{"id":7945,"date":"2016-01-12T01:23:06","date_gmt":"2016-01-12T01:23:06","guid":{"rendered":"http:\/\/phosdev.com\/todaysveterinarypractice\/?p=7945"},"modified":"2022-02-11T21:26:00","modified_gmt":"2022-02-11T21:26:00","slug":"practical-dentistryupdated-options-for-periodontal-therapy","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/dentistry\/practical-dentistryupdated-options-for-periodontal-therapy\/","title":{"rendered":"Updated Options for Periodontal Therapy"},"content":{"rendered":"

Periodontal disease is the number one diagnosed problem in small animal veterinary medicine.1,2<\/sup> Therefore, treatment and prevention of this malady are the subject of significant research, which has resulted in numerous new products and procedures\u2014in addition to current therapies\u2014to prevent and treat periodontal disease (Table 1<\/strong>).<\/p>\n

These methods and products can be grouped into 4 different treatment areas:<\/p>\n

    \n
  1. Removal of infectious agents (pathogen control)<\/li>\n
  2. Reduction of inflammation and\/or bone destruction by the host (host modulation)<\/li>\n
  3. Regeneration of lost alveolar bone (guided tissue regeneration)<\/li>\n
  4. Consideration of implants.<\/li>\n<\/ol>\n

    \"T1601C10Table01\"<\/a><\/p>\n

    Pathogen Control<\/strong><\/h2>\n

    It is well known that periodontal disease is initiated by plaque bacteria.3<\/sup> Therefore, the basis for periodontal therapy is, and likely always will be, plaque control. This is best achieved by a combination of thorough professional therapy and home care.<\/p>\n

    \n

    Veterinary Oral Health Council<\/strong>
    \nThe VOHC is not a regulatory agency. Submission of clinical trial results to VOHC on behalf of a product is voluntary. If the data submitted demonstrate the required dental efficacy, the VOHC awards its Seal of Acceptance to the product.<\/p>\n<\/div>\n

    Professional Therapy<\/strong><\/h3>\n

    On the professional side, there are several barrier sealants available, with evidence that they decrease periodontal disease.4-6<\/sup><\/p>\n

    The other form of professional pathogen control should<\/em> be periodontal surgery. As discussed in Proper Diagnosis of Periodontal Disease<\/strong> <\/a>(January\/February 2015, available at tvpjournal.com), pockets greater than 3 mm in dogs and 0.5 mm in cats are pathologic and require therapy.7-10 <\/sup><\/p>\n

    In dogs and cats, treat all pockets with closed root planing and, ideally, administration of a sustained-release antimicrobial agent into the pocket if the pockets (Figures 1 to 3<\/strong>):11-14<\/sup><\/p>\n