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