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Step 4 for the treatment of periodontal diseases: implementing a supportive periodontal care programme Stephanie Leyland Francis J Hughes Claire McCarthy Dental Update 2024 51:5, 707-709.
Authors
StephanieLeyland
RDN, RDH, RDT
Dental Therapist, Dental Practice Birmingham, Teddington, Oadby and Cambridge
The long-term success of periodontal treatment is critically dependent on the implementation of a regular programme of supportive periodontal care (SPC). An SPC programme involves regular recall intervals of between 3 and 12 months according to a range of factors, including patient compliance, presence of risk factors and severity of initial disease. An SPC visit will include repeat examination of the periodontal tissues, assessments of gingival bleeding and probing depths, patient plaque control and presence of new deposits. Reinforcement of OH procedures is carried out, and any professional mechanical removal of deposits carried out as required. Evidence of relapse of disease may require referral for further active therapy.
CPD/Clinical Relevance: Successful periodontal treatment in the long term is dependent on a regular supportive periodontal care programme.
Article
As discussed extensively in other articles in this issue of Dental Update, the S3-level guidelines for periodontal care set out an evidence-based approach to the management of stage I–III periodontitis.1 In this article, we describe the implementation of step 4 procedures, supportive periodontal care (SPC), as the final stage of the S3 guideline. The specific aims of this article are to describe the new guidelines for SPC and their implementation in a clinically practical way that is applicable for everyday dental practice settings in the UK.1,2
An SPC programme is implemented after the satisfactory completion of active periodontal therapy using the procedures described in steps 1–3 of the guidelines. It is an essential component of periodontal treatment to provide long-term stability of the condition and initially depends on the achievement of adequate endpoints of active treatment. Active treatment aims at achieving the following:
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