Nonsurgical periodontal therapy (nspt) presentation

I read an article about non-surgical periodontal therapy, analyzed the information, and summarized it within a powerpoint. I then presented this presentation to my Dental Hygiene Theory I class. I found it useful for the class to be presented with an article explaining NSPT because this is the topic that was discussed on that particular day of class. With the knowledge provided in this presentation, hygienists can get a brief overview of NSPT.

1. Non-Surgical Periodontal Therapy (NSPT) Created by: Kayla Robinson

2. Periodontitis is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms resulting in progressive destruction of the periodontal ligament (PDL) and alveolar bone with pocket formation, recession, or both. Periodontitis as described by Tanwar , Hungund , and Dodani

3. The overall idea of NSPT is to… Eliminate inflammation Stop the progression of periodontal disease Enhance esthetics Create an environment that can maintain health

4. What is Nonsurgical Periodontal therapy (NSPT)? Plaque removal and control, as well as supragingival and subgingival scaling and root planing. The cornerstone of periodontal therapy to date. Recommended as the first method to control periodontal infections. Although the process has greatly evolved over many years of discovery, it is still considered to be the “gold standard” and is consistently used to compare other treatment options.

5. Common Other names/terms for NSPT “Cause-Related Therapy” “Phase I Therapy” or “Etiotrophic Phase” “Initial Therapy”

6. Scaling and root planning ( srp ) Primary Objective: To completely remove elements that hold responsibility for gingival inflammation including plaque, calculus, endotoxins, etc. in the oral environment, and in turn regain a healthy gingival state. Outcomes: Periodontal pockets areas are completely and adequately accessible The time the procedure takes to be completed by the clinician The overall thoroughness the procedure holds

7. Scalers or Ultrasonic? Hand scalers and/or ultrasonic instruments can be used to complete the procedure by decreasing(reducing) the amount of subgingival microorganisms. In 1960 it became acceptable to use instruments in place of hand scalers. It was found that 1-20 um of root substance (cementum) was removed with one stroke. The average amount of cementum removed by a manual scaler with 40 strokes is approximately 57.8 um. Ultrasonic scaling causes no injury to the periodontal membrane, alveolar bone, or gingiva.

8. The amount of substance removed is dependent on the following: Site of the tooth Shape of the tip Power behind the strokes Whether the root surface is exposed or not

9. Effects of NSPT on periodontal tissues Decrease in gingival inflammation Increase in clinical attachment levels Decrease in probing depths No changes in bone height (horizontal bone loss)

10. Chemotherapeutic Agents Used to amplify the effects of the therapy received and additionally repress remaining microorganisms (pathogens). The agents are places directly into the periodontal pockets. The newest generation of antiseptics are mouthwashes infused with probiotics.

11. Conclusion For periodontal patients, NSPT increases clinical attachment levels, reduces gingival inflammation and pocket depths. There is no one single periodontal therapy regimen that will provide the same results for all patients. NSPT should always be selected and maintained before surgery is picked as a method of treatment. Future advances in technology might help the dental care team better understand individual periodontal infections, which in turn will lead to more effective treatment.

12. References