Perio Case History 
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 Perio Case History

 As you are well aware the etiology of periodontal disease is multifacited.
Much depends on the hosts own immune responce as well as the causitive
agents (Bacterial Plaque And the toxins produced by the bacteria). Local
tissue Inflamation is responsible for the destruction of the supporting
strustures of the teeth ie ,bone, and surrounding connective tissue.  As a
general dentist I treat many patients with varing degrees of periodontal
disease.( localized Juvinile Periodontitis, {*filter*} periodontitis,and
gingivitis.) Guess what they all have in common? Plaque! Now I agree taht a
conservative approach is necessary in the initial stages of tx. However if
loss of attachment and probing depths are greater tan 7mm You and I both
know that we can't cure them all. In these cases combinationation therapy
with doxycycline 100mg tabs bid has seemed to work wonders even in cases
where home care is not up to par. However, there arestill times when it is
necessary to lay a flap to gain access , or if you happen to be lucky enough
to have an argon lazor around you can still have a successfull outcome. Much
more so than if the patient were put on perio maintence alone. Perio Surgery
still has its place.

P.S. We also need to be on the lookout for overcontoured restorations. I
think These little {*filter*}s have caused some of the problems besides the fact
taht some people only brush their teeth when it is a Full Moon.



Tue, 15 Feb 2000 03:00:00 GMT
 
 [ 1 post ] 

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