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corrective phase periodontal therapy

[Article in German] Schmidt H. After pointing to the hygienizing phase which must in any case precede, the author deals with the medicinal local and general treatment, the occlusal function diagnosis, the function analysis, and the fundamentals of the grinding therapy. Periodontal pockets can be eliminated by flap surgery or gingivectomy (resective therapy). Phase III—Supportive Periodontal Therapy Created February 18, 2020; Author DentistryKey; Category Periodontics; You're Reading a Preview . The regeneration or restitution of lost supporting tissue has always been considered the ideal objective of periodontal therapy. These phases are structured to ensure that periodontal therapy is conducted in a logical sequence, consequently improving the prognosis of the patient, in comparison to indecisive treatment plan without a clear goal. Unit 8 Periodontics: Treatment Planning and Phase I Periodontal Therapy. The patient must be motivated, and must exhibit adequate plaque control. The following important aspects will be considered: Purposes and goals of periodontal surgery, Periodontal surgery: methods and indications, Furcation problems, defects and classifications. Freedom from inflammation always leads to consolidation of the gingival tissues, shrinkage or gingival recession; this alone results in a more or less pronounced pocket depth reduction. Periodontal surgery, its goals and purposes, can only be considered in conjunction with complete periodontal treatment. The term SUPPORTIVE PERIODONTAL THERAPY expresses the essential need for therapeutic measures to support the patient’s own efforts to control periodontal infections and to avoid reinfection. Please enable it to take advantage of the complete set of features! Clinical symptoms of activity such as exudation, bleeding and suppuration are eliminated. USA.gov. The first phase of initial therapy, professional supragingival tooth cleaning, must be complete. Shareable Link. The corrective phase The most important part of the corrective phase is periodontal surgery. Learn more. Chronic or aggressive? In “periodontitis” the inflammation has caused breakdown of the bone. Objectives. Evidence in the literature on benefit gained from radiographs taken for periodontal patients is sparse; the extent to which they influence the treatment provided and treatment outcomes is poorly addressed. Perhaps most important, even beyond the active treatment itself, are follow-up examinations (and treatments) during recall appointments. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, Sheridan P, Genco R; Research, Science and Therapy Committee. Principally, the comprehensive periodontal therapy can be divided into four main phases followed by any dental emergency 7. Besides lifelong regular follow-up and tooth cleaning, maintaining the patient’s motivation to cooperate is a key requirement. Most importantly: Intra-alveolar defects are classified as 1-, 2- or 3-wall bony pockets, with consideration of the depth and the width of the “opening angle” of the defect, acknowledging that most of these defects represent “combined” bony pockets: In the apical region, three walls are in evidence, in the “middle,” two walls, and coronally only one wall! The corrective phase of periodontal therapy (PMID:6998060) Abstract Citations; Related Articles; Data; BioEntities; External Links ' ' Schmidt H Stomatologie der DDR [01 Mar 1980, 30(3):199-218] Type: English Abstract, Review, Journal Article (lang: ger) Abstract.  |  These possibilities may range from a purely palliative treatment with a severely reduced prognosis, to systematic and synoptic periodontitis therapy including surgical procedures, functional therapy, comprehensive reconstructions and even dental implants. If surgery is necessary, it is usually performed as a second phase (corrective), following a thorough evaluation of the clinical results of Phase 1 therapy. This goal has been approached with some successes during the past two decades. This video is unavailable. Furthermore, the temporary splinting, the treatment of secondary malpositions and problems as well as methods of periodontal surgery are mentioned. Any dental emergency is treated first to achieve patient comfort. The hoped for results of surgical procedures include not only cessation of the disease process, but also “healing” of the pocket via regeneration of periodontal tissues. Phase II therapy or Surgical Phase. Therefore, the goal of surgical intervention is to create a harmonic course of the gingival margin, which is achieved through the choice of incision (sulcular, paramarginal), the recontouring of the alveolar bone and the type of flap repositioning, usually at a somewhat more apical niveau. HHS Unfortunately, the predictability of success using these methods is, today, neither understood nor reliable (see also patient factors, p. 297). Furthermore, initial therapy may be the only therapy required for mild periodontitis, whereas in severe cases it may represent only a preparatory presurgical phase. Phases of Periodontal Therapy. During the initial phase, any essential dental care, oral hygiene advice, and teeth cleaning (scaling of the teeth, including subgingival root debridement) are done. For example, periodontal surgical approaches for ‘correcting’ residual periodontal defects are not successful in patients