⭐ PROGNOSIS IN PERIODONTOLOGY 📌 POINTS TO PONDER 🔹Prognosis needs to be described at two levels: overall and individual teeth. 🔹Prognosis is a predilection of the probable course, duration and outcome of a disease based on a general knowledge of the pathogenesis of the disease and the presence of risk factors for the disease. 🔹Short-term […]
⭐ CHEMOTHERAPEUTIC AGENTS 📌 POINTS TO PONDER 🔹Pin Cushion Effect- One charged end of chlorhexidine (CHX) molecule binding to the tooth surface and the other remaining available to interact with bacterial membrane as microorganism approaches the tooth surface as pin-cushion effect. 🔹Substantivity of CHX is around 12 hrs. 🔹Substantivity of Triclosan is around 5 hrs. […]
⭐ TREATMENT PLAN OF PERIODONTOLOGY 📌 POINTS TO PONDER 📣 Sequence of periodontal therapy: 🔹Emergency/preliminary phase. 🔹Phase I: Etiotropic phase. 🔹Phase II: Surgical phase. 🔹Phase III: Restorative phase. 🔹Phase IV: Maintenance phase. 📣 PALLIATIVE TREATMENT 🔺Following are the candidates for palliative treatment: 🔹Patients with short-life expectancy either due to advanced age/systemic diseases with poor survival […]
⭐ RISK FACTORS OF PERIODONTOLOGY 📌 POINTS TO PONDER 🔹Risk: Probability that an event will occur in the future, or the probability that an individual develops a given disease or experiences a change in health status during a specified interval of time. 🔹Risk factors: Distinctive characteristics, or exposures, that increase the probability of developing periodontitis, or […]
⭐ PHYTOTHERAPEUTIC AGENTS 📌 POINTS TO PONDER 🔹Phytotherapy is the use of medicinal plants and herbs for the prevention and cure of diseases and for improvement of health conditions. 🔹Recommended Miswak stick length for adult is 20 cm and for children is 15 cm. 🔹Vitamin C is present mainly in amla, cranberry, barberry, miswak and […]
SCALING AND ROOT PLANNING 📌 POINTS TO PONDER 🔹Scaling: Plaque and calculus are removed from both supragingival and subgingival tooth surfaces. 🔹Root planing: Residual embedded calculus and portions of cementum are removed from the roots to produce a smooth, hard and clean surface. 🔹Scaling strokes are short and powerful pull strokes. 🔹Root planing strokes are longer […]
⭐ TRAUMA FROM OCCLUSION 📌 POINTS TO PONDER 🔹Physiologic occlusion was defined by Goldman and Cohen as one that operates in harmony and presents no pathologic manifestations in the supporting structures of the teeth. A physiologic occlusion is one that may be anatomic malocclusion but free of any occlusally-induced disease. 🔹A pathologic occlusion is one which […]
⭐ PERIODONTAL MICROSURGERY 📌 POINTS TO PONDER 🔹Carl Nylen is called as the Father of microsurgery. 🔹Microsurgery involves a surgical procedure performed microscopically. 🔹In periodontal surgery, an ideal magnification is considered as ×4.5 to ×5 for loupe spectacles and ×10 to ×20 for surgical microscopes. 📣 Magnification Systems 🔺There are two types of optical magnification […]
⭐ GINGIVAL CURETTAGE 📌 POINTS TO PONDER 🔹 Gingival curettage – Surgical procedure designed to remove the soft tissue lining of the periodontal pocket with a curette, leaving only gingival connective tissue lining. 🔹Inadvertent curettage – Curettage which is done unintentionally when scaling and root planing procedure is performed. 🔹Subgingival curettage – Procedure that is […]
⭐ GINGIVECTOMY 📌 POINTS TO PONDER 🔹Gingivectomy is defined as “an excision of the soft tissue wall of the periodontal pocket”. 🔹Failure to produce beveled incision leaves a broad plateau which takes more time than ordinarily required to develop the physiologic contour of gingiva, thus the incision should be beveled at approximately 45° to the tooth […]
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