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PERIODONTAL PHILOSOPHY : Purpose- Educate the public and provide necessary…
PERIODONTAL PHILOSOPHY : Purpose- Educate the public and provide necessary care to restore oral health
WHAT
Bone levels
Biofilm
PASS score
Systemic factors
Bleeding on probing
PURPOSE:
Service learning
Patient education specific to their needs
Debridement
Homecare instructions using tell-show-do
Nutritional counseling
Research
VALUES: Collaboration and lifelong learning
Referrals to specialists
Medical clearance
Self assessment
Working with professors to come up with a periodontal diagnosis
Interprofessional experiences: wheelchair transfer, Silent breakfast
Evaluation:
Self-Assessment of my own skills- strengths and weakness
Continuing education courses to stay up to date
Patient makes an appt with the referred doctor
WHY
BOP is sign of active disease
Restore periodontium to health
Remove biofilm and bioburdens
Calculus removal
WHEN
Generalized BOP
Increased CAL from previous appt
Homecare is not adequate
3 month recare after NSPT to maintain
SIGNS:
Bleeding
Furcations
Continued CAL
Rough restorations
Instruments:
Cavitron
Posterior sickle
Graceys
Hirshfield files, Diamond files
Assessment: UNC probe, 11/12 explorer, Nabers probe, 3A explorer, mirror
Younger-good
4R/4L and Barnhart
REFER:
Refer to MD for uncontrolled hypertension
Refer to periodontist if Stage 3 or higher
Refer to periodontist if our treatment is not helping
Refer to MD if patient hasn't had a physical in 2 years
Refer to MD if possible underlying systemic link to disease
SEQUENCE: RHH, BP, EO/IO Radiographs,Clinical exam tabs, Chart suspicious areas, DDS exam, Perio chart, explore, ultrasonic, explore, handscale areas left with calculus, explore, coronal polish, floss, fluoride varnish, Homecare instructions