guidelines for the management of patients with periodontal diseases correlation of previser scores...
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Guidelines for the Guidelines for the Management of Patients with Management of Patients with
Periodontal DiseasesPeriodontal Diseases
Correlation of PreViser Scores Correlation of PreViser Scores with AAP Guidelineswith AAP Guidelines
Treatment Guidelines PremisesTreatment Guidelines Premises
Most patients are referred when disease is Most patients are referred when disease is severe resulting in more tooth loss and severe resulting in more tooth loss and treatment that is complex and expensivetreatment that is complex and expensive
When treatment is initiated during the When treatment is initiated during the early stages of disease, success is more early stages of disease, success is more likely, treatment is more conservative, and likely, treatment is more conservative, and fewer teeth are lostfewer teeth are lost
Risk predicts the future severity of diseaseRisk predicts the future severity of disease Treatment including the need for referral Treatment including the need for referral
to a periodontist should be based on Risk to a periodontist should be based on Risk and Diseaseand Disease
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Initial Disease State and Risk Initial Disease State and Risk LevelLevel
Very low risk
Low risk
Moderate risk
High risk
Very high risk
Severe Periodontitis
Moderate Periodontitis
Beginning Periodontitis
GingivitisHealth
Each patient will occupy precisely one cell in the gridEach patient will occupy precisely one cell in the grid
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AAP Guidelines and PreViserAAP Guidelines and PreViserInitial ScoresInitial Scores
Very low risk
Low risk Risk = 2Disease = 11-36
Risk = 2Disease = 4-10
Risk = 3Disease = 4-10
Risk = 3Disease = 2-3
Risk = 1Disease = 4-10
Risk = 1Disease = 2-3
Risk = 1Disease = 1
Risk = 2Disease = 2-3
Risk = 2Disease = 1
Risk = 3Disease = 1
Moderate risk
High risk
Risk = 3Disease = 37-100
Risk = 3Disease = 11-36
Risk = 4Disease = 37-100
Risk = 4Disease = 11-36
Risk = 4Disease = 4-10
Risk = 5Disease = 37-100
Risk = 5Disease = 11-36
Risk = 5Disease = 4-10
Very high risk
Severe Periodontitis
Moderate Periodontitis
MildPeriodontitis
GingivitisHealth
Risk = 1Disease = 11-36
Risk = 2Disease = 37-100
Risk = 4Disease = 2-3
Risk = 4Disease = 1
Patients who would likely benefit from co-management by the referring dentist and the periodontist
Patients whose needs can best be provided by the general dentist
Patients who should be treated by a periodontist
Patients who may benefit from co-management by the referring dentist and the periodontist
Risk = 1Disease = 37-100
Risk = 5Disease = 2-3
Risk = 5Disease = 1
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AAP Guidelines and PreViserAAP Guidelines and PreViserRisk ChangeRisk Change
Very low risk
Low risk 2 to 2
3 to 33 to 4
1 to 31 to 41 to 5
2 to 42 to 5
3 to 5Moderate risk
High risk
3 to 13 to 2
4 to 14 to 24 to 3
5 to 15 to 25 to 3Very high risk
Very Low Risk
Low RiskModerate Risk
High Risk
Very HighRisk
1 to 2
2 to 1
4 to 44 to 5
Patients who would likely benefit from co-management by the referring dentist and the periodontist
Patients whose needs can best be provided by the general dentist
Patients who should be treated by a periodontist
Patients who may benefit from co-management by the referring dentist and the periodontist
1 to 1
5 to 45 to 5
2 to 3
Pre
vio
us R
isk
Current Risk
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AAP Guidelines and PreViserAAP Guidelines and PreViserDisease Change*Disease Change*
Health
Gingivitis
MildPeriodontitis
ModeratePeriodontitis
SeverePeriodontitis
HealthGingivitisMildPeriodontitis
ModeratePeriodontitis
SeverePeriodontitis
Patients who would likely benefit from co-management by the referring dentist and the periodontist
Patients whose needs can best be provided by the general dentist
Patients who should be treated by a periodontist
Patients who may benefit from co-management by the referring dentist and the periodontist
Pre
vio
us
Dis
ease
Current Disease* This graphic is approximate, as AAP-PreViser guidelines expand 5 categories of disease to 9
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