Lexi -Decision Making for Clients w Perio

Phases of treatment are

Assessment

NSPT

Surgical

Restorative

Periodontal maintenance

Assessment phase includes

Collection of data

Consults

Referrals

Diagnosis

Treatment planning

Contributing factors to perio

Medications

HH

Smoking

Diet

Visible signs of disease

Colour changes to gingiva

Contour changes to gingiva

Consistency changes to gingiva

Hidden sings of disease

Bone loss

Exudate

BOP

Formulating a diagnosis

Disease staging uses

Multidimensional staging system

Staging identifies

Severity

Complexity

Extent of disease

Stage I

Initial

Stage II

Moderate

Stage III

Severe

Potential for tooth loss

Stage IV

Advanced

Extensive tooth loss

Potential loss of dentition

Disease grading used for

Indicator of anticipated rate of progression of disease

Grade A

Slow rate

Grade B

Moderate rate

Grade C

Rapid rate

Disease extent uses

Descriptive modifers

Localized is

Less 30%

Generalized

More 30%

Determining need for local anesthetic agents during NSPT

Pocket depth greater than 4

Tissue consistency

Pocket topography

Furcation

Root anatomy

Inflammation

Hemorrhage

Steps in re evaluation appointment

Update

Reassess

Re check

Complete

Compare

Decide

Re evaluation appointment guide

Factors to consider for re evaluation

Inflammation

bOP

CAL

Depth, #, location of perio pockets

Appointment plan for periodontal clients

…