{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

Please confirm that you would like to report this for an admin to review.


Is it too late to referral a patient to a perio office after you scaled 1 quad?

Yesterday I had a new patient. We determined a full mouth SRP was needed. Probing depths were generalized 5-6 mm with maybe 2 localized areas of 7 mm pd. So I begin SRP on the LR quadrant. After an 1.5 hr I felt overwhelmed and was thinking this patient should really be referred… Have you ever came across a situation like this?



Confirm that you would like to Remove Email Alerts for your question. You cant undo this and you will not be able to re-subscribe.


2 Answers

I had a pt that it took me two hours just for maxillary and two hours on the mandible. I felt like I could have spent two to three more hours per arch. You can refer at any point. You can do one or all quads and then refer. If pockets are deeper than 6mm the pt will require flap surgery to adequately remove any calculus and infrabony defects. Most periodontist understand if there is residual calc in a very deep pocket and also understand that a general dentist will sometimes expect the hygienist to complete full mouth SRP before referral. You are doing your job to the best of your abilities and they know that. You also can call or send letter to specialist informing them of the situation.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


Was it the amount of calculus or were the pocket depths deeper than you had thought? It’s never too late to refer, in my opinion, but your boss may have to agree not to charge for the completed quad, unless you were thorough enough and that quad can be considered finished by a periodontist. If it is just a lot of calculus, maybe you can allow for more time per quad and don’t book back to back SRP’s?

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


You must be Logged In to Answer this Question

Already a Member, Log In
Not a member yet? Sign Up

Search

Categories

Like Kara RDH on Facebook!