DEN 7136 Phase 1 Periodontal
Therapy
What is the objective of Phase 1 therapy?:
- to alter or eliminate the microbial etiology and
- eliminate the factors that contribute to gingival and periodontal diseases as much as possible.
Phase I therapy is referred to by a number of names, including:
- initial therapy,
- nonsurgical periodontal therapy,
- cause-related therapy,
- and the etiotropic phase of therapy.
phase I, therapy includes
- the initiation of a comprehensive daily plaque control regimen,
- thorough removal of calculus and microbial plaque,
- correction of defective restorations,
- and treatment of carious lesions
Rationale of Phase I
• Regardless of the extent or severity of disease present, these procedures are a required part of phase
1 periodontal therapy.
• Phase I therapy may be the only set of procedures required to restore periodontal health, in many
cases, or
• sometimes you can skip phase 1 and go straight to surgery
St. 1, true, St 2 false phase 1 establishes the preparatory phase for surgical therapy (you have to make
sure the pt can keep up with a cleaning regimen)
In periodontal surgical therapy, the evidence indicate that the long-term success of periodontal
treatment depends predominantly on
maintenance and much less on any specific surgical procedures
phase 1 is an opportunity to
, evaluate tissue response and patient motivation, both crucial elements
one aim of phase 1 is
effective daily plaque removal
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
- 1 Complete removal of ___________
calculus
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
2 Correction or replacement of
poorly fitting restorations and prosthetic devices
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
3 Restoration or temporization of
carious lesions
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
4 Orthodontic tooth movement (to
overcome crowding and plaque retention)
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
5 Treatment of _____ impaction areas
food
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
factors includes the following therapies, as required
6 Treatment of _________________ trauma
occlusal
Plaque Control in Phase I
For adequate home plaque control procedures to be effective, management of contributing local risk
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