WESTMEAD DENTAL ACADEMY PERIODONTOLOGY NOTES & TRICKS 1. Respect personal values, attitudes and behaviors ll Patient education and health advise- Provide clear information that ensures patients are advised of and understand care and treatment options lll, Addressing patient's concern and prevention by efficient communication and engagement IV. Respect patient rights and choices of periodontal treatment selection if justifiable (patient-centered care) V. Understanding and delivery of the determinants of health, risk factors and behaviors that influence health and periodontal disease progression VI. Design, implement and evaluate the treatment planning of periodontal diseases based on evidence-based health promotion VI. Record KeepingMi. VIL vil. Xl, xl. xl, XIV, XVI. XvIIL Classification and different types of Periodontal Disease = THE NEW CLASSIFICATION BASED ON STAGING AND GRADING OF PERIODONTAL DISEASE "Correlate the topics of Gingivitis and Periodontitis with the topic of Periodontal diseases in Therapeutic guidelines * Periodontal chart given in Odell is very important to understand Normal anatomy and composition of periodontium Important anatomical landmarks in a healthy periodontium in comparison to presentation of periodontium affected by periodontal disease Important PDL fiber groups and positions around the tooth General types of microorganisms causing Periodontal Diseases- e.g., Streptococcus Mutans and Staphylococcus aureus in relation to periodontal disease Histology of different phases of Inflammatory Periodontal Disease Mechanism of pocket formation Primary contributing and Risk factors, e.¢., smoking, diabetes, advanced age, pregnancy, etc Important signs and symptoms of periodontal disease (Gingivitis & Periodontitis) Gingival Enlargement- localised (¢.¢., plaque induced, traurratic bite, etc.) and generalized (drug induced, etc.) Endo-Perio lesions- = Classification "Periodontal abscess (differential diagnosis of periodontal abscess is very important) Necrotising Periodontal Disease = Necrotising Gingivitis (Previously known as ANUG) = Necrotising Periodontitis (NUP) = Necrotising Stomatitis * Risk factors, signs and symptoms Periodontal disease and pregnancy Important index used to evaluate periodontal diseases, which include: * Plaque Index © Gingival index © Community Periodontal Index of Treatment Needs (CPITN) * Periodontal Disease Index Universal curettes and Gracey's curettes © Use of Gracey’s curettes in specific sextants of the mouth Traumatic Occlusion and periodontal disease Perio- chart: you MUST know how to interpret gum disease chart Basic Periodontal Examination (BPE)- The BPE was developed from the Community Periodontal Index of Treatment Need (CPITN)\vil. vin, Diagnose disease or abnormalities and identify conditions which require management Obtain and record patient informed consent and financial consent for treatment Formulate and record a comprehensive (patient-centered) evidence-based oral health treatment plan Efficient referral of patients to the appropriate health professional eg., Referral for PERIODONTIST in case of severe or refractory types of periodontitis, also in cases of immunocompromised patients Evaluate the impact of risk factors, systemic disease and medications on oral health of a patient and eventually the treatment options provided. Pathophysiology of every periodontal disease: how and why these conditions started and how to manage them. Your scope of management: when you should treat the patient in your practice and when you should refer to the right specialist Modifying Factors for Periodontal Diseasesvi. vil. vin. XIX Use of periodontal therapy and early intervention in the management of the periodontal disease Management of surgical and non-surgical treatment of diseases and conditions of the periodontium and supporting tissues of the teeth or their replacements (implants) Management of patient behavior and anxiety patterns in relation to periodontal disease therapy Importance of oral hygiene maintenance Controlling pathological oral conditions and mecically related diseases associated with the progression of periodontal disease Dental occlusal discrepancies management, e.g., Enlargement of gingiva caused by traumatic bite Periodontal surgical procedures to improve the esthetics and general wellbeing of the patient, e.g., Gingivectomy procedure performed to facilitate better esthetics and maintenance of oral hygiene of the patient Prescription and administration of suitable pharmaceutical agents e.g., Management of Necrotising Gingivitis includes prescription of Metronidazole along with Chlorhexidine or Hydrogen peroxide mouthwash to counter the restriction to maintain oral hygiene because of pain and inflammation of gingiva (short-term use) Crown lengthening procedure, including the importance of maintaining biological width Evaluate and monitor the progress of treatment and oral health outcomes based on the periodontal procedures and therapy for resolution of the condition, e.g., follow up visits to check the bleeding on probing, once the treatment for Gingivitis has been started for the patient GENERAL information on these procedures: = Curettage = Root planning = Guided tissue regeneration = Gingivectomy = Important flaps- e.g, Modified Widman flap, free gingival grafts> Revise the topic of “Periodontal Diseases” from Therapeutic Guidelines > ODELL CLINICAL PROBLEM SOLVING IN DENTISTRY CASES- 4, 38, 52, 54 PLEASE NOTE THE FOLLOWING ARTICLES, FILES AND BOOKS ARE LOCATED IN THE HIGHLY ‘SECURED FOLDER UNDER PERIO FOLDER. The main study material is “Melinda Notes [Link]”. Melinda notes are very concise In comparison to PERIODUNTOLOGY textbooks, so please read It all. NEW Periodontal Classification 45-gingivalenlarge AAP - Drug-Associated Gingival Enlargement Traumatic [Link] Crown Lengthening. PPT Periodontics important. pdf AS REFERENCE ONLY 51-antimicrobials in perio AAP - American Academy of Periodontology Statement on Local Delivery of Sustained or Controlled Release Antimicrobials as Adjunctive Therapy in the Treatment of Periodontitis 49-esthetics restorartive PDD AAP - Oral Reconstructive and Corrective Considerations in Periodontal Therapy Periodontal Scaling [Link]