{"id":8371,"date":"2021-04-03T11:10:46","date_gmt":"2021-04-03T09:10:46","guid":{"rendered":"http:\/\/test.doctor-smile.com\/approche-periodontale-non-chirurgicale\/"},"modified":"2024-03-07T12:21:31","modified_gmt":"2024-03-07T11:21:31","slug":"approche-periodontale-non-chirurgicale","status":"publish","type":"post","link":"https:\/\/www.doctor-smile.com\/fr\/approche-periodontale-non-chirurgicale\/","title":{"rendered":"APPROCHE P\u00c9RIODONTALE NON CHIRURGICALE"},"content":{"rendered":"\t\t
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Cas trait\u00e9 par:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Dr Marisa Roncati<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ferrara<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\"Roncati\"<\/figure><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Patient<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Le patient a un \u00e9tat g\u00e9n\u00e9ralis\u00e9 d’inflammation induite par la plaque, la pr\u00e9sence abondante de d\u00e9p\u00f4ts calcifi\u00e9s justifie l’\u00e9tendue de la r\u00e9action inflammatoire. <\/p>\n

A l’occasion de la premi\u00e8re visite, des indices parodontaux biom\u00e9triques sont collect\u00e9s, y compris le sondage parodontal et l’indice de saignement, qui dans ce cas \u00e9tait de 94%.<\/p>\n

Les valeurs de sondage, d\u00e9tect\u00e9es dans la zone linguale, sont l\u00e9g\u00e8rement sup\u00e9rieures \u00e0 la norme, mais toujours associ\u00e9es \u00e0 des saignements particuli\u00e8rement accentu\u00e9s.<\/p>\n

Les zones les plus critiques semblent associ\u00e9es aux molaires maxillaires, dans les deux arcades, avec des sondes sup\u00e9rieures \u00e0 6 mm.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Avant et apr\u00e8s:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Dans le traitement de la th\u00e9rapie parodontale non chirurgicale, les m\u00e9thodes traditionnelles sont compl\u00e9t\u00e9es par la th\u00e9rapie au laser. Une th\u00e9rapie Wiser est indolore et apr\u00e8s quelques applications, les saignements, la sensibilit\u00e9, la profondeur de sondage et les sympt\u00f4mes associ\u00e9s \u00e0 la maladie parodontale disparaissent.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Traitement:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Instrumentation parodontale r\u00e9alis\u00e9e avec une curette universelle, utilisant des mouvements verticaux. Il est recommand\u00e9 de toujours tremper l’outil \u00e0 main dans du peroxyde d’hydrog\u00e8ne \u00e0 3%, 10 volumes.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Utilisation du laser \u00e0 diode, utilis\u00e9 avec 3% de peroxyde d’hydrog\u00e8ne, 10 volumes pour la d\u00e9contamination de la poche, \u00e0 la fois avant et apr\u00e8s l’instrumentation parodontale non chirurgicale.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Un an apr\u00e8s le traitement causal et le traitement au laser, un sondage de 2 mm est not\u00e9, en l’absence de saignement.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\"Approche\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Un an plus tard, la radiographie de contr\u00f4le confirme une condition de stabilit\u00e9 clinique.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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La th\u00e9rapie au laser est bonne pour:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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M\u00e9thodes<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Instrumentation parodontale r\u00e9alis\u00e9e avec des instruments \u00e0 ultrasons et manuels, en plus du traitement Wiser.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Avantages<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Am\u00e9lioration de la situation parodontale, sondages et saignements. Confort du patient.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Conclusions:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Lors du diagnostic de maladie parodontale chronique, sous forme g\u00e9n\u00e9ralis\u00e9e l\u00e9g\u00e8re-mod\u00e9r\u00e9e et s\u00e9v\u00e8re localis\u00e9e, le patient a subi deux s\u00e9ances d’hygi\u00e8ne professionnelle avec l’utilisation suppl\u00e9mentaire de Wiser. Les deux rendez-vous \u00e9taient programm\u00e9s dans un d\u00e9lai d’une semaine, une troisi\u00e8me session \u00e9tait programm\u00e9e un mois apr\u00e8s les pr\u00e9c\u00e9dentes, apr\u00e8s quoi le patient \u00e9tait suivi trimestriellement pendant la premi\u00e8re ann\u00e9e. Sur la molaire maxillaire droite, qui pr\u00e9sentait un premier sondage de 7 mm associ\u00e9 \u00e0 un saignement, une am\u00e9lioration a \u00e9t\u00e9 obtenue que le traitement chirurgical, qui semblait indiqu\u00e9 lors de la premi\u00e8re visite, apr\u00e8s la r\u00e9\u00e9valuation du traitement initial n’\u00e9tait plus n\u00e9cessaire imm\u00e9diatement. Il conviendra de surveiller la zone au fil du temps pour intercepter toute rechute.<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Cas trait\u00e9 par: Dr Marisa Roncati Ferrara Patient Le patient a un \u00e9tat g\u00e9n\u00e9ralis\u00e9 d’inflammation induite par la plaque, la pr\u00e9sence abondante de d\u00e9p\u00f4ts calcifi\u00e9s justifie l’\u00e9tendue de la r\u00e9action inflammatoire. A l’occasion de la premi\u00e8re visite, des indices parodontaux biom\u00e9triques sont collect\u00e9s, y compris le sondage parodontal et l’indice de saignement, qui dans ce … Lire plus<\/a><\/p>\n","protected":false},"author":115,"featured_media":6024,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[143],"tags":[147,148],"class_list":["post-8371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cas-cliniques-fr","tag-cas-cliniques","tag-diode-fr"],"yoast_head":"\nAPPROCHE P\u00c9RIODONTALE NON CHIRURGICALE - DOCTOR SMILE<\/title>\n<meta name=\"description\" content=\"Cas clinique: Cas de l'approche parodontale non chirurgicale, dans le traitement de la th\u00e9rapie parodontale non chirurgicale, les m\u00e9thodes traditionnelles sont int\u00e9gr\u00e9es par la th\u00e9rapie au laser.\" \/>\n<meta name=\"robots\" content=\"index, follow, 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