Maintenance care and supportive periodontal therapy. 1993

S P Ramfjord
University of Michigan, School of Dentistry Ann Arbor 48109-1078.

This paper presents a review of the literature and clinical observations concerning the long-term professional care of all dental patients. Gingivitis, ubiquitous in the adult population, is often without significant consequences to the dentition; however, gingivitis may develop into periodontitis. Patients with gingivitis, therefore, should be monitored professionally, especially those patients with other risk factors (attachment loss, age, smoking, and abnormal tooth mobility). In patients without substantial attachment loss, professional examination, prophylaxis, and oral hygiene instruction should be provided once or twice a year, depending on the presence of other risk factors. All patients who have been treated for periodontitis should be recalled, after completion of treatment and a healing phase, every 3 to 4 months. Sites with active periodontitis should be re-treated. Topical use of fluorides is recommended.

UI MeSH Term Description Entries
D010510 Periodontal Diseases Pathological processes involving the PERIODONTIUM including the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT. Parodontosis,Pyorrhea Alveolaris,Disease, Periodontal,Diseases, Periodontal,Parodontoses,Periodontal Disease
D003777 Dental Prophylaxis Treatment for the prevention of periodontal diseases or other dental diseases by the cleaning of the teeth in the dental office using the procedures of DENTAL SCALING and DENTAL POLISHING. The treatment may include plaque detection, removal of supra- and subgingival plaque and calculus, application of caries-preventing agents, checking of restorations and prostheses and correcting overhanging margins and proximal contours of restorations, and checking for signs of food impaction. Prophylaxis, Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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