Connor, RDH, is a 2000 graduate from Indiana University-Purdue University. Application of Lasers in the treatment of periodontal diseases can be considered as an effective and minimally invasive treatment modality for moderate to advanced periodontitis cases. Once the deposits are removed, we place site specific antibiotics under the gums. Treatment of this condition can be surgical, in which the diseased gum and bone tissue are removed and/or reshaped to allow proper cleaning, or conservative, which is explained later on this page. Your first step in treating periodontitis is a conservative, nonsurgical treatment called scaling and root planing (SRP). Deep gum pockets form that trap mouth bacteria, causing the infection to worsen. This approach is critical to the success of conservative periodontal treatment.â Periodontal maintenance provides periodic deep scaling and root planning, allowing to detect and prevent periodontal disease at an early stage. Short-term goals were to treat active decay that was causing the patient chronic pain. Many different styles of meditation are available. Seventeen months post-op, Atridox was placed in pockets of five millimeters and greater. Gum disease has other negative effects on your health and this can be one of them. Here’s one hygienist’s story. Pocket depth probing (PD) and bone reduction (based on X rays) were registered at baseline and after eight months in both groups. The patient was given a Braun 3-D Excel Electric Toothbrush and Oxyfresh toothpaste and fluoride rinse. It’s not for the faint of heart, but forensics can be a very rewarding area. Linda Meeuwenberg was a 17-year-old high school student when she took a job at a general dental practice in her hometown of Fruitport, Mich. She was hired to type, file, answer the phone, and pay the bills. The black, white, and very gray areas of radiology. During this appointment, we also re-treated with micro-ultrasonics and chlorhexidine for irrigation. From white fillings to onlays and inlays, a 5th Ave periodontist will strive to keep services minimally invasive and reparative. Treatment recommendations and surgery are employed only where absolutely necessary. It will mean less recovery time for you and a better chance that these restorative gum disease treatments will actually work. The aim of this study were (i) to determine prognostic factors of tooth loss in a compliant cohort of patients under a conservative periodontal treatment concept and (ii) to describe long-term trajectories of bone loss (BL) and pocket probing depths (PPD). J Periodontol. The tissue was generally pink and no longer bulbous. Cell phones are here to stay. It’s made a very positive difference in the practice. They can be helpful in many situations, but each office should have rules in place so that all staff are on the same page regarding when they can use them. Two weeks later, this same procedure was repeated on the upper arch (see Figure 2). 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