Our office is trying to come up with a protocol for recommending Arestin…. In your experience is it better to apply it during SRP or at the follow-up appointment to see if healing occurred? All patients are different so is it wise to implement a cookie- cutter approach to Arestin placement? Is it better to recommend it on a case-by-case basis? What are your thoughts?
Tags antibiotics Arestin LAAs locally delivered antimicrobials perio disease
I don’t personally like Arestin and do not think it is worth the expense. However, I would not use it during S/RP because you will initially get improvement from the S/RP. You should use it when you do a re-eval with a Perio maintenance 4910.
I respectfully disagree with Hygenius. I feel that placing arestin at the time of SRP as an adjunct to therapy is best. This is evidence based practice.
That said I do agree that the mechanical SRP is the MOST IMPORTANT therapy you can provide. I always recommend & discuss using arestin with SRP. If a patient has insurance coverage that does not cover or will only pay at follow up appointment we inform patient and let them make an educated decision. Nothing will be cookie cutter all the time, and it’s really great that you are working to establish a protocol.
My office implements prescription Arestin. At the initial new patient exam, if they need SRP, we add up all the 4+ sites with or without BOP, get the patients MEDICAL insurance information, call Arestin with the information and they determine what the patient’s co-pay is for the amount of sites we want to administer. We try to have the Arestin in-office before the first 1/2 mouth SRP appt. so we can place it at the time of SRP. Ask your doctor to get an Arestin representative to come to your office for a lunch-and-learn, it was very helpful
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