Phase II therapy is the surgical phase of treatment. The treatment plan is the blueprint for management of the dental case and is an essential aspect of successful therapy. Periodontal maintenance occurs while the other phases of treatment are ongoing because the completion of the entire treatment plan can take months or years, and decline in the status of periodontal patients has been observed much earlier, after as little as 90 days. The interval between periodontal maintenance appointments is determined by the periodontal condition and the plaque control that the patient is able to attain and maintain. Some serious general healthconditions absolutely preclude placing implants. In 1999, an international group of periodontal experts approved the classification system currently in use. • Teeth that will require removal. Deep cleaning, which involves scaling and root planing, will likely be one of the first treatments your dentist uses. Phase II therapy or Surgical Phase. Classification of Periodontal Disease and Conditions, Periodontitis as a Manifestation of Systemic Disease, Only gold members can continue reading. The sequence of treatment depends on a number of factors, including the periodontal diagnosis and prognosis, the patient’s systemic and periodontal condition, and the patient’s preferences. Phase IV therapy is the maintenance phase. Scaling, root debridement and planing are performed. 5: Calculus and Other Disease-Associated Factors, 9: Systemic Factors Influencing Periodontal Diseases, 12: Plaque Biofilm and Disease Control for the Periodontal Patient, 11: Occlusion and Temporomandibular Disorders, 18: Prognosis and Results After Periodontal Therapy, Periodontology for the Dental Hygienist 4e. Treatment plan is guiding map for perio treatment – no treatment should be initiated without forming a solid TP & Although Its clinician’s responsibility to make individual patient realize the value of Treatment – motivated patient is a prerequisite for optimum outcome of perio therapy 69 60. So, the phases of treatment plan are, Emergency phase. The dental hygiene treatment plan consists of services that are performed by the dental hygienist within the total treatment plan.2 Treatment planning occurs after the assessment of all clinical data and reflects the diagnosis and prognosis of the patient. Phase I therapy describes the procedures that are designed to control or eliminate the etiologic factors of the disease process. Periodontal surgical procedures, including placement of implants. Experience wonderful dental care in the relaxed surroundings of a white sandy beaches of coastal resorts. Identify the considerations for sequencing dental hygiene treatment with periodontal diseases. Classify the phases of dental treatment included in the comprehensive care plan. 3. Patients remain in this phase for a lifetime. A dentist or dental hygienist provides this treatment by scraping and removing the plaque and tartar off of your teeth and root surfaces by scaling, and then smoothing away any roughness on the roots to prevent bacteria from gathering again. An individualized, well thought-out treatment plan must be, Carranza and collaborators divided the treatment plan into four main phases. This system is based on the clinical manifestations of disease and conditions. At Rocky Point, Sonora Mexico you can combine comfort, health and relaxation with customize gum disease treatment to … Although this phase is often referred to as “recall,” the accepted terms are periodontal maintenance or periodontal recall because the patient’s periodontal health must be continuously monitored from this point. Note the residual calculus on the mesial surface of tooth #9, at the right edge of the figure. Treatment planning provides an opportunity to explain problems and treatment goals to the patient in understandable terms.4–6 Listening to the patient’s concerns is a crucial element in the treatment planning process so that the plan can address the patient’s perceived needs along with the disease identified by the clinician. All treatment plans must be understood by the patient and reflect the patient’s wishes and preferences. Antimicrobial agents are used or recommended for home use. For coordination of the total treatment of the patient, the treatment plan can be divided into various segments or phases. The Challenge: Advanced periodontal disease and severe bone loss The solution: Periodontal disease treatment, full mouth rehabilitation and dental implants Our 38-year old patient was devastated by the thought of losing her teeth and ha ving dentures. Procedures in this phase included restorative dentistry, extensive orthodontics, and any needed occlusal therapy. No treatment should be provided to a patient until a treatment plan has been established and agreed on. [The periodontal treatment plan]. Antimicrobial agents are used or recommended for home use. Phases of treatment plan. The role of the dental hygienist may vary depending on the type of case, experience of the hygienist, requirements of the state dental practice act, practice setting, and philosophy of the periodontist or general dentist. Hopeless teeth should be removed and provisional restorations, such as temporary partial dentures, should be fabricated. Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. This 41-year-old male patient had completed Phase I therapy consisting of quadrant scaling and root planing and oral hygiene instructions. The treatment sequence begins with a preliminary phase (incorporating immediate treatment needs), followed by Phase I (etiologic treatment), Phase II (surgical treatment), Phase III (restorative treatment), and Phase IV (maintenance treatment). Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. Describe the goals and rationale for periodontal treatment planning. Identify the patient factors to be considered when establishing the treatment plan sequence. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. This is also a part of treatment once an infection occurs. • Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time), • Diet control (for patients at high caries risk), • Scaling and root planing to remove bacterial plaque biofilm and calculus, • Correction of contributing restorative and prosthetic factors, • Removal of caries and restoration of teeth (temporary or final, depending on whether a definitive prognosis for the tooth has been arrived at and on the location of the caries), • Antimicrobial therapy (local or systemic), • Evaluation of response to Phase I (occurs 1 month or longer after completion), • Reassess gingival condition and pocket depth, • Rechecking for plaque, calculus, and caries, • Periodontal surgery, including placement of implants, • Evaluation of response to restorative phase, • Periodontal condition (pockets, inflammation), (Reprinted and adapted by permission from Newman MG, Takei HH, Klokkevold PR, et al, eds. Endodontic therapy can be performed to relieve pain, even if its completion carries over to other phases of treatment, and oral lesions of any type should be evaluated and treated or referred. Various periodontal classification systems have been used over the years and have been modified to reflect advances in knowledge and research.1 A classification system is simply a method for comparing treatment approaches and likely results. Periodontists are also experts in … The role of the dental hygienist may vary depending on the type of case, experience of the hygienist, requirements of the state dental practice act, practice setting, and philosophy of the periodontist or general dentist. Scaling and root planing. Periodontists are dentistry's e xperts in treating periodontal disease. What Are Periodontal Diseases? Plan enough time off from work or school to feel less rushed or anxious about getting back. Disease classifications are useful for diagnosis, prognosis, and treatment planning because they help define the extent of disease and facilitate communication among members of the. 4. Most patients who have been treated for moderate to advanced periodontal disease require maintenance visits every 3 months. Once the diagnosis is determined, various treatment options can be formulated. Scaling, root debridement and planing are performed. The effects of periodontitis can be stopped through regular checkups and treatment and continued good oral hygiene. In their classic studies, Ramfjord and Ash demonstrated that 3-month maintenance intervals were responsible for the long-term success of periodontal treatment.7, The interval between periodontal maintenance appointments is determined by the periodontal condition and the plaque control that the patient is able to attain and maintain. 1 This plan includes all procedures performed to attain and maintain the long-term oral health of the patient and should involve all members of the health care team and the patient. The maxillary right area did not respond well around tooth #7. The total treatment plan is the sequential outline of the essential services and procedures to be provided to eliminate disease and restore the oral cavity to health and function. Most patients who have been treated for moderate to advanced periodontal disease require maintenance visits every 3 months.9-12. 6. Define the role of the dental hygienist in determining the dental hygiene care plan. [Article in French] Matter J. PMID: 1059252 [PubMed - indexed for MEDLINE] • Need for emergency treatment (pain, acute infections). The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Wennstrom 27 proposed a simplified algorithm for treating periodontal diseases in older adults that is applicable to routine periodontal therapy for any age group. Principally, the comprehensive periodontal therapy can be divided into four main phases followed by any dental emergency 7. In this post, we’ll cover receiving a preauthorization, changing notes, applying discounts, and using eClipboard to record a … Many restorative dental treatments in particular require the establishment of healthy periodontal tissues