Non-surgical Therapy of Periodontal Diseases

Contributed by:

1. What are the four basic principles of non-surgical perio therapy?

·        Elimination / suppression of infectious microorganisms.

·        Elimination / control of source of infection, to prevent reinfection.

·        Establishment of environment that promotes resolution of inflammation.

·        Considerations of host factors.

2. There are 5 universal case type classifications for perio diseases fill in the blanks for each case type, name & description:

3. Why should we treat gingivitis?

·        Some sites may progress to periodontitis & we do not know which sites are at risk to progress.

·        Not treating gingivitis is supervised neglect.

4. How should any perio disease be treated? On a case-by-case basis.

5. Can gingivitis co exist with periodontitis? Yes

6. Gingival bleeding at margin measures= gingivitis.

7. Bleeding upon pocket probing measures= Periodontitis.

8. Why should both be measured? Measuring marginal bleeding for a patient undergoing treatment of periodontitis may be a means to measure likelihood of reinfection from supragingival plaque.

9. Antimicrobial rinses should be limited to treating: periodontal infections of superficial gingival tissues.

10. No one element will prevent reinfection, a combination of what elements can? Brushing, flossing, irrigating, & rinsing with antimicrobial agent (for control of gingivitis).

11. Treatment for adult periodontitis should be directed toward reducing pathogenic subgingival microflora and stabilization of attachment levels (reduction in pocket levels).

12. Patients most likely to respond to non-surgical therapy for adult periodontitis: will have PD of less than 6mm, no furcation involvement.

13. Reduction in subgingival infection most often results in: reduction in PD & stabilization of attachment levels.

14. Removal of pathogenic microflora from root surface is achieved using: instrumentation.

15. What forms the corner stone of non-surgical modalities:

• Supra & sub gingival scaling
• Root planning
• Polishing (selective)
• Adjunctive therapy
• Homecare procedures

16. Elimination of microorganisms responsible for infection, creation of smooth root surface & removal of diseased tissue are: the goals of non-surgical perio therapy.

 Disclaimer: These notes were copied and pasted from files sent to me by Andrea.  They have not been reviewed for errors. You are responsible for checking out the information to verify the accuracy. This site, Amy Nieves and Andrea are not responsible for typographical errors.