Factors affecting decision making at reassessment of periodontitis. Part 1: history and examination at reassessment

Abstract

Periodontal therapy aims to arrest the disease while maintaining function and aesthetics. Reassessment allows an opportunity to assess the periodontal status and need for further treatment. This is distinct from initial assessment in that the patient's response to initial therapy will be apparent and many treatment options other than non-surgical therapy require consideration. This series of papers outlines the processes to undergo at periodontal reassessment in order to assess viable treatment options and decide on a plan. This first article focuses on the information that should be gathered at the reassessment appointment in order to allow a full view of a case to aid decision-making. Subsequent papers in this series discuss the systemic and local factors that can account for residual probing depths, assessment of prognosis and treatment planning. Reassessment should be undertaken in a detailed manner to establish the reasons for any residual periodontal probing depths which will lead to the appropriate treatment option.

Access options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

References

  1. 1.

    Periodontology TAAo. In Glossary of periodontal terms. Chicago, Illinois: The American Academy of Periodontology, 2001.

  2. 2.

    Caton J G, Armitage G, Berglundh T et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Periodontol 2018; 89 (Suppl 1): S18.

  3. 3.

    Tonetti M S, Greenwell H, Kornman K S. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018; 89 (Suppl 1): S159s172.

  4. 4.

    Dietrich T, Ower P, Tank M et al. Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions - implementation in clinical practice. Br Dent J 2019; 226: 16-22.

  5. 5.

    Fuller E, Steele J, Watt R, N N. 1: Oral health and function - a report from the Adult Dental Health Survey 2009. The NHS Information Centre, 2011.

  6. 6.

    Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981; 8: 57-72.

  7. 7.

    Segelnick S L, Weinberg M A. Reevaluation of initial therapy: when is the appropriate time? J Periodontol 2006; 77: 1598-1601.

  8. 8.

    Otomo-Corgel J. Dental management of the female patient. Periodontology 2000-2013; 61: 219-231.

  9. 9.

    Speight P W S, Ogden G. Early detection and prevention of oral cancer. A management strategy for dental practice. British Dental Association Occasional Paper, 2010.

  10. 10.

    Lang N P, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972; 43: 623-627.

  11. 11.

    Smukler H, Machtei E. Gingival recession and plaque control. Compendium (Newtown, Pa) 1987; 8: 194-198.

  12. 12.

    Tonetti M S, Jepsen S. Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. J Clin Periodontol 2014; 41 (Suppl 15): S36-43.

  13. 13.

    O'Leary T J, Drake R B, Naylor J E. The plaque control record. J Periodontol 1972; 43: 38.

  14. 14.

    Armitage G C. The complete periodontal examination. Periodontology 2000-2004; 34: 22-33.

  15. 15.

    Highfield J. Diagnosis and classification of periodontal disease. Aust Dent J 2009; 54 (Suppl 1): S11-26.

  16. 16.

    Pihlstrom B L. Periodontal risk assessment, diagnosis and treatment planning. Periodontol 2000 2001; 25: 37-58.

  17. 17.

    Craddock H L, Youngson C C. A study of the incidence of overeruption and occlusal interferences in unopposed posterior teeth. Br Dent J 2004; 196: 341-348; discussion 337.

  18. 18.

    Kiliaridis S, Lyka I, Friede H, Carlsson G E, Ahlqwist M. Vertical position, rotation, and tipping of molars without antagonists. Int J Prosthodont 2000; 13: 480-486.

  19. 19.

    Compagnon D, Woda A. Supraeruption of the unopposed maxillary first molar. J Prosthet Dent 1991; 66: 29-34.

  20. 20.

    Davies S J, Grey R J, Linden G J, James J A. Occlusal considerations in periodontics. Br Dent J 2001; 191: 597-604.

  21. 21.

    Jansson L, Ehnevid H, Lindskog S, Blomlof L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol 1995; 22: 729-734.

  22. 22.

    Periodontology TBSo. The good practitioner's guide to periodontology. England: The British Society of Periodontology, 2016.

  23. 23.

    Commission E. Radiation Protection No 172 Cone Beam CT for Dental and Maxillofacial Radiology. 2012.

  24. 24.

    Greenberg J, Laster L, Listgarten M A. Transgingival probing as a potential estimator of alveolar bone level. J Periodontol 1976; 47: 514-517.

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Amardip S. Kalsi.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Kalsi, A., Bomfim, D. & Hussain, Z. Factors affecting decision making at reassessment of periodontitis. Part 1: history and examination at reassessment. Br Dent J 227, 673–680 (2019). https://doi.org/10.1038/s41415-019-0850-1

Download citation

Search