Treatment Plan for Periodontal Diseases NEW

8/16/2019 Treatment Plan for Periodontal Diseases NEW

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Treatment planfor periodontaldiseasesAyesha Awan

Roll No : 556


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What is a treatmentplan? Treatment plan is a blueprint for any case

management

It includes the following decisions1. Need for any emergency treatment

. Teeth which re!uire "#traction

$. %eriodontal therapy techni!ues

&. "ndodontic therapy5. Need for correct occlusion including orthodontics

6. Implant therapy


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'(ond)*.Need of remo+ing caries and placementof temporary and ,nal restorations

-.%rosthetic replacements if re!uired andwhich teeth will become abutment teeth if,#ed prosthesis is used

./ecisions regarding estheticsconsideration in periodontal therapy


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0hat are the goals

SHORT TERM

"liminate pain andacute infections

Remo+e factors

in+ol+ed in pla!ueformation

LONG TERM

Reconstruction ofa healthy dentitionthat ful,lls allfunctional andestheticre!uirements


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2aster plan for total treatment

Aim of the plan is to coordinate theshort and long term goals for the

purpose of creating a well functioningdentition in a healthy periodontalen+ironment.

Extracting or preserving a tooth?

eriodontal treatment is directed toesta!lishing and maintaining ahealth" periodonti#m rather thanattempting spectac#lar e$orts to

%Tighten Loose Teeth&


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Remo+al3 retention or temporary retentionof a tooth is an important part of the

o+erall plan.' tooth sho#ld !e extracted #nder the

follo(ing conditions

1. It is mobile that function becomes painful

. (an cause acute abscess duringtreatment

$. No use of it in the o+erall treatment plan


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0hen to retain a tooth temporarily

1. It maintains posterior stops3 the toothcan be remo+ed after treatment if itcan be replaced by prosthesis.

. It maintains posterior stop3 and maybefunctional after implant placement and

can be e#tracted once the implant isrestored


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$. In anterior region the tooth can beretained during treatment then

e#tracted on completion of treatmentand restored


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hases of the lan

"mergency phase

%4A" 1: Nonurgical %4A" : urgical

%4A" $ : Restoration

%4A" & : 2aintenance


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Se)#ence? EMERGEN*+ H'SE

Non S#rgical hase

Maintenance hase

S#rgical haseRestorative hase


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Emergenc" hase Treat any type of pain e.g Acute

gingi+itis

"#traction of hopeless Teeth

/raining of Abscess


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/ental Abscess


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hase , - Non S#rgical hase

%la!ue control and patient education:

/iet control

Remo+al of calculus and root planing

(orrection of restorati+e and prostheticirrational factors

"#ca+ation of caries

Antimicrobial therapy

7cclusal therapy

2inor 7rthodontic mo+ement

%ro+isional splinting and prosthesis


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"+aluation of response to nonsurgical phase

%oc8et depth and gingi+al in9ammation

%la!ue and calculus

(aries


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S#rgical phase .hase/0 %eriodontal therapy including placement of

implants

"ndodontic Therapy


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Restorative phase inal restorations

i#ed and remo+able prosthodonticappliance

"+aluation of response to periodontale#amination

%eriodontal e#amination


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Maintenance phase %eriodic chec8ing:

%la!ue and calculus

;ingi+al condition 'poc8et andin9ammation)

7cclusion and tooth mobility

%athological changes


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Explaining the treatmentplan to the patient

%oints to remember while e#plaining theplan to the patient


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Reference (arran=a>s (linical %eriodontology

'11th "dition)

Treatment Plan for Periodontal Diseases NEW

Documents

Transcript of Treatment Plan for Periodontal Diseases NEW