11.22 PD maintenance

Question 1

state the therapeutic goals of periodontal maintenance

Answer 1

• to minimize the recurrence and progression of perio disease
• to reduce the incidence of tooth loss by monitoring the dentition and prosthetic replacement
• to locate and treat oral diseases and conditions

Question 2

list data collected during a maintenance recall

Answer 2

Medical history
Dental history
Head and neck examination
Caries identification
Existing restorations/prostheses
Endodontic evaluation
Reconstructive needs

Periodontal evaluation
Gingival appearance
PD and AL
Bleeding on probing
Mobility
Occlusion
Furcations
Presence plaque/calculus
Radiographic examination

Question 3

develop diagnoses, treatment plans for periodontal patients and provide rationale for treatment options

Answer 3

-

Question 4

discuss rationale for maintenance interval

Answer 4

• plaque score
• calculus
• bop

Question 5

identify clinical factors that influence recommended interval for maintenance therapy

Answer 5

• plaque score
• calculus
• bop

Question 6

list factors that have been correlated with compliance/noncompliance of maintenance therapy

Answer 6

-Medical literature suggests that patients with chronic disease tend to comply poorly, especially if the disease is not perceived as threatening
-Top reasons for non-compliance
Fear
Economics
Lack of compassion from clinician
Perception that therapy was no longer needed

Question 7

discuss the important of maintenance therapy in the overall treatment of the periodontal patient

Answer 7

-

Question 8

Patients given instruction on plaque control methods with _____ _____have less plaque and gingivitis than patients receiving instruction alone
-and name the study

Answer 8

• performance feedback

- AXELSSON AND LINDHE

Question 9

how soon after ScRP do bacteria return to pretreatment levels?

Answer 9

16 weeks

-CATON

Question 10

compliance with periodontal maintenance after induction of INTENSE patient education program

Answer 10

Increase in complete compliance from 16% to 32%
-The increase was largely at the expense of the non-compliance group (none), and mostly due to the efforts of the dental team