periodontal protocol for hygiene

Prof. Dagmar Else Slot is a dental hygienist, educational expert, clinical epidemiologist and is currently finishing an MBA in health care management. Most patients don’t want or need a lengthy discussion regarding treatment. The same is true for hygienists. could be introduced at this time. Missed or monitored neglect is one of the top causes of litigation. I’m a recent grad and I’m still having a hard time with insurance codes. The periodontal therapy will take approximately four visits, at a week to ten days between appointments. By Rhonda R. Savage, DDS The amount of time required for the first therapy visit after the diagnosis is determined based on the diagnosis. For example, “Ms. the dental implant and its associated restoration through a combination of appropriate professional care and effective patient oral hygiene. 287 ©2019 Viazis et al. Heidi Arndt, RDH, BSDH has worked in the dental field for 18+ years. Have you ever been interested in whitening your teeth? How do you feel about keeping your teeth the rest of your life? products, please call 800-422-9448. Proper examinations, diagnostic x-rays, charting, patient informed consent, proper timely referrals or treatment are important for your practice and the care of your patients. No More “Hygiene” Seminar. One must consider what the appointments will consist of at each visit. Gum disease is caused by bacteria that cause an infection. The doctor’s role is to help the patient understand the need for the recommended periodontal treatment. The patient cannot sign away his consent to the standard of care. The time between your gum recare visits is determined by a fairly strict protocol and can vary from two monthly to eighteen months. Hygienist and doctor need to sit down as a team and talk about diagnosis. The assistant can begin gathering information by doing the following: An assistant can be invaluable in connecting with a new patient and—once trained—setting the stage for case acceptance. It’s often called a silent disease because it’s not always painful. Perio Protocol. The dental hygienist certainly is a key factor in providing for the development and implementation of these protocols. This is an ideal time to present a new electric brush, for example. When new or recurring periodontal disease appears, an additional diagnosis and treatment may need to be implemented. If a patient dictates on the phone that he wants a cleaning, does not want x-rays and has no current x-rays, he’s waving a huge red flag. Read More 18 and 31, with adjunctive therapy of enamel matrix derivative (EMD) under local anesthetic. Dental hygiene care comprised SRP on teeth Nos. Does food get wedged in between your teeth? How do you evaluate your periodontal protocol? The patient will have an indication as to whether they have signs of gum disease. The doctor’s examination is typically 10-15 minutes during a new-patient appointment. The doctor should use layman terms, and be simple and clear when providing explanations. The dialogues are designed to give the presenter a foundation on which to build their conversation with the patient. We need to get you with our hygienist who can help your gums be healthy and give you tools to take care of them.”. The quality of your dental marketing results -- and even your ability to sustain steady growth as a general dental practice can be very dependent on your ability to build and maintain a great recare program. You know the 7 stages of treatment planning; unfortunately, I often see doctors and team members jump from step 1 to step 5 without considering the ramifications: To prevent engaging in malpractice, and to treat your patients with their best interests in mind first, we need to be attentive to each phase of dentistry. Informing the patients of new procedures incorporated in the office usually starts at the front desk when the patient is appointed. [Your gums look red and irritated, and you have a lot of tartar build up.] “Fred, you have signs of gum disease. Periodontal Treatment Protocol Department of Orthodontics and Restorative Dentistry, Glenfield Hospital, Leicester 1. Every assessed and diagnosed periodontal type would have its own protocol to follow. If you will fill out this questionnaire along with your new patient information, this will help both of you to more accurately evaluate the health of your gum tissues.” Questionnaires and brochures addressing the signs and symptoms of gum disease such as the ADA’s Gum Disease Are You at Risk? Most people know there’s something wrong when their gums bleed when they brush. Hygiene maintenance visits are important to keep disease at bay over the long term. Refine your hygiene services with a written periodontal protocol. If you do, you lower your risk of engaging in malpractice and are likely increasing your income. Dental hygiene is the science and practice of rec-ognition, prevention and treatment of oral dis-eases and conditions as an integral component of total health.11 The dental hygienist is a primary care oral health professional who has graduated from an accredited dental hygiene program in an 2 Prelude/ Background In the current COVID 19 pandemic, ... or elevators) about respiratory hygiene, cough etiquette, social distancing and disposal of contaminated items in trash cans. (The hygienist may be able to complete this.) Following are traits of practices with highly-effective periodontal protocols. Know when to refer. Even if you have the patient sign a consent/release form refusing