Treatment Plan
Write short note on maintenance care.
Answer. Mostly chronic infections require supervision and maintenance overtime.
- Maintenance phase after active treatment includes not only the care that patients receive thorough personal oral hygiene but also by the recall visits, and re-evaluations done by dental team.
- It is also supportive in nature hence also known as supportive phase periodontal.
Rationale for Maintenance Phase
To prevent or minimize the recurrence of periodontal diseases by controlling factors known to contribute to disease process.
Objectives of Maintenance Phase
- Preservation of alveolar bone support.
- Maintenance of stable, clinical attachment level.
- Reinforcement and re-evaluation of proper home care.
- Maintenance of a healthy and functional oral environment.
Read And Learn More: Periodontics Question And Answers
Maintenance Phase
- Periodic recall visit.
- Checking for plaque and calculus.
- Gingival condition (Pockets, inflammation).
- Occlusion, tooth mobility and other pathologic changes.
Determination of Maintenance Recall Intervals
Patients require recall for inspection, oral hygiene monitoring and scaling at 3 month, 6 month, 9 month or 12 month intervals depending on previous disease experience and susceptibility.
Following factors may be considered in determining the recall intervals:
- Severity of disease: The more severe the disease, the more frequently the patient is recalled.
- Effectiveness of home care: Good home care decreases the frequency of recall.
- Degree of control of inflammation achieved: As the tissue regain the total health. The frequency decreases.
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