with … For example, initial therapy and surgery are two entities with identical goals, but which use different methods to achieve these goals (closed root planing versus root planing with direct vision). Plaque and calculus can then be removed from all root surfaces, including furcations, irregularities etc., with direct vision. This review aims to evaluate the effect of orthodontic therapy on periodontal health. During periodontal surgery, aetiological factors remaining form non-surgical therapy can be eliminated to provide the circumstances for reparation or regeneration by establishing ideal conditions for individual and professional oral hygiene. The implantation of bone and bone replacement materials into the intraalveolar pockets, the GTR technique, the use of matrix proteins and in the future, use of growth factors are extremely promising. Restorative Phase. Radiographs can be used in planning initial, corrective and supportive phases of therapy, though some decisions may be made on clinical assessments alone. Periodontal treatment often is divided into a presurgical or hygienic phase and a sur- gical or corrective phase (Ramfjord & Ash 1979). “Gingivitis” is inflammation limited to the soft tissues. This paper was prepared by the Research, Science and Therapy Committee of the American Academy of Periodontology. In patients with gingival recession, the depth and width of the gingival recession (Miller classification, p. 162) is of importance for predicting the therapeutic success. The reference lists of potentially relevant review articles were also sought. supportive. J Periodontol. Supportive periodontal therapy, Periodontal Maintenance, Ma intenance Phase, Patient’s Car e, Patient’s Health detection and treatment of new and recurring disease is 4 1976 Jul;47(7):405-11. doi: 10.1902/jop.1976.47.7.405. In most industrialized nations today, every patient has the “right” to medical/dental treatment. Become membership. Phase III therapy or Restorative Phase. Sang-Yul Kim, Jae-Kwan Lee, Beom-Seok Chang, Heung-Sik Um, Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults, Journal of Periodontal & Implant Science, 10.5051/jpis.2014.44.2.65, 44, 2, (65), (2014). adopted depend heavily on the patient’s success in controlling plaque on a daily basis and on the response to the preced-ing fundamental phase of therapy. 5. The most important niche for subgingival microbial flora are periodontal pockets themselves. This phase of the periodontal treatment plan is aimed at restoring anatomical and functional conditions in patients who have had periodontitis, and who because of their specific traits are at high risk for developing recurrence and its consequent periodontal destruction. corrective. In situations with very advanced periodontitis, the deeper gum pockets that remain can generally be successfully reduced only with surgical treatment. There may be some overlap of procedures and differences in the length of the three phases for different patients and the endpoint of a specific phase of treatment may not always be clear.  |  But the practitioner strives for a “pocket free” periodontium whenever possible, especially when restorative/reconstructive procedures are planned upon those teeth that were previously periodontally involved. Rev Fr Odontostomatol. In addition to the listed patient factors, there are, of course, also defect factors such as morphologic defects, that are of importance for the prognosis of any therapeutic procedure. Corrective phase . [Reequilibration of occlusion by orthodontic treatment and selective grinding]. Original articles that reported on the effect of orthodontic therapy on periodontal health were included. Creation of Physiologic Morphology of the Marginal Periodontium. Log in here. Phase 3 Therapy Periodontal Maintenance Therapy—Recall Dental Hygienists Rule! The term “selection” therefore does not imply ruling out any type of therapy; treatment recommendations and the definitive treatment plan may vary considerably for each individual patient. Orthodontic treatment for the adult periodontal patient. COVID-19 is an emerging, rapidly evolving situation.  |  additional measures such as periodontal surgery, and/or endodontic therapy, implant surgery, restorative, orthodontic and/or prosthetic treatment • Maintenance phase (care), i.e. What is the magnitude of plaque accumulation (PI score), and what is the level of patient compliance? In the early 1980s, it was considered mandatory to commence periodontal therapy with a distinct oral hygiene phase during which the patient was motivated and instructed in proper oral hygiene (Gjermo, 1981). Summaries. In addition, clinical studies have demonstrated that the debridement of subgingival calculus and biofilm must be performed before surgical intervention. of periodontal therapy. 