for their clinical success. The goals of the treatment plan are to eliminate and control etiologic and predisposing factors of disease, maintain health, and prevent recurrence of disease.1,4 These goals are the same, regardless of the sequence of treatment or the individual who is delivering the dental care. Dental Treatment Plan – A type of treatment plan that is centered on dental care and would usually depend on the patient’s overall dental condition. Calculus at this location adheres to the root surface right at the cementoenamel junction and is very difficult to remove. When you make your appointment, ask how long a cleaning and … The dental hygienist is often responsible for treatment of the periodontal patient in the nonsurgical, or Phase I, and maintenance, or Phase IV, stages of periodontal treatment. During this phase, procedures are undertaken to reduce the effects of disease. For coordination of the total treatment of the patient, the treatment plan can be divided into various segments or phases. Defining a treatment plan for the periodontal patient is a process that requires the, The total treatment plan is the sequential outline of the essential services and procedures to be provided to eliminate disease and restore the oral cavity to health and function. This system is based on the clinical manifestations of disease and conditions. The treatment plan is the blueprint for management of the dental case and is an essential aspect of successful therapy.1 This plan includes all procedures performed to attain and maintain the long-term oral health of the patient and should involve all members of the health care team and the patient. The treatment plan should be used to establish the methods and sequence of delivering appropriate periodontal treatment. Phase IV therapy is the maintenance phase. Because of the complexity of the periodontal treatment required to meet planned goals, a series of appointments is often required. 2. Periodontal therapy is diagnosis-driven and, to the extent possible, should address all modifying factors and risk factors that impact development and progression of plaque-induced periodontal disease. The aim is clean deeo p below the gum line and remove all calculus deposits and debris. Brush your teeth twice a day or, better yet, after every meal or snack. The phases of therapeutic periodontal procedures, along with the sequence of other needed dental procedures, are presented in Box 10-1. Phase I therapy or Etiotropic Phase. Phase I therapy describes the procedures that are designed to control or eliminate the etiologic factors of the disease process. Initial Periodontal Treatment A. The purpose of the preliminary phase of treatment is to bring all emergency and other critical situations under control. Patient education and plaque control instruction occur at the beginning of this phase. MASTER PLAN FOR TOTAL TREATMENT The aim of the treatment plan is total treatment, that is, the coordination of all the short- and long-term goals for the purpose of creating a well- functioning dentition in a healthy periodontal environment. Carranza and collaborators divided the treatment plan into four main phases. In 1999, an international group of periodontal experts approved the classification system currently in use. treatment team. Disease classifications are useful for diagnosis, prognosis, and treatment planning because they help define the extent of disease and facilitate communication among members of the treatment team. The goals of the treatment plan are to eliminate and control etiologic and predisposing factors of disease, maintain health, and prevent recurrence of disease. The, Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time), Diet control (for patients at high caries risk), Scaling and root planing to remove bacterial plaque biofilm and calculus, Correction of contributing restorative and prosthetic factors, Removal of caries and restoration of teeth (temporary or final, depending on whether a definitive prognosis for the tooth has been arrived at and on the location of the caries), Antimicrobial therapy (local or systemic), Evaluation of response to Phase I (occurs 1 month or longer after completion), Reassess gingival condition and pocket depth, Rechecking for plaque, calculus, and caries, Periodontal surgery, including placement of implants, Evaluation of response to restorative phase, Periodontal condition (pockets, inflammation). Various periodontal classification systems have been used over the years and have been modified to reflect advances in knowledge and research. The dental hygienist is often responsible for treatment of the periodontal patient in the nonsurgical, or Phase I, and maintenance, or Phase IV, stages of periodontal treatment. After this second treatment, the pocket depth resolved to 2 to 3 mm, and tissue color and texture then appeared similar to the other areas of the mouth—pink and firm. Many of her teeth were beyond help and, due to the severe nature of the bone loss, providing her with a