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how often should periodontal probing be done

by Serena West DVM Published 3 years ago Updated 2 years ago
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According to Frank DeLuca, DMD, JD, the standard of care in dentistry for periodontal charting is a full-mouth, six-point probing with all numbers recorded at a minimum of once per year for all adult patients.Dec 3, 2019

Full Answer

How often should you have a periodontal exam?

Most people with healthy teeth and gums need an examination for periodontal disease every six months, and it is done at the same time as their regular dental checkup.

How often should periodontal cleaning be done?

These types of cleanings are usually recommended every three to four months in order to maintain gum health and eradicate the dangerous bacterial growth that occurs with periodontal disease.

How often do dentists probe?

According to Frank DeLuca, DDS, JD, the standard of care in dentistry for periodontal charting is a full mouth, six-point probing with ALL numbers recorded at a minimum of once per year for all adult patients.

Why is perio maintenance every 3 months?

Periodontal maintenance takes place within three months because that is the estimated time for the bacteria to reproduce and affect the teeth and gums. These bacteria will multiply so constant maintenance visits are necessary to prevent their growth.

Do you have to do periodontal maintenance forever?

Follow-up patients who have received active periodontal therapy are appropriately reported using the periodontal maintenance code.” The actual ADA code book reads, periodontal maintenance will be completed following active periodontal therapy “for the life of the dentition.” It is safe to assume once a periodontal ...

Is periodontal cleaning worth it?

Left untreated, the pockets in your gums will continue to grow, as will the buildup of plaque and tartar and your risk of bone loss. Short of surgery, deep cleanings are the best way to reverse the negative effects of periodontal disease.

How long is the perio charting good for?

Periodontal charting is an essential part of your dental care and should take place twice a year. It's best to schedule dental appointments every six months, but your dentist may recommend more frequent check-ups if they notice signs of gum disease.

How many periodontal probing measures are taken for each tooth?

The recordings taken during periodontal probing are recorded in a chart. There are six measurements taken for each tooth, three on the facial side and three on the tongue side.

Is perio probing invasive?

Probing may sound invasive but there is naturally an opening between your tooth and the gum tissue. The opening, or space, is also known as a pocket. Pocket measurements are recorded routinely at your preventive hygiene visits to monitor changes in the gum health.

Can you live a normal life with periodontitis?

Periodontal disease is not a life-threatening condition. However, it might require you to seek treatments from various medical professionals when the bacteria from the infection spread to your bloodstream to affect your overall health.

What is the difference between deep cleaning and periodontal maintenance?

Essentially, periodontal cleaning is synonymous with deep cleaning. While a regular cleaning procedure removes tartar and buildup from the surfaces of the teeth, a deep cleaning is done below the gumline. This is why it's also referred to as a periodontal cleaning.

Can you alternate between prophy and perio maintenance?

Alternating periodontal maintenance and prophys at three-month intervals is inappropriate because the prophys are non-therapeutic and supragingival. This regimen has the same net clinical effect as the perio patient who presents for maintenance every six months.

How often should you get a deep cleaning for your gums?

These non-invasive cleanings are recommended for most patients every six months and play a critical role in maintaining good oral health. Dental deep cleaning, also known as scaling and root planing, involves special techniques to get rid of plaque, tartar, and bacteria below the gum line down to your tooth roots.

How do you know if you need a periodontal cleaning?

Gum disease doesn't always cause pain or show visible symptoms, which is why it can be difficult to detect when you need deep cleaning....Some warning signs that you should look out for include:Bleeding or red gums.Puffy and tender gums.Halitosis (persistent bad breath)Unpleasant taste in your mouth.Receding gums.

Is periodontal cleaning the same as deep cleaning?

Essentially, periodontal cleaning is synonymous with deep cleaning. While a regular cleaning procedure removes tartar and buildup from the surfaces of the teeth, a deep cleaning is done below the gumline. This is why it's also referred to as a periodontal cleaning.

How long does it take to recover from periodontal cleaning?

Within a week the gums will start to heal and reattach to the roots of the teeth. The initial discomfort should be gone. Full recovery and reattachment can take up to 6 or 8 weeks, but patients are usually back to normal eating, drinking, brushing, and flossing within the first week.

How many patients do hygienists check?

Three full-time hygienists mean approximately 30 patients to check throughout the day for one doctor, which is, no doubt, a daunting task. If you currently have only one assistant, she is probably maxed out time-wise assisting the doctor.

What is the responsibility of a dental hygienist?

Since most dentists depend on their hygienists to be vigilant with regard to periodontal charting and apprise them of any pocketing that is discovered, it is the hygienist's responsibility to ensure timely chartings are performed and recorded. It is a serious matter.

What are the benefits of full probing?

An important side benefit of full probing on a regular basis is that you will discover more periodontal disease. Nonsurgical treatment of periodontal disease is the most productive procedure a hygienist performs. So, it follows that your production will increase as you detect periodontal disease and schedule treatment.

How often should periodontal charting be done?

According to Frank DeLuca, DDS, JD, the standard of care in dentistry for periodontal charting is a full mouth, six-point probing with ALL numbers recorded at a minimum of once per year for all adult patients.

Why do we record all numbers on periodontal chart?

The reason he recommends recording all numbers is that if a jury of nondental individuals examines a periodontal chart that only has a few scattered numbers, it appears (to them) as an incomplete chart. Remember, in the eyes of the law, if it's not written in the chart, it never happened.

Is PSR a full mouth chart?

PSR is not to be used instead of a full-mouth charting, because PSR is an incomplete charting at best. You mentioned writing "WNL" in the chart. This made me chuckle, as my good friend, Patti DiGangi, RDH, BS, says this really means "we never looked.".

Who is Dianne Glasscoe?

Dianne Glasscoe-Watterson, RDH, BS, is a professional speaker, writer, and consultant to dental practices across the United States. She is CEO of Professional Dental Management, based in Frederick, Md. To contact Glasscoe for speaking or consulting, call (301) 874-5240 or e-mail [email protected].

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