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Arestin Placement

When is it appropriate to place Arestin for example: I have a patient whom hasn’t been to the dentist in 6 years. Presents with generalized 5mm areas, bleeding,inflammation and subgingival calculus. Obviously the patient needs SRP. Would you place Arestin immediately after SRP or wait until the 3mth recall to see how the pocketing healed? I work in corporate so this can also be very expensive for the patient and cause them to reject treatment. Thanks Monica

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1 Answer

The manufacturers of Arestin recommend placement at the time of SRPs, however many hygienists place it as needed if certain sites aren’t responding. Arestin can be billed to medical insurance so that’s an option to help patients afford it. I would hate to see patients decline treatment all together because they can’t afford Arestin, so declining that portion of treatment should be an option for them. I should mention that a study in the Journal of the American Dental Association, looked at the benefits of SRP with and without adjuncts (lasers, antibiotics) and the results showed no clear benefit to locally placed antibiotics such as Arestin over SRP alone. Here’s the link: http://jada.ada.org/article/S0002-8177(15)00334-7/fulltext

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