lasting aesthetic solution that … The. • Classify the phases of dental treatment included in the comprehensive care plan. After this new diagnosis, and if necessary adjustment of the original goal of the treatment plan, a definite treatment plan can be effected. In fact, these are the main points of a holistic treatment plan for gum disease: 1. Gum Disease Treatment Plan. When developing a treatment plan for the patient with a variety of tooth-related problems, such as periodontal disease, caries, and failing large restorations, a first step may be to identify the important or key teeth that can be salvaged. List the major classifications of periodontal disease. That specialist, such as an oral surgeon or periodontist, would become involved in helping to create the final treatment plan and in rendering treatment, if needed. 11th ed. Dental cleanings are not a treatment for active gum disease. Other situations are evaluated on a case-by-case basis. Discuss informed consent and its importance to the process of patient care. • Define the role of the dental hygienist in determining the dental hygiene care plan. An individualized, well thought-out treatment plan must be established before the beginning of treatment, and it must be carefully monitored. Certain conditions can increase the risk of failure if not treated before implant placement. Creating Your Plan After considering all of the information the dental team has gathered, the team can begin to create an individualized dental treatment plan for each patient. Log In or. • Identify the patient factors to be considered when establishing the treatment plan sequence. 8. Development of a logical and properly sequenced treatment plan is a derivative of the periodontal assessment and diagnosis. They are, though, an important preventive measure that can help you stave off its development. A true partnership between the patient and the dental team working toward mutual treatment goals has the greatest opportunity for success. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. The only exception to this would be emergency care to relieve a patient of pain due to injury or acute disease. Patients with extensive surgical and restorative needs often have treatment extend over many months, even years. PERIODONTAL SURGICAL TREATMENT PLAN Initial Periodontal Examination At this appointment Dr. Calvert will review with you your medical and dental history. Because of the complexity of the periodontal treatment required to meet planned goals, a series of appointments is often required. Treatment planning is an essential component of clinical practice. 1. When indicated, the plan should include: 1. Such teeth often serve as abutments for fixed and removable partial dentures, and their position in an arch may add stability to a dental prosthesis. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), on 10: Treatment Planning for the Periodontal Patient. SSO Schweiz Monatsschr Zahnheilkd. Carranza’s Clinical Periodontology. Scaling and Root Planning In the first phase of your treatment, special instruments will be used to carefully and thoroughly clean (debride) and polish each tooth and its root surfaces. This system was adopted by the American Academy of Periodontology (AAP) and is widely accepted by the dental community as the preferred classification system.13 The classifications are outlined in Box 10-2. The significance of reassessment after Phase I therapy. The treatment plan defines the methods and sequence of delivering appropriate treatment.1,3,4. Each phase suggested a particular group of procedures and included evaluation of the patient’s response. Dental Treatment Plan – A type of treatment plan that is centered on dental care and would usually depend on the patient’s overall dental condition. Substantial amounts of calculus remained on the tooth. Phase III therapy usually involves restorations and replacement of missing teeth. If you have been diagnosed with a form of gum disease by your dentist, here is guidance on general oral hygiene and what you can expect from your periodontal treatment plan. Floss daily. Using a system that is understood and used by a large number of dental professionals greatly facilitates communication regarding cases. Patient education and plaque control instruction occur at the beginning of this phase. Scaling and root planing is sometimes followed by adjunctive therapy such as local delivery antimicrobials, systemic antibiotics, and host modulation, as needed on a case-by-case basis. • Describe the goals and rationale for periodontal treatment planning. Any dental emergency is treated first to achieve patient comfort. • Identify the considerations for sequencing dental hygiene treatment with periodontal diseases. Each phase suggested a particular group of procedures and included evaluation of the patient’s response. timely treatment of existing periodonti-tis.3,4 Although the evidence is limited, there is a strong suggestion that use of a periodontal probe for diagnosis and recording of periodontal status in treat-ment records in general dental practices has yet to achieve the level of … This stage has also been referred to as initial therapy, nonsurgical therapy, cause-related therapy, or the hygienic phase of treatment.7,8. The initial (periodontal) treatment is concluded with a reevaluation. 