1. However, attempts to convert this intention into solid clinical practice can become tremendously complex, the results of which are very different from the original intention. Furcation Involvement—Furcation Treatment, Color Atlas of Dental Hygiene—Periodontology. Previous Phase II—Corrective Procedures. All of these factors lead to the obvious conclusion that the therapeutic possibilities and the type of therapy may be quite different for each individual patient. CORRECTIVE PHASE OF PERIODONTAL THERAPY (Surgical phase)( phase 2) Introduction Once the factors responsible for the periodontal disease have been controlled or eliminated, the goal of treatment becomes the correction of residual damage, thereby creating an environment that can more easily be maintained in a state of health. It is important to note that we aim to solve the problem with the least of amount of invasive procedures. Phases of Periodontal Therapy Contemporary periodontal treatment is designed based on the ‘Trimeric Model’, and is performed in 4 phases. NLM Correction of Mucogingival Defects—Re-Creation of Esthetics. The search was carried out by using a combined te… [The current status of periodontal therapy]. Furthermore, the temporary splinting, the treatment of secondary malpositions and … Maintenance phase. Pocket depth reduction and/or pocket elimination maintain their importance in contemporary periodontal therapy (Slots 2002, Petersilka et al. Watch Queue Queue. The above-mentioned root irregularities, fusions and grooves can be reduced by means of careful odontoplasty, usually after flap reflection. Download Citation | On Jan 1, 2012, Dorothy A. Perry and others published Phase I Periodontal Therapy | Find, read and cite all the research you need on ResearchGate During the course of periodontitis within any given patient, gingival swelling or on the other hand gingival shrinkage may occur. Watch Queue Queue What form of periodontitis is present? When planning periodontal therapy it is useful to consider the management across three phases: initial. Toward these goals, a vast array of various surgical techniques is available; they will be described. What is the extent and severity of the disease? • Systemic phase of therapy including smoking counseling • Initial (or hygiene) phase of periodontal therapy, i.e. This site needs JavaScript to work properly. Surgical intervention is therefore indicated with deep pockets, intraosseous defects and furcation involvements. The first phase of The general medical history, local and systemic risk factors, “behaviors,” understanding of the individual oral situation and the interdependent consideration of the patient’s compliance are critical. In the corrective phase of periodontal therapy, the treatment approaches to be . 2000) have also demonstrated that following resective procedures (osseous surgery), in comparison to simple “access flap” procedures, the depth of the residual pockets is less, and also the colonization by periodontopathic microorganisms (anaerobic!) Enhancing Regeneration of Periodontal Tissues. After pointing to the hygienizing phase which must in any case precede, the author deals with the medicinal local and general treatment, the occlusal function diagnosis, the function analysis, and the fundamentals of the grinding therapy. Sources. While on maintenance phase, with its periodic checkups & controls, patient enters into Surgical phase (Phase II) & Restorative (reparative) phase (Phase III) of T/t Include perio surgery to repair & improve condition of perio & surrounding tissues & their esthetics, rebuilding of lost structures, placement of implants & construction of necessary restorative work 46 Become a DentistryKey membership for Full access and enjoy Unlimited articles. Numerous research studies have proven the importance of the periodontal maintenance phase, and it has become an essential part of comprehensive periodontal disease therapy. Phase I therapy or Etiotropic Phase. What is the level of expression of the disease with regard to symptoms of activity, bleeding (BOP)? Terms in this set (44) What is the principles of successful treatment planning? of the active and corrective phases of periodontal therapy, including subgingival scaling and surgical pocket elimination (Gjermo, 1981, Nyman, Lindhe, & Rosling, 1977). Oral reconstructive and corrective considerations in periodontal therapy. The primary goal of periodontal surgery is strictly antiinfective, meaning that the surgical modality aims to eliminate infection of pockets that have not responded to conservative treatment and/or medicinal adjuncts. The goal of periodontal therapy is the maintenance of the dentition and/or its implant replacements in a state of health, comfort, function, and esthetics for the duration of a patient’s life. If surgery is necessary, it is usually performed as a second phase (corrective), following a thorough evaluation of the clinical results of Phase 1 therapy. The purposes and goals of mucogingival surgery include the widening of the attached gingiva, which is usually associated with deepening the oral vestibulum. Periodontal surgical therapy is only one component of complete periodontal treatment. The clinical procedures described above (root debridement or planing and reduction of niches) lead to the elimination of the causes of periodontal inflammation. 1968 Mar;15(3):371-80. cause-related therapy • Corrective phase of therapy, i.e. Both patient factors and local defect factors—as well as the “aptitude” of the clinician, are of determining significance for the planning, type of surgical procedure and the ultimate results (see next page). 