The patient was a 45-year-old male who reported it had been at least 20 years since his last dental visit. Muddy flooding and sinkholes: Understanding the difference between caries and erosive tooth wear. In addition, the lower and upper right were re-treated with the ultrasonic and irrigated with chlorhexidine. His primary concern was that he had noted changes in his gum tissue, especially bleeding when he brushed his teeth. DIANNE GLASSCOE WATTERSON, MBA, RDH, is a consultant, speaker, and author. These upgraded visits known as periodontal maintenance (PM) are actually a continuation of your treatment. We performed co-diagnosis with this patient using a hand mirror and intraoral camera in order to have the patient involved in the clinical data process and also understand the findings as we presented them. Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. Oral health care providers should treat LGE promptly before it evolves into a more severe form of periodontal disease. In the majority of these cases, x-rays were not taken routinely, and periodontal probings were rarely or never recorded . Denise Marr, CDA, EFDA, a treatment coordinator, is a 1999 graduate from Indiana-Purdue University and Indiana University's Expanded Function Dental Course, JP Institute, LVI, PAC, and Comprehensive Care Institute. Depending on the extensiveness of your gum disease, we may need to see you more than the standard twice-a-year visits: Some periodontal patients, for … Procedure – At the initial diagnostic appointment, a full-mouth superficial debridement was performed using microultrasonic instrumentation. The standard of care in dentistry. An abnormally large and misshapen mandibular tooth was noted during the clinical exam. Treatment plan – We reviewed the radiographs, and there was no evidence of bone loss. They should always be looking for periodontitis. I`d like to add a note about your article on Transcendental Meditation (TM) (March 1999 issue). With proper care, a person's teeth should last a lifetime. The laser was set at 1.4 continuous wave and was used to remove diseased epithelium in the periodontal pockets with a brush stroke motion. These upgraded visits known as periodontal maintenance (PM) are actually a continuation of your treatment. I wanted to get your thoughts before I enter into a discussion about this with my boss. Follow-up care instructions were reviewed with the patient (see Figure 3). 2002] . Learn more in this exclusive interview. Local antimicrobials such as Atridox (Collagenex Pharmaceuticals) are used when pocket depths are 5mm or greater. Visit her website at wattersonspeaks.com. This was followed by microultrasonics with Acclean chlorhexidine gluconate 0.12% (Henry Schein) to flush out and irrigate diseased tissue. But when the practice where she’d worked for 24 years hired a new doctor who also happened to be left-handed, she got an enviable operatory of her own. One patient had a lesion that hurt when she ate, and another felt like she had an infection in her wisdom tooth. Both the patient and her mother stated that no one had shared this information during previous treatment. We have the experience and expertise to perform a thorough examination and perform the most appropriate procedure to treat periodontal disease, which can be a dental deep cleaning, LANAP laser gum disease treatment or other surgical methods. With many turning to cannabis for its medicinal properties, what does that mean for dental professionals? © 2021 Endeavor Business Media, LLC. Is it dental and medical schools, state boards, continuing education seminars, the legal profession and bar association, or individual practitioners and their own level of knowledge, skill, and judgment? It is merely a screening protocol. What is taught, talked about, and actually done are often very different from each other. Is it me or does it seem that a lot of patients out there aren’t aware that they have periodontal disease? Periodontal disease. . Are you inadvertently zapping your patients’ spoons? Product review: Spinning in control—a new angle on polishing. Full-mouth periodontal charting including the following data points reported by location, severity, quality, written description, or numerically: Presence, degree, and distribution of plaque and calculus, Presence, location, and extent of furcation involvement. In addition we performed co-diagnosis techniques with the patient by using a hand mirror, radiographs, and intraoral camera in order to have the patient involved in the clinical data process and understand the findings as we presented them. It is not necessary to do probings on a patient who only comes in for emergency treatment, but if that patient becomes a ‘regular’ patient, probings must be done and recorded routinely.”5. t has been estimated that as many as 60 million consumers in the United States have periodontal disease, an estimated 35% ofthe adult population needing care… Our system involves re-evaluation after six weeks and again after three months. He has completed courses in laser dentistry, and advanced cosmetic, periodontal, and restorative dentistry. Sometimes patients expect unrealistic results from whitening treatments. Regardless of the treatment modalities used, the purpose is to achieve a gradual healing process and continue treatment until the disease process is controlled. She addresses patient refusal, as well as offers suggestions about how and when to take radiographs in specific situations. According to the American Academy of Periodontology, more than a third of Americans over age 30 have periodontitis. The last part of the procedure consisted of using the initiated diode soft tissue laser (Premier Aurora). Some states have written standards; some do not. Depending on the extensiveness of your gum disease, we may need to see you more than the standard twice-a-year visits: Some periodontal patients, for … . Treatment plan – At the treatment plan consultation appointment we reviewed our findings, the etiology behind our concerns, and the treatment plan necessary to achieve perfect tissue health. Sometimes a periodontist will recommend medications as a first-line treatment for advanced periodontal disease before resorting to surgery, depending on the severity of your gum disease. With red, rolled margins in multiple areas as well as microultrasonics for debridement and irrigation make future go. 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