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

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Probing following SRP

After completion of 4 quads of SRP on a patients, they return to the office in 3-4 mths for perio maintenance visit. Most are on a 3-4 mth recall for at least the next year in our practice. At what point, following the completion of SRP, should perio probing be done again? Some hygienists probe every visit, whether the patient comes every 3,4, or 6 mths. I find that constant probing will not allow for pocket healing. What is ideal? What is the standard?



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3 Answers

6-8 week 4910 after S/RP to re-eval healing and re-probe. This will be a good time to decide if a 3 or 4 month continued care interval needed determining how effective they are with plaque removal etc. During each 4910 appt thereafter you should Always probe. If a pocket was 6mm in beginning and today it is 4mm you do not clean to the base of a 6mm because you will ruin the attachment created from S/RP. Read the Definition of a 4910 in the insurance code book. Healthy adult prophy could be probed yearly and spot probed every six months. For periodontal disease you must know the exact measurements at each perio maintenance appt.

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I agree with sunie, I bring my pt’s back 4-6 weeks after their SRP tx for a “tissue check”. At that appt I perio probe to check for healing and determine recall 3-4 months. At the tissue check appt I will also perform perio maint as long as their insurance does not have a 90 waiting period. I will perio probe once a year as long as their is no sign of returning infection. If I find that there is significant bleeding or other signs of infection I will spot probe the tissue.

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You should do a probing 1 month after completion of the SRP’s. If there is great improvement-then pt would be put on 4 month vs 3month. This is not an extra appt. This is structured in the SRP’s. Then probing should be done 1/yr or more often if significant changes. This is the standard.

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