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The treatment of periodontitis is a complex process that can last for many years. Successful management of this common inflammatory condition necessitates team work by the patient, dental hygienist and dentist. A variety of complex skills are required including, not only the necessary clinical skills, but also excellent communication, education and motivation of patients. Above all, time is required to treat the condition properly, and successful outcomes depend heavily on engaging with and empowering the patient to manage his/her condition. Patients need to be active partners in the management of their periodontitis (supported by the dental team), and this will only happen if the time is spent to educate them on their role. Communication is essential for successful management, and behaviour change is always required of patients. Strategies for working effectively with a dental hygienist, and a suggested treatment protocol are presented to help dentists develop more effective methods of treating periodontitis.
Clinical Relevance: This article gives practical guidance on how to manage patients with periodontitis as well as working within the dental team to achieve the best clinical outcomes.
Article
The aim of this paper is to give practical guidance for busy general dental practitioners, dental hygienists and dental therapists to help them manage periodontitis more effectively. The successful management of periodontitis requires significant amounts of time to be spent with patients, and also depends heavily on the patients' involvement in managing their condition. Patients need to be active partners in the process, working together with the dental clinician, and this mandates the clinician to spend time with patients, to educate them on their role.
This may seem a surprising question – we can all recognize periodontitis when we see it in our patients, but it is useful to consider briefly current concepts of disease. We all know that periodontitis is initiated by the bacterial biofilm (ie subgingival plaque), but that is far from being the full story. Current thinking about the nature of periodontitis is captured in these statements taken from recent publications in the periodontal literature:
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