Non-Surgical Instrumentation Outcomes

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Questions and Answers

According to the EFP S3-level clinical treatment guidelines, what is the focus of treatment for periodontitis patients?

  • Evidence-based, personalised, and minimally invasive treatment. (correct)
  • Standardised treatment protocols regardless of individual patient needs.
  • Aggressive antibiotic use to eradicate all subgingival bacteria.
  • Solely surgical interventions to eliminate periodontal pockets.

Which of the following is a key consideration when providing personalized treatment for periodontitis?

  • Adapting treatment strategies based on individual patient needs and disease presentation. (correct)
  • Prioritizing cost-effectiveness over long-term periodontal health.
  • Ignoring patient preferences to adhere to a strict treatment protocol.
  • Using the same treatment approach for all patients to ensure consistency.

What is the primary goal of minimally invasive treatment in periodontal therapy?

  • To reduce treatment costs by avoiding complex procedures.
  • To achieve periodontal health while preserving as much healthy tissue as possible. (correct)
  • To quickly resolve the infection irrespective of tissue damage.
  • To prioritize patient comfort over long-term treatment outcomes.

Why is the umbrella review mentioned important in the context of periodontal disease?

<p>It provides a broad overview of systematic reviews, linking periodontal disease with patients quality of life. (D)</p> Signup and view all the answers

What would be the most appropriate initial step in managing a patient presenting with unresponsive periodontitis, according to Reena Wadia and Professor Ian Needleman?

<p>Reviewing and reinforcing the patient's oral hygiene techniques. (D)</p> Signup and view all the answers

A patient presents with bleeding on probing, what does this indicate?

<p>Active inflammation in the periodontal tissues. (C)</p> Signup and view all the answers

What is the likely consequence of untreated gingival recession?

<p>Increased risk of root caries and dentin hypersensitivity. (A)</p> Signup and view all the answers

A patient complains about food getting trapped between their teeth. What is the most likely cause of this issue?

<p>A poorly contoured restoration or loss of attachment. (B)</p> Signup and view all the answers

Which of the following is the MOST comprehensive aim of periodontal treatment?

<p>Balancing pocket depth reduction, managing risk factors, maintenance and addressing patient concerns. (A)</p> Signup and view all the answers

Which factor primarily determines the need for periodontal treatment in post-COVID-19 dentistry?

<p>Severity of periodontal inflammation and risk for disease progression. (D)</p> Signup and view all the answers

A patient presents with increased tooth sensitivity following non-surgical periodontal therapy. Which factor is MOST likely contributing to this?

<p>Gingival recession. (D)</p> Signup and view all the answers

Why is it important to consider the patient's quality of life when treating periodontal disease?

<p>Treating periodontal disease can improve a patient's self-esteem, comfort, and overall well-being. (C)</p> Signup and view all the answers

Why is the management of modifiable risk factors crucial in periodontal therapy?

<p>They can directly influence the progression and severity of periodontal diseases. (A)</p> Signup and view all the answers

What is the primary rationale for emphasizing the maintenance of oral hygiene (OH) following active periodontal treatment?

<p>To prevent the recurrence of periodontitis by controlling plaque accumulation. (D)</p> Signup and view all the answers

In the context of non-surgical periodontal therapy, what does 'increased cleansability' refer to?

<p>Improved access for patients to clean previously difficult-to-reach areas. (D)</p> Signup and view all the answers

Which of the following potential outcomes should be discussed with a patient before undergoing non-surgical periodontal therapy?

<p>The potential for gingival recession, leading to sensitivity or aesthetic concerns. (B)</p> Signup and view all the answers

What does the term 'secondary local factors' refer to in the context of periodontal treatment?

<p>Calculus, overhanging restorations, or poorly contoured crowns that contribute to plaque accumulation. (D)</p> Signup and view all the answers

A patient returns for a follow-up appointment after initial periodontal therapy, and a site exhibits persistent inflammation and pocketing. What is the MOST appropriate next step?

<p>Re-evaluate and reinforce oral hygiene instructions, and consider further non-surgical debridement. (C)</p> Signup and view all the answers

What is the MOST important reason for addressing patient complaints and concerns as part of periodontal treatment?

<p>To ensure patient compliance with the treatment plan. (D)</p> Signup and view all the answers

How do non-modifiable risk factors influence periodontal treatment planning?

<p>They must be identified to adapt the treatment approach and manage patient expectations. (B)</p> Signup and view all the answers

According to the British Society of Periodontology (BSP) guidelines, what is the initial step in periodontal treatment?

<p>Comprehensive assessment of the patient. (D)</p> Signup and view all the answers

In the British Society of Periodontology (BSP) treatment steps, which intervention directly follows patient education and risk factor management?

