Rationale For Periodontal Treatment Short Essay Question And Answers

Rationale For Periodontal Treatment

Rationale For Periodontal Treatment Short Essays

Question 1. Treatment Modalities.

Local Therapy:

  • Removal of plaque and plaque retentive factors
  • Reduces/prevents the progression of periodontal disease

Systemic Therapy:

  • Used as an adjunctive
  • Used for a specific purpose
    • Acute infections
    • Post-treatment bacteremia
    • Presence of systemic disease
    • Example: Juvenile periodontitis
  • Use to eliminate the bacteria that have invaded gingival tissues

Question 2. Factors affecting Healing.

1. Local Factors: Delay healing

  • Excessive tissue manipulation during treatment
  • Trauma to tissue
  • Reduced blood supply
  • Presence of foreign bodies
  • Repetitive treatment
  • Cortisone administration
  • Ionizing radiation

Improves healing:

  • Increase in temperature
  • Bone cells
  • Debridement
  • Immobilization
  • Pressure
  • Adequate blood supply

2. Systemic Factors:

  • Delays in
  • Older patients
  • Generalized infections
  • Malnutrition
  • Increased levels of cortisone
  • Stress
  • Increased estrogens

Rationale For Periodontal Treatment Short Question and Answers

Question1. Define various aspects of healing after therapy.

1. Regeneration:

  • It is the growth and differentiation of new cells and intercellular substances to form new tissue and parts.

2. Repair:

  • It is the healing of tissues without complete re- Lateral extension of inflammation from an inner surface of storing lost tissues

3. New attachment:

  • It is the embedding of new periodontal ligament fibers into new cementum and the attachment of the gingival epithelium to the tooth surface previously. denuded by disease

4. Re-attachment:

  • It refers to repair in areas of the root not previously exposed to the pocket, such as after surgical de- tachment of the tissues or after traumatic tears in the cementum, tooth fractures, or treatment of peri- apical lesions.

Question 2. Healing of periodontal pocket.

  • The area is invaded by cells from 4 different sources

Rationale For Periodontal Treatment Healing of periodontal pocket

Question 3. Periodontal Abscess.


  • It is a localized purulent infection of periodontal tissues which may lead to the destruction of the periodontal ligament and alveolar bone.

Read And Learn More: Periodontics Question and Answers


  1. Based on Location:
    • Along the lateral aspect of the root
    • Along the soft tissue wall of pocket
  2. Based on onset: Acute and chronic
  3. Based on number: Single and multiple


  • Deep extension of infection from periodontal pocket
  • The lateral extension of inflammation from the inner surface of the pocket
  • Presence of a tortuous pocket
  • Incomplete removal of calculus
  • Impaction of foreign bodies
  • Perforation of root

Clinical Features:

  • Presence of pocket
  • Tenderness
  • Tooth mobility
  • Vital/non-vital tooth
  • Localized pain


  • Drainage
  • Scaling and root planning
  • Anti-microbial therapy
  • Amoxicillin 500 mg TID for 3 days
  • Clindamycin 300 mg QID for 3 days
  • Azithromycin 500 mg QID for 3 days
  • Extraction as a last resort

Question 4. New attachment.

  • It is the embedding of new periodontal ligament fibers into new cementum and the attachment of the gingival epithelium to the tooth surface previously denuded by disease


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