Nonsurgical Therapy Case Study

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The goal of periodontal therapy is to eliminate disease and restore the periodontium to a state of health, which includes comfort, function, and esthetics that can be maintained adequately by both the patient and dental professional. Nonsurgical therapy aims to control the bacterial challenge characteristic of gingivitis and periodontitis while addressing local risk factors and minimizing the potential impact of systemic factors. Alteration or elimination of putative periodontal pathogens and resolution of inflammation are paramount objectives of nonsurgical therapy, creating an environment conducive to periodontal health and decreasing the likelihood of disease progression. The term nonsurgical therapy includes the use of oral hygiene self-care, periodontal instrumentation, and chemotherapeutic agents to prevent, arrest, or eliminate periodontal disease.
Instrumentation performed as a part of nonsurgical therapy is aimed directly at changing the prevalence of
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The supra and sub gingival bacterial deposits were identified as the main etiologic factors. Past cigarette smoking was considered a modifying factor.
Treatment planning:
In the treatment planning of this young patient it seemed reasonable to anticipate retention of all teeth of his periodontally compromised dentition. The prerequisites for a good long term prognosis after therapy included
1. Optimal self performing plaque control
2. Proper healing of periodontal tissue following non-surgical therapy.
3. A carefully monitored maintenance care program
Tooth 35 & 37 displayed grade 1 mobility, however, it did not disturb the chewing comfort of the patient. In such a young patient, extensive efforts were made to treat inflammatory periodontal disease properly in the entire dentition, in order to avoid future tooth extraction and subsequent prosthetic rehabilitation.
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