PRINCIPLES OF NONSURGICAL PERIODONTAL THERAPY
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.
A. non-Surgical periodontal therapy have broad common goals the elimination of
inflammatory diseases of parodont and return of parodont
to a healthy state, which can then be maintained by using a combination of both
professional care and patient self-help.
1. Many terms are used to describe non-surgical periodontal treatment, and this fact may create some confusion among young doctors. Other terms used to describe the same treatment in the literature include the initial periodontal therapy, initial therapy, hygiene stage, anti-infective phase, associated with therapy, I phase, and soft tissues.
2. Non-surgical periodontal treatment, however, is the preferred terminology for this stage of periodontal care.
B. philosophy for the development of a plan for non-Surgical periodontal therapy
1. The basic philosophy is to develop a reasonable plan for non-surgical periodontal therapy must be a treatment plan that will provide control, eliminate or minimize the primary etiologic factors of periodontal disease, local risk factors for periodontal disease and systemic risk factors for periodontal diseases revealed in patients during clinical evaluation.
2. Procedures included in the plan for non-surgical periodontal therapy should be selected to meet the needs of each individual patient; therefore, non-surgical treatment plans can vary from patient to patient.
2. General indications for non-Surgical periodontal therapy. Non-surgical periodontal therapy should be planned for all patients with plaque-induced inflammation of the gums and for all patients with chronic periodontitis.
And Board-Induced Inflammation Of The Gums
1. Careful nonsurgical treatment usually can bring plaque-induced inflammation of the gums under control.
2. Thorough non-surgical treatment may also lead to many cases of mild to moderate chronic periodontitis under control
3. For many patients with more advanced periodontal diseases, such as severe chronic periodontitis, control periodontitis not only require careful non-surgical periodontal treatment, but it will also require more advanced periodontal procedures such as periodontal surgery.
B. chronic periodontal disease and other forms of Periodontitis
1. Although periodontal surgery is often indicated for patients with more advanced periodontitis, it should be understood that all patients with chronic periodontitis should undergo surgical treatment to periodontal surgery.
2. Non-surgical periodontal therapy is often successful in minimizing any operations subsequently needed and can improve the results that periodontal surgery.
3. Members of the dental team should be aware that non-surgical periodontal therapy is the method of choice for all patients with periodontitis.
a. Non-surgical periodontal therapy is not necessarily the best therapy for patients with other types of periodontal disease, such as aggressive periodontitis.
B. Patients with types of periodontal disease than other chronic periodontitis should be referred to the periodontist for treatment; criteria for directions are discussed later in this Chapter.