[email protected]; Clinic of Conservative Dentistry and Periodontology, University of Kiel, Kiel, Germany. Some marginal redness was noted on the upper arch. Laser-Assisted New Attachment Procedure is a new therapy that allows for the effective treatment of periodontal disease with no removal of tissue. She quickly found she wanted to learn all she could about it, and she’s glad she did. 1. We conducted a comprehensive clinical and diagnostic evaluation. Our clinical findings showed posterior cross bite, anterior open bite, and 80 percent overbite. Two weeks later, this same procedure was repeated on the upper arch (see Figure 2). The patient was placed on an eight-week SPT interval to closely monitor healing. The laser was then set at 1.2 CW and used to decontaminate the pockets. 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. At Implant & Periodontal Center, we believe that healthy mouths start with a healthy foundation. Additionally, the precision of the laser allows us to avoid removing significant tissue. Our method to achieve this identity is to offer each patient customized, comprehensive, state-of-the-art care. We want you to be happy with your smile, and understand how your periodontal health can be improved with regular maintenance. TM is difficult for some folks, as are many other forms of meditation. A possibly valuable adjunct to nonsurgical conservative periodontal therapy is the use of oral, subantimicrobial dosages of doxycycline. Many different styles of meditation are available. We pride ourselves on our conservative approach to patient care. Seventeen months post-op, Atridox was placed in pockets of five millimeters and greater. The patient was given a Braun 3-D Excel Electric Toothbrush and Oxyfresh toothpaste and fluoride rinse. Short-term goals were to treat active decay that was causing the patient chronic pain. Test your oral pathology and dental hygiene knowledge against these cases. Our typical recommendation is a three-month cycle, but can be as short as eight weeks. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. Crown lengthening is another procedure that will, ideally, help restore gum health by better maintaining the tissue. This includes the number of therapy appointments to be scheduled, the sequence in scheduling, and the actual clinical modalities that are to be used. It will mean less recovery time for you and a better chance that these restorative gum disease treatments will actually work. We use a systemic approach to patient care, and the model we have created is based on our standard of care. The patient declined and requested to be treated at our office. The patient had generalized recession of one to two millimeters. Sedation. 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). Following assessment of your oral cavity, a periodontal diagnosis will be given and treatment recommended based on the diagnosis. The ultimate goal of periodontal therapy is to stop disease progression and to stabilize and improve tooth attachment. We have an in-office laser that we use to treat 5-7 mm pockets that persist after phase one of the deep cleanings. Treatment plan — We reviewed our findings, the etiology behind our concerns, and the treatment necessary to achieve perfect tissue health. Christian Graetz. Teresa Barjenbruch, RDH, is a 1990 graduate from Indiana University at South Bend. Getting restorative gum disease treatments will be greatly beneficial for you and your overall health. 1970 Aug;41(8):442-8. We explain to them that this is the most efficient way to determine their progress and periodontal health at a glance. We pride ourselves on the fact that we are very conservative in our treatment recommendations and limit surgery to the areas where it is absolutely necessary. Our practice finds it disturbing that there is such a high prevalence of periodontal disease — almost to epidemic proportions — in an era of medical and dental technological advances. It had been more than 10 years since his last dental visit. This "map" is developed with patients' input based on their own treatment goals. Cosmetic Dentistry and Esthetic Enhancements. All subjects received oral hygiene instructions and full-mouth conservative periodontal treatment (removal of dental plaque followed by SRP). The patient presented with red, swollen gingivae that were tender to the touch and the tissue contour was irregular in several areas. Deep gum pockets form that trap mouth bacteria, causing the infection to worsen. Since plaque and tartar are the things that cause periodontal disease, removing them will be the first step in treatment. The black, white, and very gray areas of radiology. Our system involves re-evaluation after six weeks and again after three months. Conservative periodontal therapy, regardless of the protocols defined in the work protocol, is expressed in clinical outcomes ranging from systemic diseases, gravity, and patient control to them. The treatment recommendation consisted of six to eight PTs at two-week intervals with the repetitive placement of Atridox and the use of the diode laser. He was diagnosed with Moderate Periodontitis Type III, with light to moderate generalized bone loss (see Figure 1). The patient is aware that, in the future, Atridox will need to be placed sporadically to control the disease and maintain health. Focus on intrabony defects--conservative therapy. At that time, a marked decrease in inflammation was noted and the gingival tissue was responding well to the therapy. Dental hygienists interested in an intriguing side job might want to look into becoming trained in dental forensics. He was also placed on Gel-Kam stannous fluoride to help with root sensitivity. Patients with mild to moderate periodontal disease can respond incredibly well to conservative therapy. 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