_maintenance therapy牙周炎维护治疗课件

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1、PeriodontalMaintenanceTherapyEvaluationandCareLearningOutcomesDetermineappropriateintervalsforsupportiveperiodontalcareforclientspresentingwithgingivaland/orperiodontalconditionsOutlineaperiodontalmaintenancetherapyprogrambasedonaclient’scompliancewithhome

2、careandriskofdiseaserecurrenceDeterminereasonableoutcomesreflectiveoftheperiodontalmaintenanceplanthatwillpromoteclientcomplianceAccuratelydocumentnewclinicalfindingsandrevisethecareplanasrequiredIntroductionClientswithpersistentorchronicperiodontalproblem

3、sareinneedofprofessionalcareatregularintervalsServesasanextensionoftheinitialperiodontaltherapyForthoseatrisk:Stabledentalcondition,reduceactiveepisodesRe-educate,supportclient’sinvolvementRiskAssessmentClientswhohaveexperiencedgingivaland/orperiodontaldis

4、easeareatriskforfuturediseaseClientswithincreasedrisk:Attachmentlossof2mmormoreClientsover70yearsofageClientswhousetobaccoPathologicallymobileteethPoororalcare,systemicinvolvementObjectivesofPMTPrimaryobjective–preventrecurrenceordevelopmentofdiseaseaffect

5、ingdentition&softtissuesThisisaccomplishedby:Maintainingattachmentlevels&alveolarboneheightControllinginflammationMaintenanceoforalhealthReducingincidenceoftoothlossObjectivesofPMTSecondaryobjectives:Earlyrecognition&treatmentofconditionsaffectingoralcavit

6、yReinforceoralself-caretechniquesReinforcevalueofcontinuousoralcareNeedforContinuousPeriodontalCareRationale:ClientsusceptibletoperiodontalbreakdownClientnotacandidateforperiodontalsurgeryHealthreasonsFinancialreasonsClientrefusesImprovesprognosisforperiod

7、ontallyinvolvedteethNeedforContinuousPeriodontalCareRationale:ReducestressonimmunesystemImproveclient’splaquecontrolClientComplianceCompliance:“theconsistency&accuracywithwhichaclientfollowstheregimenprescribedbyahealthprofessional”(1997)Stedman’sConciseMe

8、dicalDictionaryfortheHealthProfessions(3rded.),EditedbyJohnDirckxBaltimore:Williams&Wilkins.Compliancecanbyassessedin2ways:Evaluatingclient’scompliancewithhomecareClient’scompliancewithacontinuouscareregimenC