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Course Description
Current Concepts in Periodontal TherapyThe Periodontal Disease Classification and Periodontal Therapy
Safe and effective periodontal therapy is challenging in the COVID era. The treatment needs for our patients has not changed. The 2017 AAP/EPF World Workshop on the Classification of Periodontal diseases represent a paradigm shift in periodontal care. The staging of the periodontitis and subsequent grading of the progression based on systemic and local risk factors are valuable for periodontal therapy. This course will present an easy to follow path to the correct diagnosis of periodontal diseases, and the stage and grade of periodontitis for your patients. This course will set the stage for personalized care for patients with periodontitis. The course will be a case based discussion on diagnosis and individualized treatment planning utilizing the knowledge and tools provided by the new classification to provide periodontal and maintenance care. We will answer these questions about your patients. What new innovations are there to control biofilms and inflammation in initial therapy? Which patients benefit from regenerative care, or advanced periodontal therapy? How do we identify these patients effectively? When do we know we have optimized the periodontal health and what are the endpoints for treatment? Safe and effective care has a new meaning in the COVID era.
Periodontal Disease and Systemic Health
The effects of periodontal infection and inflammation are not limited to the destruction of the periodontium. There is an increasing body of evidence outlining its influence on systemic health. Many systemic diseases have an inflammatory component to their pathogenesis and are impacted by increases in inflammation as a result of periodontitis. Bacteremias can occur in the inflamed periodontal pocket and can contribute to disease remote form the oral cavity. The course will illustrate the systemic impact of periodontitis in Cardiovascular disease, Diabetes, Pregnancy, Alzheimer’s disease, Osteoporosis and Rheumatoid arthritis. This area has received a great amount of interest in the lay press. We also explore the relationship between our current understanding of Periodontitis and severe disease after a COVID 19 infection. This course will outline the current knowledge and what you should tell your patients.
Periodontal Therapy’s Role in Optimizing Overall Health
Many of our patients have diseases that they do not know they have. However, early diagnosis and treatment of these diseases is important for these patients. We see many of our patients more frequently than their physician and many do not visit a physician until they have symptoms. We have a long record of promoting Wellness in our maintenance programs, seeing healthy patients with the objective to keep them healthy. The mouth is a mirror of the body and often it displays the first symptoms of a systemic disease. The third part of this course will discuss how we, as oral health care providers, play an important role in the screening for these diseases. There are reports of oral symptoms as the first symptoms that subjects infected with the COVID 19 virus present. We will discuss how we are important in the management and screening for diabetes, as well as mitigating the risk for negative sequalae from osteoporosis, rheumatoid arthritis, cardiovascular disease, and the prevention of adverse pregnancy outcomes. Smoking and vaping have negative health consequences and behavior modification is important for treatment success. Novel concepts in oral hygiene and tobacco and vaping cessation will anchor our role as oral health care providers.
- The Periodontal Disease Classification and Periodontal Therapy
- The AAP classification outlined
- Grading and staging
- Periodontal risk assessment
- Individualized periodontal therapy
- Periodontal therapy innovations
- Periodontal Disease and Systemic Health
- Periodontal inflammation and microbiology and systemic health
- Oral microbial and inflammatory burden and:
- Cardiovascular disease
- Diabetes
- Pregnancy outcomes
- Alzheimer’s disease
- Osteoporosis
- Rheumatoid Arthritis
- Periodontal Therapy’s Role in Optimizing Overall Health
- The wellness concept in dentistry: The mouth as a mirror of overall health: screening for systemic diseases in the general dentistry practice
- Smoking and vaping and oral health
- Tobacco cessation
- Open Discussion