牙周病的预后及治疗方案(英文).ppt

Sequences of Therapeutic Procedures Preliminary Phase Treatment of emergencies --Dental or periapical --periodontal --other Extraction of hopeless teeth and provisional replacement if needed Phase Ⅰ therapy (initial therapy) Plaque control Removal of calculus and root planning Correction of restorative and prosthetic irritational factors Antimicrobial therapy (local and systemic) Occlusal therapy Minor orthodontic movement Provisional splinting Evaluation of Response to Ⅰ Rechecking --Pocket depth and gingival inflammation --Plaque and calculus Reevaluation of prognosis Phase Ⅱ Therapy (surgical phase) Access surgery Mucogingival therapy Regenerative therapy, Endodontic therapy Extraction of teeth refractory to therapy (e.g. suspected fractured root or recalcitrant periodontal-endodontic lesion) Surgery for first-phase insertion of dental implants Phase Ⅲ Therapy (restorative phase) Fixed and removable prosthodontics Final splinting Evaluation of Response to Restorative Procedures Periodontal examination Phase Ⅳ Therapy (maintenance phase) Periodic recall visit, checking --Plaque and calculus --Gingival condition(pocket, inflammation) --Occlusion, tooth mobility --Other pathological changes Phase Ⅰ Re-evaluation Phase Ⅳ(Maintenance) Phase Ⅱ Phase Ⅲ (Periodontal Surgery) (Restorative) Correct sequence of periodontal treatment phases Preliminary Phase Periodontal Treatment of Medically Compromised Patients Control the systematical disease, treat the periodontal emergencies Precaution should be taken in the selection of periodontal therapy Precaution should be taken in the selection of medicine and anesthesia Periodontal Treatment of Geriatric Patients Epidemiology Clinical assessment of the geriatric patient --Physical and medical examination --Social and mental examination Rationale for periodontal treatment of geriatric patient --Palliative therapy --Radical therapy --Tooth retention t