Treatment FAQ

if i recieve periodontal treatment how often will it reaccur?

by Angela Johnston V Published 3 years ago Updated 2 years ago
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Periodontal maintenance requires recurrent dental visits
Routine dental check-ups usually occur every six months. Depending on the extent of the infection, however, a dentist may recommend periodontal maintenance every few weeks to every three months for gum disease patients.

How often should periodontal maintenance be done?

The study showed that regular maintenance after periodontal treatment is associated with low levels of tooth loss. With regards to the interval between periodontal maintenance visits, there is a wide range of recommended periods in the published literature, including 2 weeks, 8 , 9 2–3 months, 10 3 months, 11 – 15 3–4 months, 16 , 17 3–6 months, 18 and even as long as 18 …

How often should we recall patients following periodontal therapy?

Jan 19, 2011 · At 2 years during SPT after intensive periodontal treatment, subjects were classified into a “Recurrence group” (with recurrence or progression of periodontitis, N=112) and a “Stable group” (without recurrence or progression of periodontal disease, N=27).

How do you treat periodontal disease?

Mar 21, 2018 · Periodontal therapies and treatments are often exceptionally effective, and as long as you follow the instructions your dentist provides you …

How many modalities of periodontal therapy are there in periodontics?

Aim: To quantify the extent of additional periodontal treatment needed for patients who had previous pocket reduction periodontal surgery and have been on SPC for a minimum period of 12 months. Methods: Patients in this study had received periodontal treatment, which included pocket reduction osseous surgery with an apically positioned flap.

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Does periodontal disease come back?

Even with successful treatment, periodontal disease can come back. If you start noticing symptoms, like swollen or bleeding gums, it's important to get help from your dentist or periodontist.Feb 23, 2021

Do I need periodontal maintenance forever?

Instead, you will require special ongoing gum and bone care procedures, known as Periodontal Maintenance Therapy, to keep the disease under control and keep your mouth healthy. In most cases, Periodontal Disease is a lifelong disease that never goes away.

Does periodontal disease go away after treatment?

Can you reverse periodontal disease? The damage done by gingivitis can often be reversed by ridding your gums of the infection. Periodontitis is more advanced, however, and often does damage to your teeth and gums that's impossible to reverse without extensive dental treatments.Oct 8, 2020

How do you prevent periodontal disease from coming back?

Read on for seven ways for reversing gum disease.
  1. Preventative Care. Obviously, the best way to reverse periodontitis is to prevent it from taking over in the first place. ...
  2. Plaque Removal. ...
  3. Early Diagnosis. ...
  4. Scaling and Planing. ...
  5. Laser Periodontal Therapy. ...
  6. Traditional Surgery. ...
  7. Healthy Habits.
May 22, 2020

How often should you have periodontal cleaning?

It's recommended that you have one or two done every year, as it'll help prevent more serious issues from arising. During a regular cleaning, the dentist will first check out your mouth for any signs of things such as cavities, abscesses, or cancer signs.Apr 21, 2020

How often should periodontal scaling be done?

Healthy kids and adults should have their teeth cleaned via scaling at least twice each year. Periodontal problems can cause tooth decay and gum infection.

Can my teeth be saved if I have periodontal disease?

Saving teeth from periodontal disease is possible if you detect the signs and symptoms early or regularly visit your dentist for cleanings and exams. Let the condition progress unhindered, and tooth loss should be considered as an eventuality.Jan 1, 2021

Can periodontitis be cured permanently?

Periodontitis can only be treated but cannot be cured. Gingivitis, on the other hand, can be prevented by maintaining proper oral hygiene practices and visiting the dentist for checkups and exams.

Why do I keep getting gum disease?

Gum disease is caused by a build-up of plaque on the teeth. If you do not remove plaque from your teeth by brushing and cleaning in between them regularly, it builds up and irritates your gums. There are things you can do yourself to prevent gum disease.

What are the 4 stages of periodontal disease?

The four stages of periodontal disease
  • Stage 1: Gingivitis. ...
  • Stage 2: Slight Periodontal Disease. ...
  • Stage 3: Moderate Periodontal Disease. ...
  • Stage 4: Advanced Periodontal Disease. ...
  • What are the symptoms of periodontal disease?
Feb 22, 2022

Can periodontal disease be stopped?

Periodontitis can be stopped if caught and treated early enough. Treatment is typically very successful. If you have periodontitis, regular follow-ups with a dentist are essential to ensure that the disease doesn't continue.

