1.ROUTINE ORAL PROPHYLAXIS- INCLUDES SCALING AND ROOT PLANING
Procedure used to remove the soft tissue lining of the inflamed periodontal pocket to reduce the granulation tissue, edema and promote healing. It is usually done with hand curettes, after administering local anesthesia.
3. LOCAL DRUG DELIVERY OF ANTIBIOTICS IN SHALLOW PERIODONTAL POCKETS
Since periodontal disease is a bacterial infection, certain microorganisms are highly tissue invasive and difficult to eradicate with mechanical instrumentation. Thus, there is a need for prescribing adjunctive antibiotics at times. A concentrated form which can be applied locally in the form of gels, fibres, chips, etc,is used for few cases where it can be useful as an adjunct. This prevents passage of the drug through the systemic route, allows increased local concentration, thus having a local antimicrobial effect and reduction in the gum pockets.
4. SPLINTING OF MOBILE TEETH
5. ADJUSTMENT OF MINOR OCCLUSAL PROBLEMS (DISCREPANCY IN THE BITING SURFACES OF TEETH)
6. MANAGEMENT OF SEVERE DENTINAL HYPRSENSITIVITY
Dentinal hypersensitivity is the sensation that emanates when a cold, sweet stimulus leads to irritation of the nerve endings, which are present in the second layer of the tooth, that is the dentin. The most common cause is thinning down of enamel, open dentinal necks due to caries or gum disease, root exposure due to faulty tooth brushing or due to gum disease, following gum surgery, or eating very sour foods, which leads to erosion of enamel. Patients often complain of moderate to severe sensitivity, or even dentinal shocks. Often it can be a cause of constant worry and discomfort to the patient. Patients with hypersensitivity are asked to refrain from eating extremely cold, or sour foods, use soft tootbrushes, and use dentifrices or pastes having agents to block the dentinal tubules. Common agents are Pot. Nitrate, stannous fluoride, novamin, arginine, which are applied daily so that the agent settles into the dentine and blocks sensitivity. Of late, use of lasers along with desensitizing pastes are used as they lead to melting of dentine and blocking the impulses.