{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.


SRP on elderly patients?

I have worked with 2 dentist. The first dentist was pretty conservative with elderly patients and their perio disease–meaning, if a pt 70+ years old has 5-6 mm he never pushed SRP on them. He figured if they lasted this long they are going to last another 10-15 years. Now my current dentist wants me to do SRP on everyone that has a 5 mm pocket, regardless of age. Is it better to treat a patient who is 70+ conservatively or should we be putting them on a strict SRP/perio maint schedule?



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.


3 Answers

I tend to lean towards your first dentist more. I would just put the information out there and if your patient is completely against it don’t push it, dentist number one is right, it seems like making it to 70 years old with some teeth left is a big accomplishment and if it’s only a few 5’s I wouldn’t worry too much, if it’s causing pain I may push it a bit more.

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.


Maybe you can save them money by completing selective scaling and root planing. That way the future appts can be coded 4910 and treating them appropriately. If you are truly only performing a 1110 then you should not be going into those pockets and if you are going to base of every pocket you should charge appropriately. Some of my elderly patients that do not have insurance I go ahead a start them as 4910 so they do not have to go through that high cost of S/RP to help them out…..unless it’s so advanced then possible referral to periodontist. Tough call though. You don’t want to supervise neglect and you don’t want to cause harm by performing S/RP when patient thinks you are doing a 1110.

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.


I always consider their health…some 70 year olds still have many healthy years in them. If a patient has dementia or another illness that will shorten their life and might make dental treatment traumatic for them, I will choose to stick to frequent prophy’s with thorough homecare instructions for them or their caregiver.

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!