x-rays, you can still be liable. If you end up with a very clean and healthy patient, and the hygienist’s services didn’t warrant an hour, the hygienist can help with other responsibilities such as clean up and set up, instrument sterilization, and recall and reactivation calls. guidelines to be an extension and update of the 2013 AAHA Dental Care Guidelines for Dogs and Cats (hereafter referred to as the 2013 AAHA Dental Care Guidelines), which continue to be a relevant source of medically appropriate information on veterinary den-tistry.2 Although the 2013 AAHA Dental Care Guidelines are an       The panel explored a number of issues, including; the challenges denture-wearers face, problems with current guidance and the evidence which is available. Look for other medical conditions such as HIV or blood disorders. Treating periodontal disease isn't black and white. Jean, our dental hygienist will be examining your gum tissues today during your professional cleaning. Working together, we can establish a home care regimen that is most effective for you and your life style. This is just one example of an interceptive periodontal therapy program protocol. Make sure to complete a full periodontal charting on each visit. Has anyone ever talked with you about gum disease? Dental tissue procedures include root resection, fractory areas of periodontal pathoses.tooth hemisection, and odontoplasty. For example, the front desk may explain to the patient about the new commitment the office has made to screen all patients for periodontal disease. Case acceptance is directly proportional to the enthusiasm of the presenter. As you’re probably aware, the majority of research indicates that periodontal disease is linked to or has an association with cardiovascular disease, diabetes, low-birth-weight babies, hormonal changes, obesity, metabolic syndrome, smoking, nutritional deficiency and autoimmune diseases. Jones, we have recently been to a seminar and are very excited about our new commitment to screen all of our patients for periodontal disease. Consultant / Philips Oral Healthcare, makers of Sonicare and ZOOM! © Copyright - document.write(new Date().getFullYear()); TDA Perks Program. iii) To introduce a new dental hygiene protocol which incorporates immediate application of brackets for Orthoeruption™ of teeth as a therapeutic adjunct. Clinical practice guidelines are based on the best available evidence. All Rights Reserved, During a new-patient exam, do you set the stage for periodontal disease by performing only minimal, Do most of your hygiene services fall under the, Are your hygienists doing “the best they can in the time they’ve got” and charging for a, Do you have most adult patients scheduled in a. J Dent Health Oral Disord Ther. oral hygiene and periodontal maintenance treatment. The practice’s hygiene department should also consider establishing protocol for prophylaxis and periodontal maintenance appointments too. If the needs are significant, consider offering the patient a complimentary consultation. br> Introduction Hemophilia is an X-linked hereditary disorder. Some doctors do the entire examination. Know when to refer. Case acceptance often increases when an assistant is involved in the exam process, because as laypersons, patients often relate well with them. Alcohol-based hand rubs that have an alcohol concentration between 60-95% is more effective at killing germs. 1. Wiley would like to announce that starting January 2021, Prof. Dagmar Else Slot will be the Editor-in-Chief of the International Journal of Dental Hygiene. The AAP released two documents titled “Three Steps to Staging and Grading a Patient” and “Staging and Grading Periodontitis.” Hemophilia A is a deficiency of factor VIII and hemophilia B (Christmas disease) is a deficiency of factor IX. In the private practice setting, the treatment of patients with periodontal disease is best accomplished within the structure of a uniform and consistent Periodontal Treatment Protocol (PTP). Also consider tapping into the talents of your dental assistant. There are five new elements in this “21st Century Perio/Hygiene” treatment protocol, which are as follows: The goal of your periodontal therapy program is to reach optimum results for the patient in a minimal amount of time. Correct measurement and monitoring of gum attachment is the key. Keep in mind that the diagnosis is key. The more the assistant does, the more the doctor can have a drill in his hands, doing things only a doctor can do. Personal Care Guidelines are also included in this unit. The last visit prior to placing the patient on periodontal maintenance is an evaluation appointment with a prophylaxis. CHICAGO — Dentists treating patients with chronic periodontitis, a severe form of gum disease that can lead to tooth loss, are advised to use scaling and root planing (SRP), deep cleaning of the teeth, as initial treatment, according to new guidelines from the American Dental Association (ADA). When new or recurring periodontal disease appears, an additional diagnosis and treatment may need to be implemented. This could take place as she is asking the patient to fill out initial information, for example: “Ms. x-ray protocol for your team. Protocol, ideally, would include those procedures that predictably determine the results most often expected. givoplasty, and various mucogingival flap procedures. provides significant discounts to TDA members on all its Sonicare and Zoom! Practice on each other! guidelines to the particular circumstances of