Effect of the patient profile on treatment
The personalized, case-specific patient profile affects the individual steps taken during the prophylaxis or treatment session (5). As a solutions provider, W&H works closely with dentists and offers a diverse product portfolio to help meet the treatment requirements and recommendations arising from the personalized, case-specific patient profile.
Advantages of the Individual Prophy Cycle (IPC)
- Suitable for every dental practice and patient
- Personalized and patient-oriented
- Needs-based treatment according to oral health and taking account of the general health factors relevant to dental care
- No standardized treatments
Case-specific patient profile =
personalized treatment recommendation
The aim of the patient profile is to produce a personalized treatment recommendation in order to improve the safety of procedures and increase the efficiency of treatment (2). The patient’s medical history and a diagnostic assessment of their oral health, for example with respect to cavities, periodontal health and other aspects, form the basis for oral health treatment and prophylaxis procedures (1, 3). The difference with this approach is that aspects of general health that influence oral health are also taken into account in order to develop a personalized, case-specific patient profile. Each factor is assessed in terms of its degree of influence on oral health (4), which helps to inform the subsequent personalized treatment recommendation. This process is facilitated by a validated medical history form, which has been developed specifically for this purpose.
Proxeo – Prophy for Professionals For patient-oriented prophylaxis
Patient cases according to IPC
The following case studies* serve to illustrate the interaction between the need and risk factors defined for the IPC, as well as the effects of individual factors.
The diabetic patient with good oral health
A 51-year old diabetic patient presents with good oral health at a prevention session. Her blood sugar levels are stable at HbA1c = 6.2%, and thus her condition is thought to be sufficiently managed with the antidiabetic drug metformin. The patient has no existing restorations or early oral disease. Using the dental results, it is possible to determine gingivitis in spite of an otherwise stable condition. more
The endocarditis patient with active caries lesions
The patient is 39 years old and has previously undergone aortic valve replacement due to valve failure and endocarditis. ASS 100 is taken regularly as an anticoagulant. In terms of lifestyle, the patient’s diet is classified as caries-promoting due to the regular consumption of sugary foods and the fact that six to seven meals are consumed daily. The patient’s oral health indicates a moderate risk of caries, with active lesions. The risk of periodontitis is low, but gingivitis is present. The following recommendations are made for prophylactic treatment. more
The transplant patient with gingival overgrowths
A 71-year old patient presents with having previously undergone a kidney transplant and with a history of hypertonia (high blood pressure). Due to his medical history, long-term medication with cyclosporine is required to suppress the immune system, as well as amlodipine to lower blood pressure. The patient also reports sensitive and bleeding gums. From an oral health perspective, the patient has undergone dental restoration and has eight missing teeth, pronounced gingival growth, and grade B, stage II periodontitis with active pockets and initial root caries on tooth 22. The caries risk assessment determines a moderate risk of caries (API 60). The following treatment recommendations can be determined for the prophylaxis session. more
The healthy patient with early periodontal disease
The 68-year-old patient has no general health conditions and is not taking any medication that may be relevant to her oral health, and her lifestyle does not pose any particular risk. The patient has two dental implants (3rd quadrant, for five years) and a previous case of periodontal disease (stage IV, grade B periodontitis) with tooth loss. Currently the periodontal conditions are stable. However, periodontitis significantly increases the biological complications of implantations and there is a risk of implant loss (21). Four recommendations can be determined for the prophylaxis session. more
NIWOP – No Implantology without Periodontology
*with the kind permission of Dr G. Schmalz and Dr D. Ziebolz MSc