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Arestin placement after the srp is done or wait until perio maintenance?



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9 Answers

Some place it at S/RP and some at the Perio Maintenance for any spots not responding. I would wait to see what healing was achieved and then decide if I need to use arestin.

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I like to wait and see if SRP worked first then use Arestin at the reevaluation appointment on sites that didn’t respond and are still 5 mm or deeper with BOP.

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I believe it’s more affective placing the arestin right after the srp. I have to go by insurance and place the arestin 6 weeks later on some patients but, that’s better than nothing. Usually I place another arestin at period maintenance appt if it’s not responding.

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I think that arrestin is proven to be the most effective when placed immediately after srp but since we never get insurance coverage until a re evaluation appointment I usually will wait until that appointment.

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For me it depends on the patient. I usually place it at the time of srp. I may place again at my 6 week follow up if no resolution. However if there is significant vertical bone loss, after I srp and see the pt for a 6 week follow up I do not place arestin but refer. I believe with vertical bone loss those pts are best served with a perio consult for flap. This is depending on the % of bone loss of course

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perio maintent apt here…we give the SRP a chance to work with improved home care..Arestin prn at maint. appt.

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We place at SRP and then follow up at any perio maintenance appointments as needed. The pharmacy program has helped us immensely at getting coverage through medical.

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I place at the time of SRP as well. I do stress home care as well. I also agree the the pharmacy program has helped immensely with coverage.

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I place Arestin at the 4-6 week recheck appointment. This gives the patient time to do their best w/ their homecare and they don’t think you are charging them for unnecessary procedures. You can then explain/show them perio charting and if no improvements why Arestin needs to be placed. I have had better patient compliance this way.

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