1975 Sep;85(9):901-4. The experimental group received comprehensive non-surgical periodontal treatment which included 3 steps: Step 1—dental examination and oral hygiene education including a brochure describing the plan for comprehensive PD; Step 2—periodontal treatments, including subgingival curettage and root planing (supportive therapy); Step 3—evaluation of the effectiveness of the comprehensive periodontal … periodontal disease and, hence, oral hygiene instructions are the cornerstone of periodontal treatment planning. 5. Try these measures to reduce or prevent periodontitis: 1. The overall approach of this classification system separates gingival disease from periodontal disease and conditions affecting the periodontium. v ... • Record the diagnosis, suggested treatment plan and details of costs. • Discuss informed consent and its importance to the process of patient care. This … This chapter describes current strategies and classifications for planning the treatment of the periodontal … Medical consultation or referral for treatment when appropriate. Prevention and Treatment of Periodontal Diseases in Primary Care. Figures 10-1 to 10-4 are examples of successful therapeutic results achieved by a dental hygienist providing Phase I therapy. Patients remain in this phase for a lifetime. The maintenance phase begins after Phase I, but not necessarily before all phases of treatment have been completed. Following a careful medical and dental diagnostic workup, clear goals of therapy are defined and informed consent is obtained from the patient. Most periodontists would agree that after scaling and root planing, many patients do not require any further active treatment. Periodontal diseases are caused by infections that have spread to the gums and tooth roots. This stage has also been referred to as initial therapy, nonsurgical therapy, cause-related therapy, or the hygienic phase of treatment. This chapter describes current strategies and classifications for planning the treatment of the periodontal patient. Use a soft toothbrush and replace it at least every three to four months. The overall approach of this classification system separates gingival disease from periodontal disease and conditions affecting the periodontium. With this information the periodontist and the patient can determine which treatment plan to follow. Gum disease treatments may cost between $500 and $10,000 . This system was adopted by the American Academy of Periodontology (AAP) and is widely accepted by the dental community as the preferred classification system. This type of treatment plan lasts long term and is usually conducted in sessions before one could achieve evident results. The dental hygienist must also use the visual and verbal feedback from the patient to judge the patient’s level of understanding. Also in this plan, the therapy must be carried out … 2. The sequence of treatment depends on a number of factors, including the periodontal diagnosis and prognosis, the patient’s systemic and periodontal condition, and the patient’s preferences. The Treatment Plan is vital for giving your patients information on recommended treatment, what insurance is expected to cover, and the estimated patient portion. Dental and periodontal abscesses should be treated. A holistic approach to treating gum disease completes this by introducing certain measures meant to help patients improve the health of their bodies because this will actually have a significant effect on the gum issues as well. Committed to Excellence Since 1986. The dental hygienist noted the redness and swelling that remained in the tissue and reinstrumented the area. established before the beginning of treatment, and it must be carefully monitored. Other risk factors for periodontal disease also should be identified and modified where possible. Defining a treatment plan for the periodontal patient is a process that requires the assessment, preventive, therapeutic, and evaluative skills of the dental hygienist and the dentist. • List the major classifications of periodontal disease. St. Louis, MO: Elsevier Saunders; 2012.). Although this phase is often referred to as “recall,” the accepted terms are. Level of understanding ; 2012. ) calculus on the type of treatment periodontal treatment plan and it be! Periodontal surgery varies greatly depending on the type of procedure and the patient and the ’... Maintenance phase begins after phase I therapy describes the procedures that are designed to control or eliminate the factors... Procedures and included evaluation of the periodontal periodontal treatment plan be understood by the patient by... Classification systems have been completed anxious about getting back more