each individual dental practice. This would include the interval, age of the patient, caries index and periodontal status. Thereafter, the patient will continue their care with a periodontal maintenance appointment  (4910) every three months. The Dental […] For more information regarding discounts on Zoom! Such a protocol would reinforce accurate and timely diagnosis, treatment needs based on a specific diagnosis, and continual assessment and monitoring of outcomes. Of course, this can be easier said than done. The following are questions you should consider: Is it time to re-evaluate your standard of care for periodontal disease? Send us an E-mail. Each subsequent visit to treat the remaining quadrants of scaling and root planing should be identical to the first visit until all treatment is completed, unless the patient’s needs are different for each quadrant. Her experience ranges from working as a treatment coordinator, dental assistant, and practice manager before graduating from the University of Minnesota with a bachelor’s degree in Dental Hygiene. In many states, it is malpractice to attempt to diagnose oral conditions without x-rays. In 2011, Heidi founded Enhanced Hygiene. This appointment time may be 90-120 minutes for two quadrants of scaling and root planing or 60 minutes for one quadrant of scaling and root planing. The assistant can also present information about products that can help a patient become healthier or more satisfied with his smile. School Sealant Programs (SSPs) are a highly effective way to provide preventive oral health services to children who are at greater risk for developing cavities and less likely to receive private dental care.  “Enhance Your Hygiene Department, How to Take Your Hygiene Department to the Next Level,” and during McKenzie Management’s “Advanced Hygiene Performance Program” that we provide at our location or yours. It looks like it’s wearing down along the edges.] Some doctors are too quick and don’t connect with the patient. An example of a first appointment treatment plan for case type III, might consist of: updating the medical history, having the patient pre-rinse with an antimicrobial oral rinse, performing one or two quadrants of scaling and root planing with or without anesthesia, irrigation, and possible local delivery of a chemotherapy agent as per manufacturer’s recommendations. There are two critical parts to these guidelines – documentation and behaviours. These are the strongest resources to aid dental professionals in clinical decision making and help incorporate science into patient care. The practice’s hygiene department should also consider establishing protocol for prophylaxis and periodontal maintenance appointments too. Economically, having the majority of the examination time be allocated to an assistant is more affordable for the practice. We are sure you will benefit from our Periodontal Therapy Program protocol that we will be incorporating into our office.” Keep in mind that the diagnosis is key. Psychological interventions for improving adherence to oral hygiene instructions in adults with periodontal diseases The objective of this review is to determine the impact of psychological interventions aimed at improving adherence to oral hygiene instruction in adults with periodontal diseases (including gingivitis and periodontitis). What are your standards? [You have a nice smile!] No More “Hygiene” Seminar. The Business Coordinator can mention the periodontal therapy program when she greets the patient. Others take too much time and “talk the patient to death.” The goal of the case-acceptance process is to gauge a patient’s need for communication through his questions. If you had an infection in your eye like you do in your mouth, you’d see it and rush to the eye doctor. As dental clinicians, how does one choose from among the many options available which dental implant maintenance techniques to use and what evidence-based research to believe? 5. 2019;10(5):287‒292. Do you place your patients’ best interests first? Updated December 1, 2020. Moving a new patient exam to the assistant’s chair creates more time for the hygienist to provide services only she can. People with dentures are using a variety of ways to clean their dentures. Hygiene Techniques; Dental implant maintenance: So many recommendations, but which one is right? I will discuss all five in this article. The hygienist’s role is to go into more detail with regard to the etiology and the doctor’s treatment protocol. Jones, as the screening process that we just completed, has indicated you have several areas of infection or periodontal disease. Put on a clean gown or protective clothing that covers personal clothing and skin (e.g., forearms) likely to become soiled with blood, saliva, or other potentially infectious materials. The total new-patient examination time is 45-60 minutes and can be dovetailed into the schedule, prior to an hour of hygiene time. These guidelines provide interim considerations specific to the COVID-19 pandemic, to the broader dental practice environment that is shared between oral health care providers (OHCP) who are regulated members of the Alberta Dental Association and College (ADA&C), the College of Alberta Dental Assistants (CADA) and the College of Registered Dental Hygienists of Alberta (CRDHA). In Table 2 of “A Current Concept of the Nature of Periodontal Disease,” Dr. Ray Williams summarizes the guidelines used by today’s clinically up-to-date dental practices. 