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Does there have to be bone loss for SRP to be tx planned?

Say there are 5 mm probing depths with sub going calc, but the bone looks healthy… FMD is for supra ging calc so what are you supposed to do in that case?



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1 Answer

Yes, there needs to be clinical attachment loss (i.e. bone loss) for SRPs to be the appropriate treatment. If the bone level is good, this could be pseudopocketing from gingivitis. As of the dental codes right now, a prophy would be the appropriate treatment (I know that sounds wrong). If needed, it would be appropriate to schedule this patient for 2 prophies so you can remove all the calculus thoroughly. Insurance may only pay for one, however, and the other may need to be out of pocket for the patient. Many times FMD will be billed, however this is incorrect, not to mention an over-used code. FMD is only for patients with so much debris, the doctor cannot do an exam. On the flip side, in 2017, a new code will be available that covers gingivitis and patients that present like this. If you are interested, here’s a link about the new gingivitis code that is coming: http://www.dentalproductsreport.com/dental/article/game-changer-2017-will-bring-new-cdt-code-gingivitis

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