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Prophy before SRP?

The new dentist at my office is changing policy about scalings. She says if patient has 5mm pocket, even on one tooth we cant do prophy until they come back for deep scaling foe that tooth. She says she doesn’t want to lose her license. Now my other office and the other dentist who is here one day -and has his own office not related to this one- says he has them do prophy then submit for deep scale on that area. How so I find out what the “law” is on not doing prophy for one pocketPeople are going to be mad taking time off of work and not at least getting good areas done



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1 Answer

I wouldn’t say there’s a “law” about this, but there is best practices that don’t get you into the realm of insurance fraud. I agree with the new dentist; performing a prophy first indicates the patient is healthy. So, doing a prophy then turning around and doing SRP (even on one tooth) can look suspicious. It can also give mixed messages to a patient because they think they’ve had their teeth cleaned, so why come back again for periodontal treatment.

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