Periodontal Disease Treatment Guide

PERIODONTAL DISEASE SELF TREATMENT GUIDELINES


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PERIODONTITIS TREATMENT PROTOCOL
OVERVIEW
PROFESSIONAL VERSION


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PERIODONTITIS TREATMENT PROTOCOL OVERVIEW PROFESSIONAL VERSION

 

Conforms with the guidelines of the Board of Trustees of the American Academy of Periodontology as outlined in the position paper:  Systemic antibiotics in Periodontics Journal of Periodontology, November 2004, 1553-1565; Primary author: J. Slots.

 

3 or 4 weeks prior to treatment:


      Upon diagnosis of aggressive periodontitis, a periodontal culture is taken and samples sent to an oral pathology lab for analysis.


Day 1:   

     Patient begins taking the antibiotics as indicated in the lab report. Oral hygiene brushing and flossing instructions with emphasis on the next 8 days. Patient is instructed to use an oral irrigator with a bleach solution (1 tsp. bleach per 1 cup warm water) or a grapefruit seed extract solution – GSE (15 drops per 1 cup warm water) daily for 8 days, after first brushing and flossing.


Day 1 or 2:

       Gross scale full mouth and 2 quadrants of rootplaning followed by a subgingival irrigation of 10% povidone iodine allowing a 5‑minute contact time.

Day 4 or 5:

       2 quadrants rootplaning and subgingival irrigation with 10% povidone iodine.


Six weeks later: 

     Post operative periodontal evaluation and irrigation with 10% povidone iodine.  Patient is placed on a 3 or 4‑month hygiene recall.  Oral hygiene home care is reviewed.  Patient is instructed to use oral irrigator with bleach solution 2 X week or a GSE solution daily.

 

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