Important remarks - periodontology
• Periodontal tissues, morphology of periodontal tissues
• Periodontal diseases:
Aethiology: local and systemic factors, importance of dental biofilm
Inflammation – the most common disesases:
-gingivitis
-periodontitis (the inflammation affects deeper structures of
periodontal tissues – periodontal pockets are formed)
Other diseases – no inflammation
Investigation
• Patients history
• Clinical examinations
• Imaging methods – x ray (necessary for diagnosis periodontitis)
Patients history
• Diseases and therapy
• Oral history – oral diseases history and therapy
• Contemporary complaints
Clinical investigations
• Gingivitis – inflammation – bleeding
• Pockets – space between the root and bone – probing
The status is expressed using figures – indexes
PBI index – for motivation of the patient
Principles of therapy
• Improvement of oral hygiene – professional and home care
• Professional:
Dental calculus removal, polishing, air flow.
Therapy of periodontology:
Hygienic phase
Scaling and root planning
Surgical treatment if indicated
Prosthetic treatment if indicated
Recall
Instruments
• Probes
- WHO
- Williams
- Nabers (furcation
• Scalers –hand, power driven
Curretes – universal, special (Gracey)