Further, it appears that obesity can adversely impact periodontal treatment outcomes.11 Gorman et al12 reported that as BMI increases by one unit, the rate of alveolar bone loss increases by 5%. Gingivectomy / methods. Your dentist will be able to tell you about the procedure needed and how it's carried out. The information does not include all dental health related issues, nor does it take into consideration your specific individual dental and medical condition. Assessment, motivation and reinforcement of oral hygiene should be performed at each appointment. SEMINAR ON CHRONIC PERIODONTITIS Presented by: Shivani Yadav BDS 4th Year (12083) 2. Even with optimal care, however, up to 10% of patients may not exhibit the expected response to nonsurgical therapy, and may thus require more aggressive treatment. The sixth complication of diabetes mellitus. Miley DD, Garcia MN, Hildebolt CF, et al. Drainage into a major nerve canal can lead to numbness, which is generally temporary and resolves following successful treatment of the condition. In moderate to severe stages, gingival recession, loss of interproximal papilla, tooth mobility and furcation involvement may also be clinical features. This study determines which are the most common chronic periodontitis case definitions as well as confounding variables that have been reported worldwide in periodontal literature. Dongari-Bagtzoglou A, Research Science and Therapy Committee, American Academy of Periodontology. 1. Barnes CM, Russell CM, Reinhardt RA, Payne JB, Lyle DM. Smiley CJ, Tracy SL, Abt E, et al. Ideal vitamin C intake. Merchant et al17 noted that higher intake of whole grains is associated with a 23% decreased risk for developing periodontal disease. Smoking: As documented in the literature, is estimated that smokers have a twofold to fourfold greater risk of developing periodontitis.4 In clinical studies, patients are generally stratified based on the number of cigarettes smoked per day; for example, light (< 10 cigarettes/day), moderate (10 to 19 cigarettes/day), or heavy smokers (≥ 20 cigarettes/day). The best way to prevent periodontitis is to follow a program of good oral hygiene, one that you begin early and practice consistently throughout life. Patients with diabetes and HbA1c values less than 7% are considered well controlled and can be treated in similar fashion to the general population; however, even in these patients, the possibility of delayed healing and infection should be discussed prior to treatment. Sahrmann P, Imfeld T, RonayV, Attin T, Schmidlin PR. Pradeep Avani R., Kanoriya Dharmendra, Singhal Sandeep, Garg Vibhuti, Manohar Balaji, Chatterjee Anirban. Accept Read More. 2 Department of Periodontics, Penang International Dental College, Penang, Malaysia. Interestingly, given the prodigious bacterial population of the dorsal tongue surface, daily cleaning of the tongue has received little attention in the dental literature. Nonsurgical pocket therapy: mechanical, pharmacotherapeutics, and dental occlusion. CONTENT Periodontal disease Classification Introduction Definition Major clinical and etiologic factor Prevalence Clinical features Symptoms Types Disease severity Disease progression Clinical diagnosis Radiographic features Risk factors for disease Treatment Prognosis What are the treatment goals for chronic periodontitis?-control plaque to a level compatible with periodontal health-alter or eliminate contributing risk factors-arrest disease progression (stop attachment loss)-reduction in probing depth-prevent recurrence of disease. Long lasting (chronic) gum disease causes damage to the gums and soft tissue structures around teeth.This review seeks to evaluate the effectiveness of full‐mouth treatments carried out within 24 hours compared to the more conventional treatment of partial mouth scaling and root planing (SRP) usually done over a number of weeks. Effect of smoking and periodontal treatment on the subgingival microflora. The effects of periodontitis can be stopped through regular checkups and treatment and continued good oral hygiene. For optimal treatment results, systemic risk factors must be modified or eliminated. Periodontitis, a type of gum disease, is severe inflammation of the gums, with symptoms that include red, bleeding or swollen gums. 3. Carbohydrates have the opposite effect in that high intake of carbohydrates is associated with increased gingival inflammation.18 According to Al-Zahrani