The objective of this assignment is to discuss the implementation, management, and treatment carried out for the patient (Roto Scan 14717). Patient X was first presented to me back in 2014 as she was referred from the dental department for a comprehensive periodontal treatment. The hygiene care was deferred to 2015 due to work commitment. A complete dental hygiene assessment was performed again this year as patient 's condition may have changed drastically since last appointment and thus previous observations and charting recorded may be incorrect. The key findings from the initial assessment appointment will be outlined in this essay before discussing the clinical interventions performed, referrals required, and the oral hygiene instruction
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The degree of inflammation can be masked by smoking as it reduces the blood flow. However, previous radiographs show a generalised horizontal bone loss. Local factors that predispose the patient to the disease are the bacterial deposits (the presence of generalised moderate plaque, subgingival calculus and localised supragingival calculus) are removed by a combination of hand instruments (area specific gracey currettes and mini-5 instruments) and ultrasonic scalers (Piezonelectric). Explorer was used to help detect calculus and root irregularities prior to instrumentation. This prevented unnecessary tissue trauma from the tactile instruments. It was also used frequently throughout scaling and root planning to reassess the progress of biofilm removal. The objective of non-surgical therapy provided was to reduce the bacterial load from the periodontal pockets and removing hard deposits that initiate the progress of infection. Although plaque is the sole factor of periodontal disease; calculus has an indirect influence on the development and progression of periodontal disease. It serves as an ideal substrate for microbial colonisation (Jepsen, Deschner, Braun, Schwarz & Eberhard, 2011) and thereby promote the growth of pathogenic plaque. The development, the amount and composition of deposits vary …show more content…
It is also a factor that influences the severity, progression and the therapeutic outcome of periodontal disease. Patient had sites with class I and II mobility which indicates the degree of attachment loss. However, there other numerous factors that contribute to this condition. As the patient had no adjacent and opposing teeth to 25, the periodontal ligament and bone undergoes remodeling. Tolle (2010) states excessive occlusual force (e.g. clenching) can cause secondary destruction (acting on already diseased periodontium) of the supporting structures. Patient X has a strong muscle which adds additional force onto the tooth in addition to previous trauma. It can exacerbate periodontal disease because the supporting structures are already weakened. Occlusal contact during mastication is potentially traumatic to periodontal tissue (Ishigaki, Kurozumi, Morishige & Yatani, 2006). Similar to other dental diseases, it is influenced by multiple factors, in this case are food texture, facial muscles, temporomandibular joint, dental anatomy which requires further investigation and evaluation. Therefore, overloading tooth from mastication is considered as an indirect measure of the functional condition of the periodontium. Pockets associated with clinically mobile teeth do not respond to periodontal therapy as
The degree of inflammation can be masked by smoking as it reduces the blood flow. However, previous radiographs show a generalised horizontal bone loss. Local factors that predispose the patient to the disease are the bacterial deposits (the presence of generalised moderate plaque, subgingival calculus and localised supragingival calculus) are removed by a combination of hand instruments (area specific gracey currettes and mini-5 instruments) and ultrasonic scalers (Piezonelectric). Explorer was used to help detect calculus and root irregularities prior to instrumentation. This prevented unnecessary tissue trauma from the tactile instruments. It was also used frequently throughout scaling and root planning to reassess the progress of biofilm removal. The objective of non-surgical therapy provided was to reduce the bacterial load from the periodontal pockets and removing hard deposits that initiate the progress of infection. Although plaque is the sole factor of periodontal disease; calculus has an indirect influence on the development and progression of periodontal disease. It serves as an ideal substrate for microbial colonisation (Jepsen, Deschner, Braun, Schwarz & Eberhard, 2011) and thereby promote the growth of pathogenic plaque. The development, the amount and composition of deposits vary …show more content…
It is also a factor that influences the severity, progression and the therapeutic outcome of periodontal disease. Patient had sites with class I and II mobility which indicates the degree of attachment loss. However, there other numerous factors that contribute to this condition. As the patient had no adjacent and opposing teeth to 25, the periodontal ligament and bone undergoes remodeling. Tolle (2010) states excessive occlusual force (e.g. clenching) can cause secondary destruction (acting on already diseased periodontium) of the supporting structures. Patient X has a strong muscle which adds additional force onto the tooth in addition to previous trauma. It can exacerbate periodontal disease because the supporting structures are already weakened. Occlusal contact during mastication is potentially traumatic to periodontal tissue (Ishigaki, Kurozumi, Morishige & Yatani, 2006). Similar to other dental diseases, it is influenced by multiple factors, in this case are food texture, facial muscles, temporomandibular joint, dental anatomy which requires further investigation and evaluation. Therefore, overloading tooth from mastication is considered as an indirect measure of the functional condition of the periodontium. Pockets associated with clinically mobile teeth do not respond to periodontal therapy as