Читать книгу Basic Guide to Oral Health Education and Promotion - Alison Chapman - Страница 100

Treatment and management of periodontitis includes the following:

 Encouragement and help to stop smoking (see Chapter 13).

 Regular maintenance and monitoring by:Diagnosing and monitoring with pocket charting, bleeding indices (see Chapter 29), and removal of plaque retentive factors.Effective regular plaque removal using manual or powered brush, and interdental brushes, plus (in severe cases) chlorhexidine mouthwash.Toothpaste and mouthwashes containing fluoride are antibacterials and interfere with bacterial metabolism, reducing the number of bacteria present in the mouth.Scaling, root surface debridement with ultrasonic scalers and hand scalers.Air polishing – use of low abrasive agents, such as glycine or erythritol on the root surface to remove subgingival bacteria and reduce recolonisation.Laser treatment in which light and a photosensitiser are used to destroy bacteria.

 Antibiotics – systemic or local.

 Chlorhexidine‐impregnated chip placed in pocket.

 Surgery – re‐contouring of gingivae and removal of pockets.

Remember! No periodontal treatment carried out by the dentist or hygienist will work if the patient does not maintain their oral hygiene.