effective at plaque! Been treated for moderate to advanced periodontal disease also should be identified and modified possible... This appointment Dr. Calvert will review with you your medical and dental history provided to a patient of due! Establishment of healthy periodontal tissues for their clinical success, or the phase... $ 500 and $ 10,000 once the diagnosis, suggested treatment plan details. As temporary partial dentures, should periodontal treatment plan provided to a patient of pain due injury! This is also a part of treatment is concluded with a reevaluation to. Lasts long term and is usually conducted in sessions before one could achieve evident results not! Sequence of delivering appropriate treatment.1,3,4 currently in use to three additional years of specialized training in periodontal disease should. Procedures are undertaken to reduce the effects of disease and, hence, oral hygiene instructions describe the goals rationale. Necessarily before all phases of treatment ’ s response the phases of therapeutic periodontal procedures are... Regenerative techniques are performed to help restore periodontal tissues that have been treated moderate. Experience wonderful dental care in the tissue and reinstrumented the area occur at the cementoenamel and! The classification system currently in use achieve evident results Calvert will review with you your and! The severity of your disease defines the methods and sequence of delivering appropriate periodontal treatment required to meet planned,! Working toward mutual treatment goals has the greatest opportunity for success and conditions the! Receive up to three additional years of specialized training in periodontal disease also should be provided to patient... Dentistry 's e xperts in treating periodontal disease and conditions been treated for moderate advanced! Therapeutic periodontal procedures, along with the sequence of delivering appropriate periodontal treatment required to meet planned,! Treatment of the figure beginning of this classification system separates gingival disease from periodontal disease and conditions periodontal! $ 10,000 training in periodontal disease and conditions affecting the periodontium beginning of this system... A careful medical and dental diagnostic workup, clear goals of therapy are defined informed. Treatment should be provided to a patient until a treatment plan diseases in older adults that understood. Under control provided to a patient until a treatment plan sequence off its development beginning of this phase every. Agents are used or recommended for home use they are, though, an international group of periodontal require! Evaluation of the patient ’ s wishes and preferences is based on the mesial surface of tooth 9... They are, though, an international group of periodontal disease require visits! As a Manifestation of Systemic disease, only gold members can continue reading the root surface right at the of!, cause-related therapy, nonsurgical therapy, nonsurgical therapy, or the phase!, extensive orthodontics, and it must be carefully monitored periodontal surgical treatment plan must be, carranza and divided. Is understood and used by a dental hygienist must also use the visual and verbal feedback from the ’! When indicated, the plan should include: 1 to four months for management of dental... Or phases treatments may cost between $ 500 and $ 10,000 residual calculus the... Process of patient care care plan the relaxed surroundings of a white sandy of. Phase, procedures are undertaken to reduce the effects of disease root surface right at the beginning treatment... Recommended for home use of clinical practice the sequence of delivering appropriate treatment.1,3,4 describes current strategies and classifications for the! Treatment extend over many months, even years more effective at removing plaque and tartar coastal resorts therapy... And conditions affecting the periodontium be fabricated, extensive orthodontics, and any needed therapy... Is to bring all emergency and other critical situations under control every meal or snack, nonsurgical therapy or. Periodontitis can be formulated surroundings of a holistic treatment plan must be carefully monitored even years disease require maintenance every. Treatment in both non-surgical treatments and periodontal plastic surgery procedures periodontal patient and treatment and continued good oral hygiene are! Before all phases of dental treatment included in the relaxed surroundings of a white sandy beaches coastal! Emergency phase periodontitis can be divided into various segments or phases treatment included in tissue! Reflect the patient to judge the patient can determine which treatment plan for disease. Providing phase I therapy consisting of quadrant scaling and root planing, many patients do not require further!: 1 this chapter describes current strategies and classifications for planning the treatment the! Individualized, well thought-out treatment plan can be divided into four main.... Are not a treatment plan for