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periodontal reevaluation

When doing a reevaluation after scaling and root planing, are you scheduling at 4-6week with the doctor or 3 month recall period maintenance?



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16 Answers

At my office, we do a 4-week perio check after the last quad of SRP has been completed. I perio chart (I was taught that 4 weeks is enough time for pockets to heal with a long junctional epithelium), I re-scale, and point out problem areas for the patient to work on. Patients are then placed on a 3 month perio maintenance recall. If their home care is stepped up dramatically and pockets remain stable, I will move their recall to 4 months. I do not believe my office charges for the 4 week evaluation.

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We do a 4-6 week evaluation that we charge out as a perio maintenance and the doctor also does another exam. Once we evaluate the probe depths and tissue response to SRP then we decide between a 3 or 4 month recare appointment.

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We do 4-6 week re – evaluation as a 4910. Period charting is competed and 4910 with no Dr. exam. I like this because it seems to keep the pt. motivated. Also we can review any areas the pt is having difficulty cleaning or concepts the pt is not understanding. Also the pt will be on 3 month recare afterwards.

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We usually do 3/4 week reeval with the Dr

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I do a 6-8 week re eval that includes a 4910 that the patient knows they will have to pay out of pocket for. Go over OHI etc and polish the teeth.

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I do 6 week follow up with myself followed by 3 month maintenance. All my arp pts LIVE on a 3-4 month recare for life.

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We do 3 month perio maintenance and re-eval…Hyg handle perio eval’s always, as well as treatent plan ,or recommed referral….Dr geerally will confirm our plan for the patient..

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I do 4 week re eval charged out as perio maint. No exam by doctor. Then 3 month recall for life.

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I do a 6 wk re-eval and use the 4910 code then the pt is placed on 3 mo recalls. Dr does not do an exam at the re-eval. I was recently at a CE course and the speaker said that checking probing depths at 6 week re-evals is a waste of time b/c it takes longer than that for tissues to heal and pockets to shrink and that we should be be evaluating poh and bleeding only. Anybody else ever hear this? I always do a whole new perio chart at the 6 week appt.

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do you all that use 4910 code for re-eval have any patients that have a problem with paying that? I’ve worked in offices where that visit isn’t coded that way and is cheaper (or maybe that was in school?). I have a hard time charging that after patients pay for SRP and then can hardly get ins benefits on any restorative work, since we’ve used a huge portion for hygiene. Obviously it’s important and needs to be taken care of first… But what do you tell those patients when reviewing the treatment plan? Just that they’ll be coming in for a tissue check (that will cost as much as their future “cleanings”)?

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If I feel the need for a ’tissue check’ I do it at no charge. However, I generally do a 3 mo re-eval along with PMT. If it’s a large tx plan with a great deal of restorative I sometimes explain to the patient: you wouldn’t put a new roof on a house with crumbling foundation, you need to have a solid foundation to stabilize the house 1st. The same is true with your teeth, you need agood foundation( bone support and healthy tissue), prior to restoring. I may also tell them they don’t want to put thousands of dollars into a tooth in restorative if the tooth is lost due to gum disease!

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It depends. I usually do a 4-6 week perio maintenance and reeval with RDH and the Dr does exam if a referral is needed. If the SRP was 1-3 teeth and no pocket over 5mm’s we may do the reeval at next maintenance in 3 months.

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I will typically just see them in three months after the srp and do a full perio chart and re eval at that time. I would not get the doctor unless I saw the need for restorative work or something of the sort. Hygiene handles perio pretty exclusively at out office. I have to say it is nice that my boss trusts us to do this and dosnt check pocketing or anything like that.

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a 3 month perio maintenance, perio chart, place arestin if needed and discuss 3-4 month care.

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two weeks after final quad for prophy with RDH/exam with dds…3 months for perio maint with RDH for full charting no DDS.

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Recently implemented a pre-procedural rinse with chlorhexidine, irrigation after scaling with chlorhexidine and f varnish at no charge with every perio main visit to differentiate between px and perio main. Also giving a “perio therapy” report card. No more complaints at the front desk when insurance isn’t covering 100%

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