Phase 2 Surgical Therapy Case Study

Phase II – Surgical To correct the periodontal defects occurring in this client I would suggest a particular therapy called Phase II Surgical Therapy. I would suggest two possible surgical therapies to the client. Firstly, I would recommend that the client should have an extraction of certain teeth (particularly the 37) since mastication, at this point of the progression of the periodontal disease, is reduced. Before these teeth are removed, it is important to advise the client that partial dentures would be required. Since exotoses were discovered in the client’s assessments “their surgical removal (before prosthesis construction) prevents the possibility of irritation of overlying oral mucosa by the tori” (Darby and Walsh, 2010). Therefore because the exotoses were noted in the client’s assessments it is important that they are surgically removed before the prosthesis is manufactured. An alternative procedure to improve the health of the client’s oral condition would be Regenerative surgery. Since the goal of periodontal therapy is to establish a healthy periodontium, restore lost form and function it is important to at least consider regenerative therapy (Gehrig and Willmann, 2008). …show more content…
By completing supportive therapy every three months the operator will be able to examine the client’s overall and oral health, oral hygiene status, probing depths, bleeding upon probing, attachment levels, and so much more. As an operator, we will be able to determine if the interventions had improved by the next appointment or next supportive therapy appointment. These assessments are used as a baseline in the event we need to determine if the disease has stabilized or progressed. Finally, this client’s supportive therapy that includes debridement, fluoride treatment, and oral self-care indices and evaluation, will assist my client in maintaining a stable