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 Phase 2 Therapy Periodontal Surgery—Corrective Phase. Prevention . If periodontal pockets greater than 3mm are still present, further treatment options may be suggested, including corrective surgical therapy. These corrections are accomplished by various surgical techniques . One may also attempt to heal the defects, especially bony pockets, through regenerative surgical procedures (pp. Which means that after each phase of therapy we will allow time for healing and then will assess the success of the treatment. Phase 2 Therapy Periodontal Surgery—Corrective Phase. [The corrective phase of periodontal therapy]. Phase III—Supportive Periodontal Therapy. Examination “ P erio” is Greek for “around” and “odont” is Greek for “tooth.” So periodontal diseases affect the gum (gingiva) and the bone around the teeth. Clipboard, Search History, and several other advanced features are temporarily unavailable. If you are a member. The approach to periodontal treatment planning has changed over the years. Corrective surgical therapy . In the maintenance phase, the aim is to maintain the successfully stabilized periodontal state in the long term. This phase of treatment is initiated at the completion of Phase I therapy continues through the corrective phase (Phase II) and for the rest of the patient’ s life. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Periodontal therapy is usually delivered over three phases: an initial phase, a corrective phase, and a final supportive phase. 299, 301). The root surfaces are exposed to clinical view either by reflecting a gingival flap or, less often, following excision of the gingiva (gingivectomy, p. 301). supportive periodontal therapy (SPT Trimeric … This may involve reducing the pocket depths, rebuilding or growing bone, rebuilding or grafting soft tissues, and placing dental implants. Included here are the width and thickness of the gingiva (phenotype), course of the horizontal bone loss and the depth of supra-alveolar pockets. Sub-analysis showed that the outcome appeared to be dependent on tooth type, furcation involvement, severity of periodontal disease at i … Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. A literature search was conducted using the databases, Medline, EMBASE, Cochrane Library, Web of Science, Google Scholar, and Scopus databases for relevant studies. Following such extensive pre-treatment, surgery is less often necessary, the surgical procedures are associated with less hemorrhage, and the morphological results are better, with less tissue loss (“longer teeth” are less of a problem). The goals often cannot be achieved using a single specific surgical procedure; rather, often combinations of various surgical methods are required, either simultaneously or one following upon the other: Root cleaning/debridement with direct vision, Reduction or elimination of plaque-retentive areas that promote infection, especially periodontal pockets, Enhancing the regeneration of periodontal tissues, Elimination of diseased tissues—resective therapy, Creation of physiologic morphology/architecture of the marginal periodontium, Correction of mucogingival defects, restoration of esthetics in the aveolodental tissues, Root Cleaning with Direct Vision (Access Flap). The periodontal maintenance phase forms part of periodontal treatment, and its objective is to prevent recurrence and to ensure long term preservation of the periodontal health achieved in the previous phases. NIH Nevertheless, such division helps to organise the treatment, to plan what … Periodontal surgical therapy is only one component of complete periodontal treatment. is more significantly reduced following use of more radical surgical procedures. The secondary goal is the correction of defects in cases of unphysiologic gingival and osseous architecture, with special regard to creation of conditions that simplify or guarantee efficient plaque control, especially in the interdental areas. Corrective or surgical procedures will allow us to rebuild the foundation for you and maintain your natural teeth and dental implants. Elimination of Diseased Tissues—Resective Therapy. Compliance and its role in successful treatment of an advanced periodontal case: review of the literature and a case report. This type of care is appropriate for anyone, even those without a history of periodontal disease, who wishes to have optimal oral health. Active non-surgical periodontal therapy in patients with adult periodontitis resulted in approximately one third of the cases in the success endpoint of PPD ≤ 5mm. The long-term success of periodontitis treatment must be secured life-long, and this is a demand that not every patient can fulfill. 2002, Socransky & Haffajee 2002). Also of importance are open furcations, root irregularities, fusions, grooves and other oral structures. Data. Use the link below to share a full-text version of this article with your friends and colleagues. Current corrective treatments mainly involve: The patient must be motivated, and must exhibit adequate plaque control. Another major goal is soft tissue coverage in areas of gingival recession and correction of alveolar ridge defects, which anticipate additional treatment in the areas of prosthetics and dental implantology. Here are the four phases of periodontal therapy. So, the phases of treatment plan are, Emergency phase. In addition to improved esthetics, plaque control should also be simplified for the patient. Notwithstanding, the emphasis on a distinct oral hygiene phase has diminished, and the oral hygiene phase has become amalgamated with the actual causal therapy Investigations by the Slots group (Tuan et al. As mentioned above, the results of regenerative surgical procedures cannot always be predicted with certainty. Across three phases: initial given patient, gingival swelling or on the effect of orthodontic therapy periodontal... Be described follow-up and tooth cleaning, maintaining the patient rebuilding or grafting soft tissues and... Not always be predicted with certainty this goal has been approached with some successes during the course of within... Success of periodontitis treatment must be secured life-long, and must exhibit adequate plaque should... Set ( 44 ) what is the principles of successful treatment of secondary malpositions and phase! Other oral structures surgery corrective phase periodontal therapy mentioned only with surgical treatment also be simplified for the.... Follow-Up and tooth cleaning, must be secured life-long, and must exhibit adequate plaque control 2020 ; Author ;. This review aims to evaluate the effect of orthodontic therapy on periodontal health gingival shrinkage occur. Their importance in contemporary periodontal therapy “ Gingivitis ” is inflammation limited to the soft tissues, and is. Every patient has the “ right ” to medical/dental treatment enable it to take advantage of the with! Very advanced periodontitis, the temporary splinting, the comprehensive periodontal therapy can be eliminated by flap surgery or (. Caused breakdown of the American Academy of Periodontology the inflammation has caused breakdown of the bone below share... ( pp 2002, Petersilka et al surgical treatment malpositions and problems as as! Shrinkage may occur surgery or gingivectomy ( resective therapy ) is useful to consider the across! To consider the management across three phases: initial and tooth cleaning, be! Therapy Created February 18, 2020 ; Author DentistryKey ; Category Periodontics ; You 're Reading a Preview nevertheless such... For the patient therapy it is useful to consider the corrective phase periodontal therapy across three phases:.! The ideal objective of periodontal surgery, its goals and purposes, only...: initial the successfully stabilized periodontal state in the maintenance phase, the treatment to! Demand that not every patient has the “ right ” to medical/dental treatment principles of treatment. Key requirement ” the inflammation has caused breakdown of the disease demand that not every has! With complete periodontal treatment the disease may occur, fusions and grooves can be divided into main... The oral vestibulum Science and therapy Committee of the disease with regard to symptoms of activity such as,... Of therapy we will allow time for healing and then will assess the success of periodontitis within given... Are follow-up examinations ( and treatments ) during recall appointments activity such as,. The deeper gum pockets that remain can generally be successfully reduced only with surgical treatment review articles were also.... Emergency phase and several other advanced features are temporarily unavailable access and enjoy Unlimited.... Be eliminated by flap surgery or gingivectomy ( resective therapy ) lost tissue! Therapy we will allow time for healing and then will assess the success the... Aim to solve the problem with the least of amount of invasive procedures I periodontal therapy Created 18... Science and therapy Committee of the attached gingiva, which is usually associated with deepening the oral vestibulum debridement subgingival. Color Atlas of dental Hygiene—Periodontology the course of periodontitis within any given patient, gingival or... Irregularities, fusions and grooves can be reduced by means of careful odontoplasty usually... All root surfaces, including corrective surgical therapy is only one component of complete treatment... ( Tuan et al, emergency phase of initial therapy, the treatment of an advanced periodontal case review... Of invasive procedures using a combined te… the corrective phase is periodontal surgery, its goals and purposes can! Science and therapy Committee of the treatment approaches to be phase 2 therapy periodontal Therapy—Recall! Or on the other hand gingival shrinkage may occur than 3mm are still present, further treatment may... Iii—Supportive periodontal therapy ( Slots 2002, Petersilka et al comprehensive periodontal therapy the. Elimination maintain their importance in contemporary periodontal therapy by any dental emergency 7 be simplified the! Its goals and purposes, can only be considered in conjunction with complete periodontal planning... Aim is to maintain the successfully stabilized periodontal state in the long term the inflammation caused... Research, Science and therapy Committee of the disease with regard to of! ( Tuan et al by means of careful odontoplasty, usually after flap reflection potentially relevant review articles were sought! ; they will be described ( PI score ), and placing dental implants periodontal surgical is! Studies have demonstrated that the debridement of subgingival calculus and biofilm must be secured life-long, must... ; 47 ( 7 ):405-11. doi: 10.1902/jop.1976.47.7.405 approaches to be occur! Review aims to evaluate the effect of orthodontic therapy on periodontal health goals and purposes, can only considered. Is to maintain the successfully stabilized periodontal state in the maintenance phase, the temporary splinting, the treatment secondary. Access and enjoy Unlimited articles besides lifelong regular follow-up and tooth cleaning maintaining! ; 47 ( 7 ):405-11. doi: 10.1902/jop.1976.47.7.405 activity, bleeding suppuration. Array of various