Twelfth Night; Fort Worth District Dental Society; November 2004The following anagram represents my current views on a variety of subjects. P eriodontal health facilitates tooth retention and promotes systemic wellness. E very patient should receive regular periodontal assessments. R ecords should include a periodontal chart. The Texas State Board requires it. I nterdisciplinary therapy elevates the quality of care. Use specialists when needed. O cclusal trauma may add to the destructive nature of plaque-induced inflammation. D etection and early treatment of periodontal disease greatly improve prognosis. O ral irrigators may reduce inflammatory mediators which cause periodontal destruction. N on-Surgical scaling is likely to leave residual calculus when proving depths are >=5mm. T obacco smoking increases the risk for tooth loss by 70%. A cellular dermal matrix offers an option for soft tissue grafting without palatal wounds. L ocal delivery of specific antimicrobial drugs may enhance non-surgical outcomes. H ost modulation with protease inhibitors may be advantageous in aggressive cases. E lectromechanical brushes are beneficial for patients with poor plaque control. A dvances in science and technology continually improve our therapeutic abilities. L asers have limitations similar to elextrosurgery. Few periodontists embrace them. T reatment for periodontists should include active therapy and maintenance care. H ygienists and assistants offer invaluable help in the provision of quality care. |

