2.  The purpose of periodontal therapy is increase the longevity of the person natural dentition by preserving the support structures of the teeth.  Periodontal maintenance and supportive therapy are the act of continually caring for and preserving the dentition in health and function.

3. 1. Early recognition of the disease. 2. Prevent the recurrent of the disease. 3. Prevent further advancement of the disease. Goal:  Prevent the recurrence of disease.

4. Non-surgical therapy – phase IreevaluationPeriodontal surgery-phase II

5. Restorative therapy – phase III Maintenance – phase IV

6. 1. Update medical, dental and social history. 2. Detailed clinical and radiographic examination. 3. Determining diagnosis and prognosis. 4. Review oral hygiene and compliance. 5. Perform supra and subgingival instrumentation.

7. Goals:  Eliminate the microbial etiology and contributing factors affecting gingival and periodontal disease. So the result is halting the progression disease and returning the dentition to a state of health and comfort. reduce pocket depths and, ideally, obtain clinical attachment gains.  It is nonsurgical scaling and root planning or etiotropic phase.

8. 1. Relief pain. 2. Patient education and motivation. 3. Behavioral change. 4. Plaque control and oral hygiene care. 5. Prophylaxis. 6. Scaling and root planning. 7. Chemical plaque control. 8. Correction /replacement of poorly fitting restorations and prosthetic devices. 9. Orthodontic tooth movement. 10. Treatment of occlusal trauma. 11. Endodontic treatment. 12. Extraction of hopeless tooth.

9. 1. Oral hygiene status. 2. Gingival inflammation and bleeding. 3. Probing depth. 4. Attachment level. 5. Calculus. 6. Caries. 7. Other parameters.

10.  Periodontal Maintenance Therapy is an ongoing and personalized program designed to prevent the spread of disease in the gum tissue and surrounding bone that supports your teeth.

11.  A typical dental cleaning (prophylaxis) is performed on patients that have not had treatment for Periodontal Disease, and are not at high risk for tooth loss due to Periodontal Disease.

12.  Is distinctly different and is utilized for patients who have had periodontal treatment. It is ongoing treatment for periodontitis which is chronic and non curable bacterial infection.  At each Periodontal Maintenance visit an assessment is made of your periodontal health by measuring the depths of the pockets around the teeth, scaling the teeth to remove bacterial plaque and calculus, reviewing your plaque control efficiency at home, taking any necessary x-rays to evaluate teeth and supporting structures, and evaluating your need for further treatment.

13.  The extent and type of Periodontal Disease, and healing ability, will determine the frequency of maintenance visits. the response to therapy is influenced by the effectiveness of your plaque control, the different rates of plaque growth, and factors that increase risk of Periodontal Disease, such as smoking. The interval between Periodontal Maintenance Therapy visits varies with a recommendation of three, four or six months, depending on needs as identified by the Doctor. Research has shown that treatment within a 3 month period is most effective in reducing the risk of future bone or tooth loss.

14. Periodontal maintenance is key for long-term positive clinical outcomes

15. 1. Full evaluation of hard and soft tissues 2. Thorough removal of calculus and biofilm 3. Scaling and root planning at sites as indicated 4. Assessment of adequacy of patient’s oral hygiene 5. Patient education and motivation 6. Reinforcement of good oral hygiene habits