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.
2. Removal of calculus deposits and bacterial products, contaminating surface of teeth is an important step in achieving control of bacterial challenge. Calculus deposits constantly covered live bacterial biofilms that are associated with the ongoing inflammation if they are not removed.
B. objective 2: eliminate or control of local factors for periodontal disease
1. Local environmental risk factors may increase the risk of developing periodontal disease in a non-English sites. For example, damaged restoration can cause plaque biofilm storage in a localized area of the defective restorations.
2. Plaque biofilm retaining customers, over time, allows periodontal pathogens to live, reproduce, and damage of fabrics of parodont.
3. A detailed plan for non-surgical periodontal therapy will always include minimizing the impact of local environmental risk factors.
C. goal 3: to minimize exposure of the systemic factors for periodontal disease
1. Obviously, there are certain systemic diseases or conditions that may increase the risk of developing periodontal disease, or may increase the risk of developing severe periodontal disease periodontal disease that already exists. Two examples of systemic factors are uncontrolled diabetes and Smoking.
2. A detailed plan for non-surgical treatment always includes measures to minimize the impact of systemic risks. For example, periodontitis patients with a family history of diabetes should be assessed in order to exclude undiagnosed diabetes as a contributing factor to the development of periodontitis. Another example of a patient who smokes should receive Smoking cessation counseling.
D. goal 4: to stabilize the level of investment
1. The final goal of non-surgical periodontal treatment of chronic periodontitis patients is to achieve stabilization of level of investments.
2. Stabilization nesting level includes control of all the factors listed in other purposes non-surgical periodontal therapy.
4. Procedures are included in non-Surgical periodontal therapy
A. Professional Care. Field 24-2 shows a list of some non-surgical treatment procedures, dental team can use for patients.
1. List of procedures that can be included in this step is long, but it should be obvious that some of the procedures included in the treatment of all patients and other procedures in the list are rarely used.
2. Because each patient is unique approach to challenges, members of the dental team will need to customize the selection of non-surgical procedures included, for each individual.
B. Patient Self-Help. One important aspect of non-surgical periodontal treatment, is that it includes self-help, mainly in the hands of the patient. This means that patients need to teaching self-care skills and be motivated to use this knowledge.