Refractory periodontitis

How to treat advanced periodontitis? Subgingival GNER often persist after periodontal debridement and surgery and have been implicated as key pathogens in cases of refractory periodontitis. What causes periodontal disease?

These microorganisms were detected at higher frequency and in higher proportions in patients with failing implants. Additionally, they show less susceptibility to chlorhexidine, (21) and the fact that these microorganisms exhibit in vitro resistance to the majority of adjunctive antibiotics used to treat periodontitis.

A periodontal maintenance interval of three months for patients. REFERRAL TO A PERIODONTAL SPECIALIST. PHOTODYNAMIC DISINFECTION. In such patients the irritants may not have been completely remove and the disease may temporarily have become less severe hut never completely resolved. It is now believed that the refractory periodontitis is not a single disease entity, but that a small percentage of all forms of periodontitis may not respond to treatment.

The patients often have a history of antibiotic therapy and therefore have a high incidence of resistance in the subgingival microflora. The above features are in contrast to adult chronic periodontal disease.

About 10– of US adults are ‘refractory’ to therapy for chronic periodontitis. Recently, studies suggest that these patients have elevated lysine decarboxylase activity in the sulcular microbiota. Then dentists discovered where the pathogens were hiding. Radiograph reprinted with the kind permission of Dr. Cameron Clokie and the Journal of the Canadian Dental Association.

Have received incomplete or inadequate conventional therapy 2. Have identifiable systemic condition that increases susceptibility to infections 3. Refractory Periodontitis Not applicable to patients who: 1. How To Prevent This Gum Disease. Learn Facts About The Difference Between Gingivitis And Periodontitis. Find Your Toothpaste Today! The term refers to destructive periodontal diseases in patients who, when monitored over time, domonstrate additional attachment loss at one or more sites, despite well-executed therapeutic and patient efforts to stop the progression of the disease. It can occur because of abnormal host response or can occur because of resistant strains of bacteria present.

We are very aware that refractory periodontitis exists and even early studies by Hirschfield suggested that of periodontal patients were in the “downhill to extreme downhill” category. REFRACTORY PERIODONTITIS Photo courtesy of: Dr.

While such factors as oral hygiene and recare compliance, treatment technique, and local factors could contribute to a refractory stage, it is now thought that the microbial. The teeth extracted with periodontal disease as the only pathology had an average radiographic bone loss of. Caries, endodontic, and technical problems represented the leading pathology associated with gingivitis and mild periodontitis patients. Clinical Features The primary feature of “refractory” periodontitis is the occurrence of additional clinical attachment loss after repeated attempts to control the infection with conventional periodontal therapy.

Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen, re and may bleed. In its more serious form, called periodontitis , the gums can pull away from the tooth, bone can be lost,.

Juvenile forms of periodontitis.