{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

Please confirm that you would like to report this for an admin to review.


94 year old woman needs srp.. What would you do?

I saw a patient recently with generalized 3-7 mm pockets. She was 94, fragile, and just wanted a regular teeth cleaning due to cost and no insurance. What would you do in this situation, when the patient is insisting on doing a regular prophy due to old age?



Confirm that you would like to Remove Email Alerts for your question. You cant undo this and you will not be able to re-subscribe.


3 Answers

I always educate my patient on the best tx, show them their bone loss, their probing depths and tell them the difference between a prophy and srp. If they still insist on a prophy, I tell them to be mindful that the infection will not be removed and only worsen. I have them sign a perio refusal and inform them the next time they come in, we will go over the same steps and if they refuse again, we give them two options. They can see a specialist or find another office. Yes, it sucks to lose a patient but it is supervised neglect to have them come in for prophies each time.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


How is her health? There are contraindications to doing extensive treatment on an elderly, medically fragile patient. Sometimes the best way to go is more frequent prophys while keeping a close eye on things.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


As a dental hygienist, we are not only provides of care, but educators. Regardless I feel you should discuss the pros vs cons of treatment. That way the patient is making an informed decision. Be empathetic to her request, but explain her condition & educator her on periodontal disease. If you’re concerned about her fragile health consult with her physician regarding your treatment recommendation. As her oral health care advocate, she would hopefully put her trust in you. It is ultimately her decision. If she declines your recommendation make sure you get a form for declined perio treatment signed & complete the care she wishes to have completed. Periodontal health is important to overall systemic health! Good luck!

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


You must be Logged In to Answer this Question

Already a Member, Log In
Not a member yet? Sign Up