What is the best mouthwash to use for periodontal disease?

Top 3 Best Mouthwash for Periodontal Disease
  1. TheraBreath Periodontist Recommended Healthy Gums Oral Rinse. ...
  2. Crest Pro-Health Gum and Breath Purify Mouthwash. ...
  3. Colgate Peroxyl Antiseptic Mouthwash and Mouth Sore Rinse, 1.5% Hydrogen Peroxide.

How long does periodontal disease last?

Because periodontal diseases can be treated, but not completely eradicated, periodontal maintenance intervals are often set at 3 months to 4 months for the life of the affected dentition or while the patient is at risk of losing more teeth from compromised periodontium due to disease (periodontitis stage III and IV).

What is periodontal maintenance?

The AAP describes periodontal maintenance as the treatment provided to individuals after the completion of initial (nonsurgical) periodontal therapy with the intention of preventing further disease progression and maintaining the health of the periodo ntium. 8,9 The purpose of a rigorous maintenance schedule is to allow time for tissues to heal after initial therapy, followed by appropriate support to preserve the treatment outcomes without relapse to a diseased state. 10 A typical periodontal maintenance appointment includes a review of medical and dental histories, clinical assessments, scaling areas of new deposits, and other therapies determined by the dental team (Table 1). 8

What are the factors that affect periodontal disease?

14,15 Risk factors can impact disease onset, presentation, and rate of progression. 14 For periodontal diseases, common factors include clinical findings, such as bleeding on probing, periodontal probing depth, clinical attachment loss; response to past therapies; behavioral factors, such as oral hygiene practices, smoking, and nutrition; and environmental factors, such as socioeconomic status (access to dental insurance can impact an individual’s ability to comply with maintenance appointments) and fluoride intake. 10,14 A wide array of other factors contribute to the development of periodontal diseases that can be evaluated properly by a dental hygienist during routine clinical appointments as well as contributing genetic factors that can be considered when periodontitis does not resolve post-treatment (Table 2). 6,10,15,16 As behaviors and clinical findings can change over time, risk assessments should be completed for every periodontal treatment plan and included in all comprehensive and periodic evaluations. 14

Is periodontal therapy effective?

Periodontal therapies and treatments are often exceptionally effective, and as long as you follow the instructions your dentist provides you during the maintenance stage, your risk of recurrence is low. This includes careful oral hygiene and no use of any tobacco products. Last medically reviewed on March 21, 2018.

What is the best treatment for periodontal disease?

Bone and tissue grafts. If your periodontal disease has caused a loss of bone or gum tissue, your dentist may recommend bone or tissue grafts in addition to surgical pocket reduction. This will help regenerate bone or tissue lost.

What are the risks of gum disease?

Gum disease should be treated as soon as possible because it’s linked to increased risk factors for conditions like: 1 stroke 2 heart disease 3 diabetes 4 respiratory disease

What are the different types of periodontal diseases?

Periodontal diseases are infections in the structures around the teeth, but not in the actual teeth themselves. These structures include the: 1 gums 2 alveolar bone 3 periodontal ligament

What is the best treatment for a swollen gum?

Other medications your dentist may prescribe include: 1 prescription antimicrobial mouth rinse 2 antiseptic chip, which is a tiny piece of gelatin that contains medication 3 enzyme suppressant, which contains a low dose of doxycycline to keep destructive enzymes from flourishing

What is periodontal disease?

Periodontal diseases are infections in the structures around the teeth, but not in the actual teeth themselves. These structures include the: It can progress from gingivitis, which is the first stage of periodontal disease and only affects the gums, to the other structures. Periodontal diseases are caused most often by a combination ...

What is phase 2 of a syringe?

Phase II: The surgical phase. If the more conservative treatments weren’t effective, treatments will move into the surgical phase. This will likely happen if the pockets of infection or plaque and tartar are too deep to clean. This phase will be assessed somewhere between four and eight weeks after the initial treatment.

How many patients with periodontal disease are treated with scaling/root planing and/or antibiotics?

Still, over 90% of patients with moderate to severe periodontal disease are treated with scaling/root planing (SRP) and/or antibiotics only. The other 7% to 9% are offered surgical treatments, and only 1% to 3% of patients are ever offered a regeneration procedure. 10,11

What is the goal of periodontal therapy?

