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Tags: Periodontal Therapy
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Biocompatible Periodontal Therapy. IAOMT Committee on Periodontal Therapy. Periodontal disease is an infection — “an invasion by pathogenic microorganisms …
Biocompatible Periodontal Therapy
IAOMT Committee on Periodontal Therapy Periodontal disease is an infection — "an invasion by pathogenic microorganisms of a bodily part in which the conditions are favorable for growth, production of toxins, and resulting injury to tissue." (Webster’s II New Riverside University Dictionary). Pathogens of bacterial, protozoan, viral or fungal origin have been implicated as causal factors in periodontal disease. Its clinical symptoms and progression indicate the body’s defenses are being challenged, and that the immune system is unable to adequately defend against the invaders. It is also important to note that recent research has demonstrated serious cardiovascular and other health risks associated with high levels of proteolytic enzymes and endotoxins produced by the pathogens most commonly associated with active periodontal disease. Periodontal disease is a long-term chronic degenerative disease. It is often refractory, in that it may be periodically active or dormant depending on the effect that environmental or acquired risk factors (e.g., smoking) have on host immuno-inflammatory response to the microbial challenge. Because the understanding of periodontal disease has improved dramatically, treatment methods have been changing. Today the treatment of choice takes into account both local factors and systemic risk factors, and treats causes, not just effects. The goal is to help patients achieve optimal long-term periodontal health and maximize their resistance to periodontal infection. The treatment of choice is no longer removal of healthy or potentially healthy body parts.
Phases of Biocompatible Periodontal Therapy: ………………………………………………………….. 2 I. Diagnosis………………………………………………………………………………………………………………. 2 Clinical tests…………………………………………………………………………………………………………… 2 Microbiological tests ………………………………………………………………………………………………. 3 Diet Pattern Analysis:……………………………………………………………………………………………… 3 Medical Evaluation and Systemic Tests:………………………………………………………………….. 4 II. Treatment: ……………………………………………………………………………………………………………. 4 Objectives: …………………………………………………………………………………………………………….. 4 Procedures at All Appointments:…………………………………………………………………………….. 5 First Appointment:………………………………………………………………………………………………….. 5 Professional Sequence of Care – Alternative Treatment Philosophies: ……………………… 5 Subsequent Appointments:…………………………………………………………………………………….. 5 Initial Therapy End Point: ……………………………………………………………………………………….. 6 Surgery: …………………………………………………………………………………………………………………. 6 III. Maintenance: ………………………………………………………………………………………………………… 6 Further Thoughts for Consideration: ………………………………………………………………………….. 6 Definition of irrigation: ………………………………………………………………………………………………. 7 References: ………………………………………………………………………………………………………………. 7
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