What do you do with a patient that clearly has signs of gum dis. on upper quads like bleeding 6mm pocket on #3 and 5mm on 14/15 but lowers area 2-3mm isolated 4mm on distals of 2nd molars no bleeding? Do you SRP UR, UL quads and prophy the lowers? how do u explain this to a pt-there is no insurance involved.
If its just 2 areas i scale/rplan those specific areas and place arestin at the prophy appt. If its an entire quad or two then i have them back for quads and i would just do the affected quads.