AAPD Reference Manual 2022-2023

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BEST PRACTICES: PERIODONTAL RISK ASSESSMENT AND MANAGEMENT

Yes Yes Yes Yes Yes

resective, and/or

Nonsurgical therapy Surgical therapy Systemic antibiotics Management of plaque Monitor previous Management of oral Plastic, aesthetic,

procedures

regenerative

medications, infections, gingival

conditions and side

effects from therapies,

injuries, etc.

injuries to the

traumatic

apparatus

periodontal

factors Ƚ

retentive

and/or use of

adjunctive topical anti

microbials

Debridement, scaling and root

planing

Every six

months

Every

two-four

months

depending

on disease severity

and disease

response to

treatment

remova l

Oral

supragingival plaque and calculus

Every six to 12

months

Every six

months

Every

two-four

months

depending

on disease severity

and disease

response to

treatment

prophylaxis:

Yes Yes

Compliance with

medical

care and/or

periodontal

treatment or

maintenance

adjuncts a

Use of oral

hygiene

misuse ß

Yes Yes Yes Prevention or

use and drug

Tobacco

cessation

Yes Yes Yes Prevention

Injury Ƚ

Counseling

prevention

Table 3. Example of Management Pathways for Periodontal Diseases and Pathologies

Healthy

diet and

nutrition

daily

Twice

flossing

brushing

and daily

three months

– Radiographs every six months

Low risk – Recall every six to 12 months

– Radiographs every 12 to

24 months

– Recall every six months

– Radiographs every six to

12 months

– Monitoring of systemic

conditions by laboratory

analysis and

consultation

with medical

specialists, if indicated

Diagnostics

High risk – Recall every

Ƚ Plaque retentive factors include, but are not limited to, caries lesions, enamel defects, dental anatomical anomalies, malposed teeth, defective restorations, inadequate contoured crowns, orthodontic appliances, dental prostheses. ß Prevention of injuries resultant of accidents, piercings, habits. a Oral hygiene adjuncts include, but are not limited to, powered toothbrushes, interdental brushes, or oral irrigation; chemical antiplaque and anticalculus agents.

Risk