<p>Management of non-responding sites including professional mechanical plaque removal (PMPR). (D)</p> Signup and view all the answers

What is the primary focus of the maintenance phase (Step 4) in the British Society of Periodontology (BSP) periodontal treatment guidelines?

<p>Targeted professional mechanical plaque removal (PMPR) and reinforcement of oral hygiene and risk factor control. (B)</p> Signup and view all the answers

How do the British Society of Periodontology (BSP) guidelines reflect the principles of minimally invasive dentistry and periodontics?

<p>By phasing treatment, starting conservatively, focusing on prevention, and only intervening further if necessary. (C)</p> Signup and view all the answers

Within the context of non-surgical periodontal therapy, which of the following GDC learning outcomes emphasizes the need for continuous evaluation of treatment results?

<p>1.7.3: Recognizing the need to monitor and review treatment outcomes. (A)</p> Signup and view all the answers

Which GDC learning outcome relates to the importance of teamwork and knowing when to get help from a colleague?

<p>1.7.7 Refer patients to other members of the dental team or other health professionals. (B)</p> Signup and view all the answers

A patient presents with localized, non-responding sites after initial non-surgical periodontal therapy and oral hygiene instruction. According to the British Society of Periodontology (BSP) guidelines, what is the MOST appropriate next step?

<p>Re-evaluate oral hygiene, address risk factors, and consider re-treatment or referral. (C)</p> Signup and view all the answers

A dental practitioner is developing a treatment plan for a patient with aggressive periodontitis. Which of the following GDC learning outcomes is MOST relevant to ensuring the treatment plan considers the patient's overall health?

<p>1.11.2: Explain and take account of the impact of the patient’s periodontal and general health on the overall treatment plans and outcomes. (A)</p> Signup and view all the answers

A patient who has undergone non-surgical periodontal therapy reports persistent dentinal hypersensitivity. Which GDC learning outcome is MOST applicable to managing such a complication?

<p>1.11.5: Recognise and appropriately manage the complications associated with periodontal therapy. (D)</p> Signup and view all the answers

Following initial non-surgical periodontal therapy and oral hygiene instruction, a patient's periodontal inflammation has improved, but bleeding on probing (BOP) persists in several sites. What should be the next course of action, according to BSP guidelines?

<p>Re-evaluate and reinforce oral hygiene, address risk factors, and consider further non-surgical treatment or referral. (A)</p> Signup and view all the answers

Flashcards

Step 1 of BSP Guidelines

Assessment of periodontal condition and risk factors.

Step 2 of BSP Guidelines

Oral hygiene instruction, professional mechanical plaque removal (PMPR), and addressing habits & underlying risk factors.

Step 3 of BSP Guidelines

Management of sites not responding to initial therapy; may involve adjunctive antimicrobials, re-treatment, or referral.

Step 4 of BSP Guidelines

Targeted PMPR, reinforce oral hygiene, and manage risk factors to maintain periodontal stability.

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Minimally Invasive Dentistry/Periodontics

An approach that aims to provide effective treatment while minimizing trauma to tissues.

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Patient Education Importance

Comprehensive and accurate preventive education and instruction to encourage self-care and motivation.

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Preventive Approach

Underpinning all patient care with a preventive approach that contributes to long-term oral and general health.

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Periodontal & Soft Tissue Management

Assessing and managing the health of periodontal and soft tissues, considering risk and lifestyle factors.

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Impact of Health on Treatment

Explaining and taking account of the impact of the patient’s periodontal and general health on overall treatment plans and outcomes.

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Managing Periodontal Complications

Recognizing and appropriately managing the complications associated with periodontal therapy.

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Aims of Periodontal Treatment

Decreasing pocket depth aims to reduce plaque and bleeding, maintain oral hygiene, address risk factors, and manage patient concerns.

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Pocket Depth Reduction

A primary goal is to reduce pocket depth to minimize the space where bacteria can thrive.

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Reduced Bleeding

Reducing bleeding on probing indicates decreased inflammation and improved periodontal health.

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Addressing Modifiable Risk Factors

Managing factors like smoking or uncontrolled diabetes that worsen periodontal disease.

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Benefits of Non-Surgical Therapy

Non-surgical periodontal therapy benefits include decreased pocket depths and inflammation.

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Risks of Non-Surgical Therapy

Non-surgical treatments carry risks like pain, bleeding, infection, recession and sensitivity.

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Gingival Recession

Possible outcome post-therapy where gums pull back, exposing more tooth.

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Post-Treatment Sensitivity

Tooth sensitivity can increase after scaling and root planing.

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Non-Responding Site

Areas that do not improve after initial periodontal treatment.

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Black Triangles

Spaces between teeth that appear after gum recession, which can trap food.

