Posology : מינונים

4.2   Posology and method of administration
Dosage

Adults including the elderly: Following mechanical debridement, a PerioChip is placed in each of the periodontal pockets to be treated. One PerioChip is inserted into a periodontal pocket with probing pocket depth (PD) 5 mm or greater. Up to 8 chips may be inserted in a single visit. Retreatment with PerioChip following mechanical plaque removal at 3 month intervals may provide additional benefit if pocket depth remains ≥ 5mm.

The PerioChip biodegrades in the periodontal pocket over about a 7-day period and no return visit to the dental clinic to remove the periodontal insert is necessary. The patient should be instructed to continue normal oral hygiene procedures. No restrictions on dietary habits are needed.

Children and adolescents: PerioChip is not indicated in children and adolescents, since data on safety and efficacy in this age group have not been established.

Method of administration

Isolate the periodontal pocket and dry the periodontal pocket and the surrounding area. Open a blister cavity containing one PerioChip. Pick up the periodontal insert with a pair of forceps so that the rounded end points away from the forceps. Rapidly insert the periodontal insert, curved end first, into the periodontal pocket to its maximum depth and release. The periodontal insert can be further manoeuvred into position using the tips of the forceps or a flat plastic instrument. After proper insertion, PerioChip should rest subgingivally at the base of the pocket.
PerioChip insertion into periodontal pockets is rapid. The periodontal insert’s consistency allows placement into the pocket with little discomfort to the patient.

In the unlikely event of PerioChip dislodgement, several actions are recommended, depending on the day of PerioChip loss. If dislodgement occurs 7 days or more after placement, the dentist should consider the subject to have received a full course of treatment. If dislodgement occurs within 48 hours after placement, a new PerioChip should be inserted. If dislodgement occurs more than 48 hours after placement, the dentist should not replace the PerioChip, but reevaluate the patient at 3 months and insert a new PerioChip if the pocket depth has not been reduced to less than 5 mm.