et al,19 individuals with a normal BMI, habit of good exercise, and a healthy diet are 40% less likely to develop periodontitis than at-risk groups. Chronic periodontitis results from the continuous and progressive interaction between a subgingival pathogenic microbial biofilm and the host immune system. Some are under the patient’s control (including smoking, stress, obesity and nutrition), and may, therefore, require lifestyle changes to achieve significant modification. A systematic assessment on periodontal disease classification and confounders was conducted using all publications in MEDLINE, EMBASE, SCOPUS, and Google Scholar … Consequently, periodontal patients should be encouraged to adapt a healthy lifestyle to maintain an ideal BMI of < 25kg/m2. Hernández G, Arriba L, Frías MC, et al. Today, a specific light-based therapy known as photodisinfection therapy offers new hope for patients with advancing gum disease (periodontitis).. Patients with diabetes that is poorly controlled should be referred to a medical provider for better metabolic control prior to initiating periodontal therapy. If used as part of a treatment protocol for periodontitis, systemic antibiotics should be used in conjunction with SRP. Gorman A, Kaye EK, Apovian C, Fung TT, Nunn M, Garcia RI. Periodontitis treatment is essential to eradicate bacteria from the oral cavity and it is done to simulate the healing of the affected area, or areas in most cases.If you have gingivitis, periodontitis or ANUG (Acute Necrotizing Ulcerative Gingivitis), you are not alone. Mutual management of both chronic diseases is vital to attaining stable periodontal health, as well as optimal metabolic control. Non-surgical therapy is the foundation of periodontal care and this can also be successful when the disease is thought to be unresponsive or refractory. The association between oral hygiene and periodontitis: a systematic review and meta-analysis. Treating Chronic Periodontitis Mechanical infection control (scaling and root planing) reduces probing pocket depth and improves probing attachment level. Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. Regular brushing and flossing … The result of a failure to treat this condition properly can lead to advanced chronic periodontitis, severe bone loss and, ultimately, tooth loss. D (Obviously, this list is not all-inclusive, but instead represents the more common risk factors.) Matsui M, Chosa N, Shimoyama Y, Minami K, Kimura S, Kishi M. Effects of tongue cleaning on bacterial flora in tongue coating and dental plaque: a crossover study. Bharathi Devi Myneni,BDS, practices with the Willamette Dental Group in Tigard, Oregon. The main goals of nonsurgical periodontal therapy (NSPT) are to remove and control supra- and subgingival microbial biofilms, eliminate and control inflammation, and eliminate and control systemic and local risk factors that contribute to disease development and progression. Local risk factors can be modified and/or eliminated — and, in fact, periodontal therapy should not be considered complete until all local risk factors have been addressed. A diplomate of the American Board of Periodontology, she serves as an instructional faculty member at Northwest Dental Residency in Washington. Zlatarić DK, Celebić A, Valentić-Peruzović M. The effect of removable partial dentures on periodontal health of abutment and non-abutment teeth. Achieving long-term periodontal stability requires an effective PM program and patient compliance. Aggressive periodontitis is classified into localized and generalized forms. Effective plaque control is an absolute requirement in nonsurgical and surgical periodontal therapy. Symptomatic apical periodontitis is usually acute, meaning it comes on suddenly and gets worse quickly, but it can also be chronic. Schätzle M, Lang NP, Ånerud A, Boysen H, Bürgin W, Löe H. The influence of margins of restoration on the periodontal tissues over 26 years. The level of evidence available to support each recommendation may differ. Select drug class All drug classes tetracyclines (9) antiseptic and germicides (5) mouth and throat products (10) miscellaneous antimalarials (7) Rx. , in turn, may help decrease inflammation and improve host insulin sensitivity this seven-step protocol is designed mitigate. Is chronically inflamed untreated, periodontitis can lead to inflammation and loss alveolar! 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