Periodontal Philosophy (Treatment (Signs (Bleeding, supperation, biofilm,…
Purpose of DH
Advocate for oral health & educate the public.
SKILLS/BELIEFS: critical thinking, efficient, personable, compassionate, professional, understanding, honest, team player, communication, equality of care, good listener. ACTIVITIES:
I had a patient recently who has been coming to our clinic for years, and each and every time he is NSPT .4 calculus. Once I got him in my chair and did my assessments, he once again needed NSPT treatment and had gotten worse rather than better from the previous treatment. Instead of thinking of myself and the requirements I still needed checked off, I dismissed him and told him he needed to go to the periodontist because there was no longer anything we could do for him at our clinic. I later called and checked on him to see if he had actually followed through with the periodontist, and he had an appt. scheduled.
Every day in clinic when I am seeing a patient I do not want to let a patient walk out unless they have had the best quality of care that I could give them. I want to do my job, and I want to be exceptional at it. Because if I'm not doing that, then there is no reason I should still be doing it.
I will always take constructive criticism. As of now take meetings with instructors seriously and take in all advice and suggestions. Once in private practice, get reviews from employer and converse with co-workers on what I am doing well & what I could do better.
Why does DH exist?
Healthy/low risk factors: 6 months; Perio Maintenance: 3-4 months; NSPT/high risk: 4-6 weeks for PSE & 3 months for recare.
Calculus, plaque, inflammation, CAL, bone loss, bleeding
Bleeding, supperation, biofilm, CAL, texture, color
Mirror, explorer, probe/nabors probe, universal curette, langers, cavi tips, younger good, hirshfeld files, diamond files
Periodontist: Any patient who has stage III or higher & any patient who is not responding to treatment. Physician: Any patient who has not seen a doctor in more than a year OR any patient who has unexplainable oral health condition OR for any health concern you come across during appt.
Review HH, update drug sheet, vitals, xrays (if needed), all assessments, dental charting, perio charting, pass score, polish, ultrasonic, explore, hand instruments, explore, (repeat any ultrasonic or scaling as necessary), files, floss, fluoride.