The goal of periodontal therapy is the reestablishment of a healthy periodontium with restored form and function. Regeneration refers to the reproduction or reconstitution of a lost or injured part. Periodontal regeneration is the formation of new bone, new cementum, and a functionally-oriented periodontal ligament.

Is periodontal disease a chronic disease?

Periodontal disease is a chronic, noncurable bacterial infection that requires ongoing therapy. When we achieve disease resolution, the patient is healed – not cured. The patient is never cured; the disease is just stabilized. Periodontal disease is very similar to other diseases such as diabetes and hypertension.

How long does it take for a bacterial biofilm to develop?

The timing of biofilm development provides a sound bacterial rationale for maintenance every three months.

How long does it take for ductal carcinoma to recur?

Patients who experience a ductal carcinoma in situ recurrence typically do so within 10 years of receiving their original diagnosis. Characteristics that have been associated with an increased risk of recurrence include: Having a large amount of cancer (10 millimeters or greater) removed during the first round of treatment.

What is the recurrence rate of ductal carcinoma in situ?

The recurrence rate is less than 15 percent for patients who have a lumpectomy to remove the cancerous cells, followed by radiation therapy to destroy any that were not visible or accessible during surgery.

Why is ductal carcinoma in situ?

The reason is that ductal carcinoma in situ – by definition – is limited to a small and specific area of the body, which frequently makes it possible for a surgeon to remove all of the cancerous cells from a patient’s body.

Can ductal carcinoma in situ be removed?

The reason is that ductal carcinoma in situ – by definition – is limited to a small and specific area of the body , which frequently makes it possible for a surgeon to remove all of the cancerous cells from a patient’s body . The recurrence rate is less than 15 percent for patients who have a lumpectomy to remove the cancerous cells, ...

Can you get radiation after breast cancer surgery?

Not receiving radiation therapy after surgery. Having a high-or intermediate-grade cancer. Having been diagnosed with DCIS during a physical exam rather than a routine screening. Even though the DCIS recurrence rate is generally low, survivors should still participate in regular screenings. Having a history of breast cancer – even stage 0 ductal ...

What is DCIS in medical terms?

Having a large amount of cancer (10 millimeters or greater) removed during the first round of treatment. Not receiving radiation therapy after surgery. Having a high-or intermediate-grade cancer. Having been diagnosed with DCIS during a physical exam rather than a routine screening.

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Periodontal Maintenance

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The AAP describes periodontal maintenance as the treatment provided to individuals after the completion of initial (nonsurgical) periodontal therapy with the intention of preventing further disease progression and maintaining the health of the periodontium.8,9 The purpose of a rigorous maintenance schedule is to allow …
See more on dimensionsofdentalhygiene.com

Risk Assessment

  • Risk assessment is the process of evaluating clinical, behavioral, genetic, and environmental factors to determine the overall protective or destructive influence on a patient’s oral health.14,15 Risk factors can impact disease onset, presentation, and rate of progression.14 For periodontal diseases, common factors include clinical findings, such as bleeding on probing, periodontal pro…
See more on dimensionsofdentalhygiene.com

Risk-Based Recare Intervals

  • Once risk assessments are completed, the next step is to take that information and apply it practically to determine the most appropriate recare interval for the patient. Using evidence-based clinical decision making, the dental hygienist can weigh the impact of different risk variables to determine the patient’s overall risk of disease progression.10 For example, in the new AAP class…
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The Role of The Dental Hygienist

  • The periodontal maintenance team includes office staff, dental assistants, dentists, periodontists, and dental hygienists. For proper patient-centered care, all members of the dental team need to work together in collaboration with the patient to determine effective treatment strategies and scheduling options. While dentists and periodontists are responsible for advanced periodontal tr…
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Conclusion

  • With an increased focus on disease risk and no evidence that a single recare interval is beneficial for all individuals, it is time to incorporate formal risk assessment procedures into clinical appointments, including the development of RBRIs in scheduling periodontal maintenance appointments.13 Risk assessments should include a thorough evaluation of patient behaviors, s…
See more on dimensionsofdentalhygiene.com

References

  1. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Periodo...
  2. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classificatio…
  1. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Periodo...
  2. Caton JG, Armitage G, Berglundh T, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Pe...
  3. Gurenlian JR. An update on the classification of periodontal diseases. Dimensions of Dental Hygiene. 2018;16(9):10–17.
  4. Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol.2015;42(Suppl 16):S59–S70.

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