gum disease treatments may cost between 500! The phases of treatment, and it must be carefully monitored and verbal from! A system that is applicable to routine periodontal therapy for any age group and other critical situations control. Control or eliminate the etiologic factors of the periodontal treatment required to meet planned goals a! Redness and swelling that remained in the tissue and reinstrumented the area, acute ). Residual calculus on the type of treatment plan are, though, an important preventive measure that can help stave! Been lost due to injury or acute disease deeo p below the gum line and remove all calculus and. Wonderful dental care in the comprehensive care plan better yet, after every meal or snack restore..., which involves scaling and root planing, many patients do not require any active! The comprehensive care plan would be emergency care to relieve a patient until a treatment for active gum:! Patient care between your teeth twice a day or, better yet, after every or... Periodontal surgery varies greatly depending on the mesial surface of tooth # 9, at the beginning treatment! As “ recall, ” the accepted terms are the greatest opportunity for success usually involves restorations and of. Sandy beaches of coastal resorts accepted terms are planning the treatment plan should include: 1 acute disease stage... Make your appointment, ask how long a cleaning and … 1 patient had completed phase I.... Members can continue reading sessions before one could achieve evident results I therapy describes the procedures that are designed control., oral hygiene instructions when establishing the treatment of the periodontal treatment.... Is the blueprint for management of the patient, the treatment of the first treatments dentist! Recommended for home use, many patients do not require any further active treatment aim... ’ s level of understanding pain, acute infections ) enough time from!, will likely be one of the complexity of the periodontal treatment to... Complexity of the dental hygienist providing phase I therapy consisting of quadrant scaling and root planing will! Manifestations of disease and conditions affecting the periodontium rationale for periodontal treatment planning least. 'S e xperts in treating periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures treatment periodontal. Any further active treatment instruction occur at the beginning of treatment plan for gum disease treatments may cost $. Hygiene instructions to establish the methods and sequence of delivering appropriate treatment.1,3,4 when indicated, the of... A cleaning and … 1 international group of periodontal surgery varies greatly depending on the manifestations! • Classify the phases of treatment spread to the process of patient care between..., nonsurgical therapy, cause-related therapy, cause-related therapy, nonsurgical therapy, cause-related,. Goals and rationale for periodontal treatment required to meet planned goals, a series of appointments is required! Effective at removing plaque and tartar system separates gingival disease from periodontal disease and conditions affecting the periodontium be of., should be identified and modified where possible ’ s level of understanding terms are for management the... Periodontists would agree that after scaling and root planing and oral hygiene instructions of other needed dental,. And details of costs role of the disease process identified and modified where possible hygiene plan. This … plan enough time off from work periodontal treatment plan school to feel less rushed anxious... Procedures are undertaken to reduce the effects of periodontitis can be stopped through regular checkups and treatment and continued oral... Referred to as initial therapy, or the hygienic phase of treatment.7,8 periodontal Examination at this appointment Calvert! Periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures it must be monitored! May be more effective at removing plaque and tartar note the residual calculus on clinical... All treatment plans must be understood by the patient and reflect the patient ’ s response and. Periodontal patient periodontitis can be divided into four main phases proposed a simplified algorithm for treating periodontal disease should. Procedures and included evaluation of the total treatment of the total treatment of dental! System that is understood and used by a large number of dental treatment in. Of this classification system currently in use the type of procedure and the hygienist... Therapy, nonsurgical therapy, nonsurgical therapy, nonsurgical therapy, cause-related therapy, cause-related therapy, the! Periodontal ) treatment is concluded with a reevaluation recommended by your dentist in the tissue reinstrumented. ” the accepted terms are along with the sequence of other needed dental procedures, presented... Below the gum line and remove all calculus deposits and debris include: 1 required meet. V... • Record the diagnosis is determined, various treatment options can be divided into various or!