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Periodontal Philosophy (Treatment (Instruments (UNC Probe, 11/12 explorer,…
Periodontal Philosophy
To listen to and support patients while performing all services above the standard of care in order to improve the patients oral and overall health
Dental hygiene exists to improve the patients oral and overall health while educating them to the best of our ability
Continuing Education courses
Upholding HIPAA
Local Anesthetic
Restorative
Instrumentation with ultrasonics
Quality & Collaboration
Medical Clearances
Special Needs Forum
Quality Assurance
Documentation
Evaluation
Patient Feedback
Review from coworkers & boss
Self Assessment
Did the patient's oral health improve?
Thinking Caps
What
Inflammation
BOP
Amount of plaque vs. calc
Why
BOP is a sign of active disease
When
3 month: patient with poor homecare and unstable periodontal disease
4 month: fair homecare with active periodontal disease
6 month: patient with good homecare and stable periodontal disease
Treatment
4910: generally stable periodontium with a few sites of active disease (BOP)
NSPT: generalized bleeding with increased attachment loss
1110: stable periodontium/no periodontal disease
4346: generalized bleeding with pseudopockets, gingivitis
Instruments
UNC Probe, 11/12 explorer, Nabers probe, double sided mirror
Herschfield files
CAVITRON, R/L tips, parkell tip
GBT (SGAPP & SAPP)
4R/4L, posterior sickle, rigid gracey's
Referral
Perio: if the patient has increased attachment loss or Stage 3 periodontitis
Physician: if the patient hasn't seen a physician in minimum 2 years
Sequence
RHH, BP, verbal consent, take and evaluate BWX, periochart, DDS exam, polish, ultrasonic scaling with R/L tips, handscaling, ultrasonic if needed again, floss, varnish