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De meerwaarde van protocolmodificaties voor de behandeling van parodontitis

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Het tandheelkundig jaar 2017

Samenvatting

Ondanks de bewezen doeltreffendheid van het klassieke driedelige behandelprotocol voor parodontitis (hygiënische fase, correctieve fase en nazorg), werden in het verleden steeds modificaties voorgesteld om de klinische en microbiologische parameters te verbeteren. Dit hoofdstuk gaat over de mogelijke meerwaarde van een aantal van deze aanpassingen gebaseerd op klinische onderzoeken. De effecten van Er:YAG–laser als een alternatief voor mechanische worteldesinfectie worden besproken. Tevens wordt de parodontale chirurgie als de initiële therapie voor gevorderde parodontitis vergeleken met de conventionele therapie wat betreft klinische resultaten, stoeltijd en financiële impact voor de patiënt. Het gebruik van antimicrobiële agentia komt ook aan de orde. Verder wordt de meerwaarde van antibiotica bij verschillende vormen van parodontitis toegelicht. Daarbij worden de effecten van verschillende antiseptica bij actieve behandeling en nazorg besproken.

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Author information

Authors and Affiliations

  1. Afdeling Parodontologie en Orale implantologie, Universiteit Gent, Gent, Belgium

    R. Miremadi, J. Cosyn & H. De Bruyn

  2. Afdeling Parodontologie en Orale implantologie, Vrije Universiteit Brussel, Ixelles, Belgium

    J. Cosyn

Authors
  1. R. Miremadi
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  2. J. Cosyn
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  3. H. De Bruyn
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Editor information

Editors and Affiliations

  1. Department of Oral Medicine, University of Washington, Seattle, Washington, USA

    J.K.M. Aps

  2. Gent, Belgium

    M. De Bruyne

  3. Department Beeldvorming & Pathologie - F, KU Leuven - OMFS-IMPATH Onderzoeksgroep, Leuven, Belgium

    R. Jacobs

  4. Praktijk voor Endodontologie, Zwolle, The Netherlands

    J. van der Meer

  5. MKA-chirurgie, Radboud UMC, Nijmegen, The Netherlands

    M.E.L. Nienhuijs

  6. Algemeen, Orthodontiepraktijktijk, Heerenveen, Friesland, The Netherlands

    S.C. Boxum

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© 2016 Bohn Stafleu van Loghum

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Miremadi, R., Cosyn, J., De Bruyn, H. (2016). De meerwaarde van protocolmodificaties voor de behandeling van parodontitis. In: Aps, J., De Bruyne, M., Jacobs, R., van der Meer, J., Nienhuijs, M., Boxum, S. (eds) Het tandheelkundig jaar 2017. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1030-2_5

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  • DOI: https://doi.org/10.1007/978-90-368-1030-2_5

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  • Publisher Name: Bohn Stafleu van Loghum, Houten

  • Print ISBN: 978-90-368-1029-6

  • Online ISBN: 978-90-368-1030-2

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