Category: Dentistry
Clinical Success In Management of Advanced Periodontitis
By
Roger Detienville, DDS
Assistant Professor
Department of Periodontics
School of Dental Surgery
René Descartes University-Paris 5
Paris, France
Learning Objectives
After completing this course you’ll be able to:
- Define periodontal disease.
- State the objective of periodontal treatment.
- State how periodontal disease is characterized.
- State how new guidelines and treatment have developed.
- Compare chronic and aggressive periodontitis treatment.
- Describe successful treatment in periodontal practice.
- Discuss the prevalence of periodontal disease in the United States. (Brown et al 1989)
- Define bacterial plaque.
- Compare the conventional radiograph film and the phosphor plates.
- List the two fundamental features of bacterial plaque.
- State why subgingival microbial plaque is difficult to eradicate.
- State the methods used for disorganizing biofilm.
- Describe the exogenous pathogenic micro-organism.
- Compare the red, orange, yellow and green complexes.
- State what determine the manifestations and severity level of periodontal disease.
- Compare endogenous and exogenous bacteria.
- State the risk factors for periodontitis.
- List the objective and subjective signs of periodontal disease and state the significant sign.
- State the main treatment of periodontal disease.
- Describe the four categories used to assess the degree of periodontitis.
- State the goal of supportive therapy.
- Compare qualitative and quantitative monitoring.
- Discuss the testing techniques and advantages of cultural analysis and DNA probe assays.
- List several destructive cofactors or complexity factors that are frequently encountered.
- Describe the two categories of therapeutic procedures for treatment.
- State measures used to reduce subgingival plaque.
- State the objective of scaling and root planning and why it is a difficult task.
- Describe the first and second phase of periodontal treatment.
- List the four assessments of antibiotic treatment efficacy.
- Discuss the use of chlorhexidine mouthwash.
- Define marginal chronic periodontitis.
- Define advanced chronic periodontitis.
- Describe the conventional treatment for mild and moderate chronic periodontitis.
- State the goals and methods for treatment in mild and moderate chronic periodontitis.
- Describe the treatment for generalized advanced chronic periodontitis.
- List the severity factors of advanced chronic periodontitis.
- Compare localized aggressive periodontitis and generalized aggressive periodontitis.
- Describe methods of treatment and goals for aggressive periodontitis.
- Describe treatment for bone defects.
- List the three classifications for interradicular lesions and the treatment.
- State the role of smoking as a risk factor in high risk patients.
- Discuss the role of diabetes in periodontal disease.
- Discuss the management and goals of treatment of advanced periodontal disease.
- State the prognosis to maintain or extract teeth.
- Discuss the role of bacteria in edentulous patients and those with natural teeth.
- Compare peri-implant mucositis and peri-implantitis.
- Discuss the orthodontic archwire.
- List several treatment considerations for periodontal maintenance.
- Discuss the role of the patient in daily maintenance therapy.
- List the early symptoms of inflammation.