I can see where you are coming from because with the recession like that there has been boneless. I would also struggle with Sc/ RP because you don’t have the pockets but we know it’s not healthy because of the bleeding. Personally I would think too your not really doing anything different.
I would love to hear more people’s thought on this. I believe her diagnosis as type 3 perio which technically means you would( or someone previously) have sc/rp and she would be on perio maint. That is my school side. My real life side would probably shorten her frequency to 3 months , look into the meds. I don’t truely know the correct answer. But I do have issues with Sc/Rp when you aren’t doing it. ( does the fact that the roots are already exposed count as root planning?)

It took me a LONG time to get over being shaky and unsure. Just keep at it. The best thing I found is not to hesitate even if you are faking it. It will get easier. There are times where if I am really struggling to get someone numb and it just isn’t working I just ask the doctor for help. I have used you tube also just as a refresher. Stop worrying about it hurting, use topical before.

I work for more of a corporate sort of office and they also encourage use of arestin. We have had a few lunch and learns about it and studies do show that you have better results with it than without. Pushing the fact that any other sort of infection you have you use antibiotics. I tend to use more in areas that don’t respond. I know what they see in the studies don’t always make a huge difference in the real world. I personally have not seen these huge responses but they state it’s because I don’t use it regularly. I also like to start suggesting seeing a periodontist when you are getting to the 6mm range, especially if it is not localized.

I have also had that happen. Do you have more than one kind of cavitron tip? Maybe switch to a thinner or thicker one depending what you started with. Is this patient coming to you with probing already done? If not I probe first. That sometimes will give you a feel for how much is there. Otherwise maybe use your explorer first to check areas before you start to scale. Even if you just quick check posterior teeth Otherwise as you get done on a quadrant check with explorer. Then if it seems like one appt is not enough time to finish you can let them know sooner and not rush