Dr.

Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

Objectives
Rationale

Periodontal Treatment Plan and Rationale for Treatment

for periodontal treatment Understand differences between regeneration, repair, reattachment, new attachment and epithelial adaptation.

Objectives
Reasons

Treatment of the Periodontal Diseases

Examination Diagnosis Prognosis Treatment Plan

for extraction Considerations for retention on hopeless teeth Phases of periodontal therapy Maintenance therapyprinciples and timing

Etiology
Primary
Bacterial

Factors in Diagnosis
Presence

plaque in a susceptible host

Secondary
Calculus,

(Co-factors)

malposed teeth, smoking, diabetes, overhanging margins, food impaction.

of clinically detectable inflammation Extent and pattern of bone loss Rate of progression Presence of miscellaneous signs and symptoms

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

Factors in Diagnosis
Microbiological Genetic Clinical Altered

host response

Treatment Plan
Begin

with the end in mind.

Frank Covey Habit 2

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

Scaling and Root Planing

Remove

Scaling and Root Planing

Scaling
The

calculus Remove endotoxin Provide a smooth detoxified root surface

removal of crown and root surface deposits and stains

Root
The

Planing

smoothing of roughened cementum, and dentin impregnated with calculus or contaminated with toxins or microorganisms

Scaling and Root Planing

Benefits
Decreased

Initial Therapy
Scaling

bleeding Gingival shrinkage (2 Wks), Connective Tissue reattachment (4wks) Pocket reduction Reduced mobility

and Root Planing Local Delivery Therapy Antibiotics

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

ANATOMY Furcation Location Maxillary Premolar

Furcation location varies, average 7.9mm due to the very long root trunk Furcation invasion significantly downgrades the prognosis Mesial concavity 100% Very difficult to treat in a predictable manner; root resection is ineffective

ETIOLOGY
PREDISPOSING / CONTRIBUTING FACTORS

PUPAL PATHOLOGY
Day of Root Canal Therapy 12 month follow up

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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Dr. Deborah Johnson, Periodontology I, Summer Semester, 2012, School of Dentistry University of Minnesota

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