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Is it normal to do SRP on a patient who has no real clinical manifestation of perio disease in their mouth?

I am a new hygienist so I appreciate any feedback on this topic. I feel like in my office I occasionally get a patient with no signs of perio disease showing up on my schedule for SRP. These patient have good OH, no clinical or radiographic calculus and all pocket reading are WNL. For example, I had a patient scheduled for SRP yesterday who did have controlled diabetes, but again no perio and great home care. I had nothing in my notes as to why this pt was coming in for a deep cleaning and when I asked them if I was the one who had spoken to him about SRP he told me no it was the receptionist. I felt guilty the entire time I was doing it because I felt as if I was putting some one through a cleaning they did not need. Is this normal or a case of simply trying to get money out of patients?



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I agree with Hygenius. Very unethical. Also, if probing so are WNL, insurance will NOT pay for SRP. I have had times where I’ve seen a pt for SRP that was diagnosed by another doctor and hygienist. The probings sometimes are limited to 1-2 teeth in a quadrant so I will change the code to SRP with 1-3 teeth in quad.

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SRP needs to be justified by clinical findings. It sounds to me like someone is trying to “grow the practice”. Does your office pay bonuses that may encourage someone to upcode treatment? If treatment that is not necessary is being done, your license is at stake…I would definitely have a chat with the boss.

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Is a complete periodontal charting done? PD, GM, MOB, FURC, BLEEDING, EXUDATE etc? That will give a true picture of periodontal attachment and health. The pt could have 4mm with recession of 5mm which equals 9mm of total periodontal attachment destruction. If you are scaling a 4mm and the root due to recession it’s perio. Correct me if I’m wrong…….

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No, there is no recession, bleeding, exudate, literally NOTHING at all to require an SRP. The receptionist told the patient they were being schedule because they had diabetes and they needed a deeper cleaning and to be on a 3 mon recall. Pretty sure someone is getting a bonus the more money they bring in

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srp shouldn’t be done on a patient unless there is notable perio disease. your job could be on the line.

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It’s not ethical to complete S/RP on a patient that clearly does not have periodontal disease. You are actually assaulting the patient and charges could be filed criminally. Not to mention what the dental board would do.

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