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Toothbrushing and Tongue Cleaning

1. Cleaning of teeth

A. Manual Cleaning Of Teeth

1. Making sure that periodontitis the patient uses sulcular brushing technique brush with soft bristles is Central to most self-help programs.

2. Manual tooth brushing techniques not covered in detail here, since these topics are completely covered in other courses in hygiene curriculum.


Dentinal Hypersensitivity, as described in this section is not really periodontal disease or condition of parodont. However, dentinal Hypersensitivity appears so often in the course of successful conservative periodontal treatment that clinicians should be aware of this condition, you need to understand its origin, and must be able to provide a range of treatments for the condition.

Specific Goals of Nonsurgical Periodontal Therapy

The goals of non-surgical periodontal treatment are presented in table 24-1.

A. goal 1: to minimize bacterial load on the patient

1. Control bacterial involves intensive patient education in relevant techniques of self-help and professional removal of calculus deposits and waste products of bacteria from the surface of teeth.


1. Non-surgical periodontal therapy includes self-help measures, periodontal instruments and chemicals to prevent or control the RAID-induced chronic gingivitis or periodontitis. This is useful for non-surgical periodontal procedures as initial steps in periodontal treatment for the patient, but for many patients, these initial steps necessary to bring the disease under control.


1. Overview of decision-making processes, Periodontal care

A. role in the decision-making process

1. Dentists role

a. It dentist responsibility to arrive in periodontal diagnostics; however, as the dentist and hygienist responsibilities to plan a non-surgical treatment.

B. Effective dental practice, the entire team should be familiar with the diagnostic decision-making process and the basic principles for planning non-surgical periodontal therapy.

Refined Carbohydrates

A diet with a high content of refined carbohydrates, can play an important role in the increased risk of periodontal disease.

1. Excessive intake of refined carbohydrates can affect the immune response and may lead to further destruction of periodontal tissues in patients with existing periodontal disease through such mechanisms as the action of enzymes (i.e., collagenase) and Pro-inflammatory mediators (i.e., interleukin-1, and interleukin-6).

The Influence of Diet and Nutrition on the Periodontium

Evidence did not specify the exact relationship between diet, nutrition and diseases of parodont at this point. Much of the scientific data related to food and periodontal diseases includes animal and laboratory studies with some limited data from controlled clinical studies. Despite this limitation, the study makes reference to some specific nutrients and foods with a high content of refined carbohydrates to increase inflammation is very kind of inflammation, which can cause the host-mediated inflammatory response seen of periodontal disease [1]. As discussed in several chapters of this book, periodontal disease is an inflammatory response to bacterial plaque biofilm. Although periodontal cannot be caused by nutritional deficiencies, some nutrient really seem to change the severity and prevalence of periodontal disease.

Use of Radiographs for Periodontal Evaluation

1. Methods of good quality Radiographic

And Long-Cone Parallelization Method. Long cone parallelization technique provides a radiograph, more anatomically accurate compared to other intraoral methods such as cuts the corner.

B. Long-Grayscale-Low-Contrast Images. Large-scale contrast radiographic images seen many shades of gray that make it easier to see subtle changes such as the loss of bone tissue diseases of parodont. These images can be obtained using high KVP exhibitions (70-100 Lam), or using digital image processing adjustments to maximize the gray scale, as a rule, exposed images.

Alveolar Crestal Bone

1. Alveolar bone is that part of the bone that support the teeth.

2. The surface of the bone combs, smooth, covered with a thin layer of bark (dense, solid bone, which can be considered as a thin white line on the x-ray.

3. The most important radiographic features of the alveolar ridge, is that it forms a smooth undamaged surface between adjacent teeth with only the Width of the periodontal ligament space, separating it from the adjacent surface of the root.

Crestal Contour of the Interdental Bone

1. Contour ridge remove deposits bones is a good indicator of periodontal health. Contour interpoximal crest parallel to the imaginary line drawn between CEJs adjacent teeth.

2. In the back of sectarianism circuit remove deposits crest parallel to the imaginary line drawn between CEJs adjacent teeth.

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