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Non-Surgical Periodontal Therapy

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Jennifer Albert

on 13 November 2013

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Transcript of Non-Surgical Periodontal Therapy

Non-Surgical Periodontal Therapy
Prophy vs. Periodontal Maintenance
Dental Prophylaxis--This is for patients who exhibit healthy gingiva and it includes a caries exam, OCS, probing, scaling and polishing to remove plaque, calculus and stains from the tooth structures in the permanent and transitional dentition.
Establish Periodontal Non-Surgical Therapy Program
Consistency--use the same probe
Ultrasonic/Sonic Scaler
Implant Instruments / Tips for Ultrasonic Scalers
Importance of Re-Evaluation Appointment
Importance of 3 Month Maintenance Interval
Communication/ Scripting
Identify Periodontal Patient
1. Periodontal Probing
2. FMX
3. Review Patient Medical History
(Identify Risk Factors)
Recommend Non-Surgical Treatment
1. SRP....number of quadrants
(1-3 or 4+)
2. With or Without Oral Antibiotics
3. With or Without Arestin
SRP Appointment
1. Use Local Anesthetic
2. Always Use Ultrasonic/Sonic
3. Handscale
4. Polish
5. Floss
6. OHI-with Proxabrush
7. Post-SRP Instructions
Re-Evaluation Appointment
This appointment is with the doctor to rechart and re-evaluate following SRP. This is a very important part of the treatment.
Following Re-Evaluation
1. Place Patient on Periodontal Maintenance - Frequency TBD by Doctor
2. Refer for Periodontal Treatment
Drs. DeMercy and Kossick
With initial SRP
For Periodontal Maintenance Patient
Ultrasonic/Sonic Scalers
Proxabrush with Listerine
Additional Helpful Tools
Colorvue Plastic Probe Tip
Implant Instruments
Scaler Tips
Hand Scaler
North Point Periodontics
Dr. Ginger Kirkland,
Jennifer Albert, RDH and Linda Rhoades, RDH

Evaluate Supplies and Equipment
To Prevent, Arrest or Control Periodontal Disease
Raising patient awareness of periodontal health and involving the patient in all aspects of care leads to a higher acceptance of care and recommendations.
North Point Periodontics Hygiene Study Club
Periodontal Maintenance--Following periodontal treatment (surgical and/or non-surgical) and once the patient is stable, this appointment includes a caries exam, OCS, probing, removal of bacterial flora from crevicular and residual pocket areas, scaling and polishing of the teeth, periodontal evaluation and review of patient's plaque control.
Scripting for transitioning patients from a 6 month maintenance to SRP then a 3 month maintenance is important!
Scripting Examples....
We have been noticing some changes in your gum tissue and are very concerned. We need to take a step back and non-surgically treat your gums to avoid infection and future tooth loss.
Suggested wording may be....
Since your last visit, we have noticed an increase in bleeding and an increase in the depth of your periodontal pockets. Current research shows that non-surgical intervention may help you to avoid surgery and tooth loss in the future.
Full transcript