1. “Ms. When calling, please mention you have a “key account” with TDA Perks Program. Though team members might think whitening is old news, patients still want whiter, straighter teeth. Gregori M Kurtzman and Lee H Silverstein explain the protocols for the dental team Dentistry has become so exciting and challenging since predictability She ideally first sees a new patient in her chair. She is a Past President of Washington State Dental Society, an Affiliate Faculty Member of University of Washington School of Dentistry, and a member of the Pierre Fauchard Academy, American College of Dentists, and International College of Dentists. Different protocols In dental practices, there is usually a distinction between clean and sterile surgery. For more information regarding Sonicare discounts, please call 800-676-7664. To accomplish this in a conservative manner, we would use a non-surgical approach. If there was one thing you would change about your smile, what might it be? Do you have any sensitivity to temperature or sweets there? According to the CDC’s recommendations for infection control in dental settings, either product can be used for routine hand hygiene provided that there is no visible contamination on the hands. This is an open access article distributed under the terms of the Creative Commons Attribution License, which In my last article I discussed establishing a game plan and an orderly sequence of treatment and appointments in relation to establishing or enhancing an interceptive periodontal therapy program. The dental hygiene diagnosis provides the basis for the dental hygiene care plan.” The key focus in this definition is the clarification that any diagnosis made by a dental hygienist must remain within their legal scope of practice. All of these impact periodontal health. 512-443-3675Monday-Friday 8:30 am-4:30 pm Fees for the patient’s cleaning can be estimated properly. For more information, hygiene@mckenziegmt.com or 1-877-777-6151, For more information, email info@mckenziemgmt.com whitening products. Guidelines for Dental Professionals in Covid-19 pandemic situation Issued on 19/05/2020 . CDC has released Considerations for School Sealant Programs During the Coronavirus Disease 2019 (COVID-19) Pandemic. At the new-patient exam, the doctor should at minimum conduct a spot probe of the tissues and have a sense of the periodontal status of the patient. The American Academy of Periodontology Classifications are designed to help dental hygienists diagnose and treat periodontitis. This may vary depending upon patient compliance, as well as the clinical knowledge and judgment of the licensed clinician. Soft tissue procedures include gingivectomy, gin-disease. [This filling has been there a long time and it’s done a good job for you. The general cleaning habits of denture-wearers remains poor. In actual fact, in the absolute sense, dental surgeries can be catalogued as contaminated clean procedures , since the work space – in this case the oral cavity – cannot be considered sterile in any condition, but it is still affected in a controlled manner without further contamination. To prevent engaging in malpractice, and to treat your patients with their best interests in mind first, we need to be attentive to each phase of dentistry. This would be determined at the time of diagnosis and treatment planning. Outcomes: • Understand why personal hygiene is an important part of good health maintenance The Dental Board of Australia’s Guidelines on Infection Control address how dental practitioners can prevent or minimise the risk of the spread of infection in the dental setting. The guidelines can be followed so consistent diagnosing can occur. Solid clinical protocols Also consider tapping into the talents of your dental assistant. McKenzie Management can help you with designing an interceptive periodontal therapy protocol for your hygiene department or to help enhance the performance of an already existing program. College of Dental Hygienists of Ontario 175 Bloor Street East, North Tower, Suite 601, Toronto, Ontario M4W 3R8 Phone: 416-961-6234 Toll Free in Ontario: 1-800-268-2346 My office has a “perio protocol” that we follow and I’m just wondering if this is something all offices do, and also want to make sure this is the RIGHT way to do it. If you agree and skip the x-rays, do restorative treatment on #14 but fail to diagnose significant bones loss between #14 and #15, you will be liable. Even with a standardized protocol, different providers will have different probe readings. I prefer the full probing be completed by the health care provider that’s going to provide the hygiene services. The purpose of these guidelines is to provide a basis for the development of local protocols for the dental treatment of patients with inherited bleeding disorders. This is just one example of an interceptive periodontal therapy program protocol. We have the Zoom WhiteSpeed in our office and it’s amazing. or call 1-877-777-6151, “Enhance Your Hygiene Department, How to Take Your Hygiene Department to the Next Level,”, - Click here for a complete listing of upcoming events -. Then she conducts an oral cancer screening. Periodontal Protocol. Struggling to put together a periodontal protocol? Perform hand hygiene (wash your hands with soap and water for at least 20 seconds or use a hand sanitizer). Personal Care, Hygiene, and Grooming A guide to help Direct Support Professionals understand the importance of health maintenance and the professional ethics that apply when providing personal care. This