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.
SRP in the areas that are clinically necessary and outright elsewhere. Google with Perio maintenance. Explain to the patient the disease process and show them the radiographic evidence along with intraoral photos.
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.
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