Two to three months after our surfacing, the re-evaluation comes. This stage concludes the initial therapy. It will allow us to assess the benefit of our first treatment and to evaluate the need for further treatment.
In practice, three parameters will be analysed.
Rigorous analysis of these three benchmarks will allow us to assess whether our treatment was successful, both at the level of the patient as a whole and at the level of each site.
We can reasonably speak of overall success when 75% of the diseased sites have been treated. As for the criteria for success at the site level, we are looking for a pocket depth of less than 5 mm with no bleeding on probing.
DiffÃ©rentes situations peuvent se prÃ©senter lors de cette premiÃ¨re Ã©valuation :
In this situation, periodontitis cannot be stabilised. The patient must be persuaded that plaque control is an absolute necessity in the continuation of treatment, otherwise all therapeutic manoeuvres must be suspended pending a positive result.
In these cases, the periodontal disease is considered stabilised and the maintenance phase can be considered.
If some sites have been refractory to our initial treatment or if, despite slight improvement, their condition cannot predict long-term stability, further localised treatment (surgical or non-surgical) will be indicated.
If, after the initial treatment, all the clinical parameters still reveal a general inflammation of the periodontal tissues, or even a worsening of the initial situation, several hypotheses, which can be added, are then possible: