[Pitfalls in diagnosis and treatment of periodontal diseases].
In the present article the complex aetiology of periodontal diseases is explained. Furthermore risk factors are identified for making mistakes in diagnosis and failing treatment of periodontal infections. This includes patient and treatment factors such as incomplete anamnesis, improper screening and documentation as well as insufficient plaque and smoking control, improper use of antibiotics and insufficient pocket-elimination and maintenance care. The use of a strict diagnostic and treatment protocol including evaluation is emphasized in order to obtain optimal treatment results. Patients should minimally expect to be regularly screened by their dentist or dental hygienist for periodontal diseases, to be informed about the further diagnostic steps and possible treatment options and to get periodontal care organised. Providers of oral health care can, in this way, reduce the risk of negligent practice and significantly limit their liability.
Abbas
F
F
Afdeling Parodontologie, Centrum voor Tandheelkunde en Mondzorgkunde, Universitair Medisch Centrum Groningen. f.abbas@med.umcg.nl
van Winkelhoff
A J
AJ
D002983:Clinical Competence; D006801:Humans; D008318:Malpractice; D008487:Medical History Taking; D009910:Oral Hygiene; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000175:diagnosis* / Q000628:therapy*; D010514:Periodontal Pocket / Q000175:diagnosis; D010808:Physical Examination; D018570:Risk Assessment; D012307:Risk Factors; D017211:Treatment Failure