Читать книгу Clinical Cases in Periodontics - Группа авторов - Страница 85

The treatment plan for a typical case of molar/incisor pattern periodontitis consists of the following phases.

 The diagnostic phase consists of a comprehensive periodontal examination, radiographs and study models. In some cases, microbial testing and genetic testing can be performed.

 The disease control phase includes oral hygiene instruction, splinting of mandibular incisors and scaling/root planing of all the affected areas with adjunctive systemic antibiotics (amoxicillin and metronidazole combination). Extractions of all the third molars can be included in this phase.

 The reevaluation phase consists of revisiting her probing pocket depths and her overall periodontal condition plus treatment planning for sites that did not improve after the initial phase of therapy or those that warrant further treatment.

 The sites that need further treatment can be treated surgically.

 Guided tissue regeneration or bone grafts with enamel matrix protein is commonly employed to treat the intrabony defects associated with molars.

 After surgical phase, the sites will again be evaluated for improvement in the periodontal condition.

 Once the periodontal condition is stabilized, patient will be placed on a three‐ to six‐month maintenance protocol.