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Gum care, the 4 steps to be respected

2021-10-22T17:23:34.284Z

From how to get rid of plaque before periodontitis treatment to home check-ups after the dentist's surgery. (HANDLE)



From how to get rid of plaque before periodontitis treatment to home check-ups after the dentist's surgery. The Guidelines prepared by the Italian Society of Periodontology and Implantology (SIdP) for the "Treatment of stage I-III periodontitis" have just been published on the National Guidelines System platform of the Istituto Superiore di Sanità (Iss). The full-bodied work is the Italian adaptation to the Guidelines of the European Federation of Periodontology, and aims to guide the professional, in four main steps, in the treatment of periodontitis in its various stages of disease in the light of the most recent scientific evidence.


    "The objective of the Guidelines is to allow professionals, but also patients, to have the same information. Scientifically validated and certified information, so as to clarify the maze of proposed therapies", comments SIdP president Luca Landi. This is the sequence that a patient suffering from periodontitis should expect to be carried out by the dentist who is treating him for the chronic disease that has become the fifth most widespread in the world. First of all, before starting any periodontal therapy, the patient must learn to brush his teeth well, preferably with an electric toothbrush, and to correctly brush or floss. Before starting periodontal therapy, systemic and local risk factors should be checked if possible, patient behaviors changed, if not corrected:for example, smoking should be eliminated or moderated. Before performing the subgingival oral hygiene maneuvers, the dentist must eliminate the plaque and tartar present in the supragingival areas and ensure that the patient, through the appropriate home oral hygiene maneuvers, shows up at check-ups with little or no plaque on the teeth . The second step concerns the subgingival instrumentation with curettes and ultrasound, often to be performed under local anesthesia.The second step concerns the subgingival instrumentation with curettes and ultrasound, often to be performed under local anesthesia.The second step concerns the subgingival instrumentation with curettes and ultrasound, often to be performed under local anesthesia.


    After this instrumentation, it is necessary to wait 8 to 12 weeks to evaluate the healing of the tissues. The goal is to obtain gingival pockets maximum 4 mm deep and no bleeding of the gingiva when the periodontal probe is introduced.


    If this goal is not achieved, proceed to the third step: non-surgical instrumentation can be repeated or additional non-surgical therapies can be considered, such as local antibiotics and probiotics, most of which, however, are not proven to have additional benefits. For severe defects periodontal surgery is necessary to obtain the closure of the pocket and the return to a healthy state of the tissues.


    The fourth step involves maintaining control of gingival inflammation.

This can only happen thanks to regular professional control sessions, the so-called supportive periodontal therapy.

This, concludes the president Landi, "is the result of a long and intense work made possible thanks to the commitment of the SIdP in collaboration with other scientific societies in the dental and medical area. In addition to being an official document also from the medical legal point of view , aligns dentistry to other branches of medicine in terms of validated guidelines ". 


Source: ansa

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