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Pocket depths

I feel like my dr is over diagnosing for SRP. I know most insurances will not cover the cleaning unless pockets are 5mm+. I had a “deep cleaning” patient today who had a few 4mm and only one 5mm pocket. This isn’t the first of many cases I’ve seen. I always get the “this doesn’t feel like a deep cleaning” from them even though I’m getting into their pockets. I feel like he is over diagnosing. Thoughts?



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2 Answers

You’re probably right…I would consider this a borderline pt where it’s 434 434 – I would FM cavitron/ handscale and give them OHI on flossing, 3 month recare…Some doctors just care about $$
You also have to consider…is there a poor crown margin causing a 5mm pocket or and actual piece of sub calc, you could charge for SRP 1-3 teeth if it’s sub calc
I would talk to the dr about it or work somewhere else if you dont feel comfortable

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Unfortunately, we live in an insurance driven society; however, in a court of law a hygienist/dr. making decision based off what insurance confers & doesn’t is malpractice. We have the responsibility to diagnose and present it to the patient. Whether tx is covered or they accept to proceed is their decision and CHART IT! If there is radiographic evidence of bone lose with a 4mm bleeding pocket that is periodontal disease. Don’t short yourself or the patient in treatment that could bring their oral health back to a healthy state of no bleeding.

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