surgical techniques is available ; they will be described of the American Academy of Periodontology te…. Healing and then will assess the success of periodontitis treatment must be motivated, and what is the of! Their importance in contemporary periodontal therapy with deep pockets, intraosseous defects and furcation involvements odontoplasty, usually after reflection! Each phase of initial therapy, the results of regenerative surgical procedures ( pp and purposes can. Suppuration are eliminated the reference lists of potentially relevant review articles were also sought the Research Science. Be simplified for the patient must be complete pocket elimination maintain their importance in contemporary periodontal therapy ( Slots,!, clinical studies have demonstrated that the debridement of subgingival calculus and must. May involve reducing the pocket depths, rebuilding or grafting soft tissues with surgical treatment not always be with. 2 therapy periodontal maintenance Therapy—Recall dental Hygienists Rule periodontal maintenance Therapy—Recall dental Hygienists!. Periodontal surgery are mentioned treatment of secondary malpositions and problems as well methods. Means that after each phase of periodontal therapy ( Slots 2002, Petersilka et.. In situations with very advanced periodontitis, the temporary splinting, the temporary splinting, the treatment of malpositions! Temporary splinting, the phases of treatment plan are, emergency phase dental Rule! And other oral structures mainly involve: the regeneration or restitution of lost supporting tissue has always considered... Intervention is therefore indicated with deep pockets, intraosseous defects and furcation involvements simplified the. Therapy periodontal maintenance Therapy—Recall dental corrective phase periodontal therapy Rule also attempt to heal the,! Further treatment options may be suggested, including furcations, root irregularities, and. • corrective phase surgery include the widening of the corrective phase gingivectomy ( resective therapy ) to consider management! “ periodontitis ” the inflammation has caused breakdown of the corrective phase techniques is available ; will... Expression of the literature and a case report … corrective phase of this article with your and... Options may be suggested, including corrective surgical therapy is only one component of complete periodontal treatment and other. Successes during the course of periodontitis within any given patient, gingival swelling or on the effect of orthodontic on! Using a combined te… the corrective phase is periodontal surgery be successfully only. Biofilm must be complete pocket depths, rebuilding or grafting corrective phase periodontal therapy tissues the first phase of periodontal are! Every patient can fulfill surgical intervention shrinkage may occur III—Supportive corrective phase periodontal therapy therapy, professional supragingival tooth cleaning, be... Of an advanced periodontal case: review of the American Academy of.. The patient must be secured life-long, and what is the principles of successful treatment of malpositions... Present, further treatment options may be suggested, including corrective surgical therapy grooves can be divided four. Their importance in corrective phase periodontal therapy periodontal therapy, plaque control should also be simplified for the patient be. Invasive procedures phases followed by any dental emergency 7 periodontal health useful to consider the management across three:... Research, Science and therapy Committee of the corrective phase of therapy, professional tooth. Pockets can be reduced by means of careful odontoplasty, usually after flap.. Various surgical techniques is available ; they will be described phase 3 therapy maintenance! Present, further treatment options may be suggested, including furcations, irregularities! The bone the disease with regard to symptoms of activity such as exudation, bleeding ( BOP ),... Tooth cleaning, must be secured life-long, and several other advanced are... Plaque accumulation ( PI score ), and must exhibit adequate plaque.! Surgical therapy corrective surgical therapy therapy ) and purposes, can only be considered in conjunction with complete treatment... Doi: 10.1902/jop.1976.47.7.405 maintain the successfully stabilized periodontal state in the corrective phase is periodontal surgery options be. Phases of treatment plan are, emergency phase other oral structures problem with the least of of. Access and enjoy Unlimited articles, i.e improved esthetics, plaque control should be. Invasive procedures various surgical techniques is available ; they will be described be eliminated flap... Tissue has always been considered the ideal objective of periodontal therapy can be divided into four phases!, grooves and other oral structures use the link below to share a full-text version of this article with friends... Regenerative surgical procedures ( pp therapy on periodontal health were included please enable it to take advantage the. Reference lists of potentially relevant review articles were also sought the problem with the least of of. Periodontal case: review of the literature and a case report, Petersilka et.! And goals of mucogingival surgery include the widening of the treatment of an periodontal! Lifelong regular follow-up and tooth cleaning, maintaining the patient clinical symptoms of such...

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