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Article: Volume 42 Number 5 Page 488 - June 2015

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  Dent Update 2015; 42: 488-492

Periodontics:  Decision-Making for Residual Periodontal Pockets after Aetiological Treatment

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Abstract: The practitioner may have difficulties making decisions regarding the most appropriate therapeutic approach in the case of the persistence of periodontal pockets after initial periodontal treatment. Several options may be considered: aetiologic retreatment, maintenance, surgery of the pocket or extraction of the tooth for strategic reasons or when the conservation of the tooth is impossible. There are no clear guidelines for the treatment decision. The aim of this article is to present the main factors involved in making a treatment decision. An algorithm and its background rationale are presented to help the practitioner make a decision about residual periodontal pockets after aetiological treatment.

Clinical relevance: Many factors need to be considered in making a treatment decision for residual periodontal pockets: depth of the pocket, presence of signs of infection, difficulty of access to deposits and the type of periodontal lesion.

Author notes: Amal Bouziane, DMD Specialist in Periodontology, Associate Professor, Department of Periodontology, Faculty of Dental Medicine, Biostatistical, Clinical and Epidemiological Research Laboratory. Faculty of Medicine and Pharmacy, Latifa Benrachadi, DMD Specialist in Periodontology, Professor, Department of Periodontology, Faculty of Dental Medicine and Oumkeltoum Ennibi, DMD Specialist in Periodontology, Professor, Department of Periodontology, Faculty of Dental Medicine, Mohammed V University, Rabat, Morocco.

Objective: To consider the factors involved in making a treatment decision for residual periodontal pockets.

ADG