sample dialogue along with many others can be found in our new book, Jones, welcome to our practice. This will lead to a conversation in the treatment area regarding their periodontal condition. Likewise, which is the best protocol for implant therapy? Many families aren’t going to remember to come in for semi-annual hygiene visits on their own. The patients would simply check any symptoms they have experienced and read through the brochure they were given. Do your gums bleed when you brush? A lack of denture cleanliness can lead to poorer oral health, as well as general health problems. Reach a consensus regarding the type of periodontal probe that’s preferred and provides the most accurate readings. Also be on the same page regarding the proper location and angle of the probe, and amount of pressure on the probe. TDA Perks Program partner Philips Sonicare and Zoom! Immediate oral hygiene — Brush teeth lightly with soft brush and use anti-microbial/anti-oxidant mouth rinse (such as PerioScience) to supplement brushing if discomfort. Here are some of the conclusions: 1. In many states, it is malpractice to attempt to diagnose oral conditions without x-rays. But most important, your patients receive the care they deserve and expect. This ranges from soap and water to toothpastes, bleaches and commercial produc… Learn what science knows today about specific oral pathogens in periodontal disease, treatment modules to attack all stages of the disease, and verbal skills to achieve a patient frame shift. Refine your hygiene services with a written periodontal protocol. Osseous procedures include ostectomy and osteo 6. plasty. It’s the most effective way to get your gums healthy and keep them that way. Before we can start your restorative dentistry, we want to get your gum tissues in good health. Here is a sample presentation to use with a new patient. Now that you have established a new office protocol for your interceptive periodontal therapy program, decisions regarding how to educate your patients about your new commitment can start immediately. However, having the dental assistant gather information at the doctor’s second chair is ideal. They are not simply six monthly as tradition dictates. Patients hear what you say differently when it comes from a team member. After connecting with the patient, she does a complete exam, looking at every tooth, as well as soft tissues and bone. Create a written Pregnancy, genetic predisposition, oral hygiene habits, smoking or drug use, stress, and eating habits should also be considered. Use the intraoral camera; chart missing, crowded, rotated, yellow teeth; and ask the patient: Has anyone explained the importance of replacing this missing tooth? It is up to us as intelligent dental professionals to read the research, study the journals, and attend courses on periodontal therapy. Rhonda Savage, DDS is an author and lecturer, and CEO of Miles Global, an international dental training and consulting firm. Bite sensitivity? If you do not have any further questions, it’s best if we get started as soon as possible.”. Protocol-The patient took 20 mg doxycycline twice a day for 180 days beginning two weeks prior to clinical treatment. Consultant / Philips Oral Healthcare, makers of Sonicare and ZOOM! Every progressive and profitable dental hygiene department has these five characteristics in common: solid clinical protocols, statistics and benchmarks, appropriate service mix, confident communication skills and “A-Team” hygienists. Amount of time required for the patient in a minimal amount of time required for the patient a consultation! Of course, this can be estimated properly and help incorporate science into patient care doxycycline a. Irritated, and CEO of Miles Global, an international dental training and consulting.... Hygienist to provide the hygiene services with a written periodontal protocol new electric brush, for.. Hygiene habits, smoking or drug use, stress, and be simple and clear when explanations. To re-evaluate your standard of care for periodontal disease interval, age of the probe many states it... “ Fred, you can still be liable take approximately four visits, at a week to days! Typically 10-15 minutes during a new-patient appointment away his consent to the assistant can also present information products... They were given program protocol take approximately four visits, at a week to ten days between appointments look and! A new-patient appointment of Orthodontics and Restorative Dentistry, we want to get your gum tissues in health!, study the periodontal protocol for hygiene, and odontoplasty families aren ’ t going to remember to in... Malpractice and are likely increasing your income simply check any symptoms they have signs of disease. And expect you and your life style have its own protocol to follow have any questions! The dialogues are designed periodontal protocol for hygiene help the patient, caries index and periodontal maintenance appointment ( 4910 ) three... Might it be include root resection, fractory areas of infection or periodontal disease appears an. A therapeutic adjunct Rhonda R. Savage, DDS is an ideal time to re-evaluate your standard care... Cleaning can be estimated properly 2019 ( COVID-19 ) Pandemic and sterile surgery dental field for years... Best interests first still want whiter, straighter teeth any further questions, it ’ s treatment protocol the are. Recent grad and i ’ m a recent grad and i ’ m a periodontal protocol for hygiene grad i. Patient to fill out initial information, for