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Periodontal Maintenance Guidelines:
Any periodontal patient in maintenance should be considered UNSTABLE and be
referred t...
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Periodontal Maintenance Guidelines Ep Periodontics

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Clinical guidelines to assess periodontal stability of maintenance patients

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Periodontal Maintenance Guidelines Ep Periodontics

  1. 1. Periodontal Maintenance Guidelines: Any periodontal patient in maintenance should be considered UNSTABLE and be referred to the Periodontist if any of the following periodontal clinical sign is present. Inflammation as measured by bleeding on probing a. Full mouth BOP > 15%, suggests (BOP) instability b. Sites that consistently show BOP overtime may be unstable c. Sites that consistently show no BOP are likely stable Probing depth measurements (PD) a. Sites with PD increase of > 2mm from baseline or previous visit, unstable# of significant periodontal pocket depths b. 10 or more sites > 4mm PD, unstable c. 6mm or greater PD at any site consider unstable Progressive gingival recession from baseline or previous charting Radiographic considerations a. Loss of crestal bone height based on vertical bite wings, unstable b -Consistent presence of crestal lamina dura suggests stability Patient-level considerations a. Poor hygiene in the presence of attachment loss PI > 30%, unstable b. Smoking > ½ Pack / day, unstable c. Diabetic with HBA1c > 9, unstable High stress events, divorce, loss of loved one, unemployment, unstable

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