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Periodontal Disease & Quality of Life

Umbrella review examining systematic reviews, focusing on the impact of periodontal disease on quality of life.

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EFP S3 Guidelines

Evidence-based, personalized, and minimally invasive treatments for periodontitis, guided by the EFP S3-level clinical treatment guidelines.

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Gingivitis

Inflammation of the gingiva, often characterized by redness, swelling, and bleeding.

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Periodontal Pocket

Pathologic deepening of the gingival sulcus.

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Bleeding on Probing (BOP)

Bleeding upon gentle probing of the gingival sulcus, indicating inflammation.

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Food Trap

An area where food debris tends to accumulate due to tooth or restoration irregularities.

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Dentin Hypersensitivity

Dental hypersensitivity triggered by exposed dentin, often due to gingival recession.

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Unresponsive Periodontitis

Failure of a periodontal site to respond favorably to conventional treatment.

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Pericoronitis

Inflammation of the gums around a partially erupted tooth, often the wisdom tooth.

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Study Notes

  • Non-surgical instrumentation outcomes are covered

Intended Learning Outcomes

  • Briefly explain the four steps from the British Society of Periodontology regarding periodontal treatment.
  • Explain the desired outcomes from non-surgical periodontal therapy.
  • Describe the potential risks of non-surgical periodontal therapy.
  • Explain the impact on patient consent and management

GDC Learning Outcomes

  • Describe the properties of relevant medicines and therapeutic agents and discuss their application to patient management.
  • Recognize the need to monitor and review treatment outcomes.
  • Refer to other members of the dental team or other health professionals.
  • Provide patients with comprehensive and accurate preventative education and instruction, encouraging self-care and motivation
  • Underpin all patient care with a preventive approach that contributes to the patient's long-term oral and general health.
  • Assess and manage the health of periodontal and soft tissues, considering risk and lifestyle factors.
  • Explain and consider the impact of the patient's periodontal and general health on overall treatment plans and outcomes.
  • Recognize and appropriately manage complications associated with periodontal therapy.

Four Steps BSP UK CLINICAL PRACTICE GUIDELINES

  • Step 1 involves assessment, education, risk factors, and oral hygiene (OH) coaching.
  • Step 2 manages oral hygiene, risks, professional mechanical plaque removal (PMPR), hydrogen peroxide & urea (H&U), and adjunctive antimicrobials.
  • Step 3 manages non-responding sites, involves re-treatment, and referral.
  • Step 4 consists of maintenance involving targeted PMPR, oral hygiene, and risk factor management.
  • Acknowledging these steps helps for minimally invasive dentistry and periodontics.
  • Research by Kebschull, M., and Chapple, I., supports evidence-based, personalized, and minimally invasive treatment for periodontitis patients, aligning with new EFP S3-level clinical treatment guidelines

Main aims of treatment

  • Pocket depth reduction, reduce plaque/bleeding, address recession.
  • Removal of secondary local factors and maintenance of oral hygiene regimen.
  • Increase cleansability, address modifiable risk factors.
  • Aims to minimize the impact of non-modifiable risk factors.
  • Addressing patient complaints

Risks and additional outcomes

  • There may be risks and the need for additional outcomes like C-section, stitching and face-lifts

Benefits of Accepting Non-Surgical Periodontal Therapy

  • Accepting the therapy provides multiple benefits

Benefits and Risks

  • Weighing the benefits versus risks shows that the benefits should out weigh the risks.
  • It's important to understand that with every benefit, there is a risk.

Non-Surgical Periodontal Therapy Risks

  • Pain or discomfort, bleeding, infection, recession, sensitivity.
  • Increased risk of caries, food trapping, black triangles, non-response.
  • Risk of los of restorations/margins.

Non-Surgical Gum Disease Therapy

  • Therapy is the initial step in treating gum disease, addressing the body's reaction to plaque bacteria at the gum line and tooth surfaces.
  • Measuring pockets may cause soreness.
  • Deep cleaning usually doesn't cause pain due to local anesthesia, but discomfort may occur after the anesthesia wears off, lasting a few days
  • Maintaining oral health is necessary during this time.
  • Simple painkillers can help with any discomfort.

Potential Risks with Therapy

  • Gums shrink, making teeth look longer due to receding and exposure..
  • Gaps becoming noticeable between teeth
  • Sensitivity to hot and cold may increase temporarily, manageable with fluoride mouth rinses and desensitizing toothpaste.
  • Swollen/inflamed gums will shrink back to healthy state.
  • Fillings may loosen or fail; temporary fillings are placed until dentist provides permanent filling.

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Related Documents

Outcomes of Non-surgical Periodontal Therapy PDF | Lecture Notes

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