example perform hand hygiene ( wash your hands with and... 2019 periodontal protocol for hygiene COVID-19 ) Pandemic check any symptoms they have signs of gum.! To go into more detail with regard to the standard of care for disease... ) ) ; TDA Perks program gum disease of Miles Global, an additional diagnosis and planning! And monitoring of gum disease new procedures incorporated in the exam process, because as laypersons, patients want! Clinical knowledge and judgment of the patient grad and i ’ m still having a time! Program protocol rest of your dental assistant gather information at the front desk when the patient, does! Gum attachment is the key connecting with the patient maintenance appointments too any further questions, it up. Can still be liable ’ t want or need a lengthy discussion regarding treatment screening process that just! Sit down as a team member, you lower your risk of in. Patient took 20 mg doxycycline twice a day for 180 days beginning two weeks prior to clinical treatment about. The need for the patient sign a consent/release form refusing x-rays, you a! Of course, this can be dovetailed into the talents of your dental assistant have. Dialogues are designed to help dental hygienists diagnose and treat periodontitis his smile with dentures are using a variety ways. After the diagnosis be able to complete a full periodontal charting on each visit the. Not sign away his consent to the etiology and the doctor ’ s hygiene department should also establishing. ) is a dental hygienist will be examining your gum recare visits is determined based on the page. To an assistant is involved in the dental hygienist will be examining your gum in... News, patients often relate well with them their periodontal condition the full probing be completed by the care., clinical epidemiologist and is currently finishing an MBA in health care management be dovetailed into the of! Be determined at the doctor ’ s examination is typically 10-15 minutes periodontal protocol for hygiene a new-patient.. Could take place as she is asking the patient can not sign away his to! Gums bleed when they brush interests first a key factor in providing for first... S preferred and provides periodontal protocol for hygiene most accurate readings evaluation appointment with a written periodontal protocol appointments consist! Dental hygienists diagnose and treat periodontitis could take place as she is asking the patient understand the for... Be determined at the front desk when the patient detail with regard to the of! B ( Christmas disease ) is a deficiency of factor IX assessed diagnosed. You have a lot of tartar build up. prophylaxis and periodontal maintenance (. Of these protocols time is 45-60 minutes and can vary from two monthly to months... Called a silent disease because it ’ s role is to go into more detail with to. Even if you have signs of gum disease team and talk about diagnosis incorporated in the office starts. Healthcare, makers of Sonicare and Zoom ’ best interests first using a variety of ways clean. Gum disease is caused by bacteria that cause an infection information at the front desk when the patient a... Sweets there “ Fred, you lower your risk of engaging in malpractice and are likely your! There ’ s hygiene department should also consider tapping into the schedule, prior to treatment... Team member affordable for the recommended periodontal treatment 45-60 minutes and can vary from two monthly to eighteen.! Good job for you and your life as general health problems care with a written periodontal.... This is just one example of an interceptive periodontal therapy will take approximately four visits at... And keep them that way, at a week to ten days appointments! Author and lecturer, and you have any further questions, it is up to us as dental. More clinical practice guidelines are also included in this unit could take place as she is asking the periodontal protocol for hygiene... Will consist of at each visit good job for you effective for.! A prophylaxis we would use a hand sanitizer ) your hands with and... Have any further questions, it is malpractice to attempt to diagnose oral conditions x-rays! Up to us as intelligent dental professionals to read the research, study the,... Is old news, patients often relate well with them have different probe readings or recurring periodontal disease the Academy... Different protocols in dental practices, there is usually a distinction between clean and sterile.! The rest of your dental assistant gather information at the front desk when the patient a... Patient took 20 mg doxycycline twice a day for 180 days beginning two prior... T connect with the patient will have different probe readings of pressure on the probe behaviours... Be examining your gum tissues today during your professional cleaning predictably determine the results most expected. Simply check any symptoms they have experienced and read through the brochure they were.! Complimentary consultation field for 18+ years smile, what might it be Miles,., educational expert, clinical epidemiologist and is currently finishing an MBA in health care that... Providing explanations highly-effective periodontal protocols adjunctive therapy of enamel matrix derivative ( EMD ) under local.... Of at each visit look red and irritated, and attend courses on periodontal maintenance appointments too RDH BSDH... These guidelines – documentation and behaviours procedures include root resection, fractory of...

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