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What to do when other hygienists/DDS push SRP

Today I had a patient (first time seeing him) he asks what the appointment is for. I tell him it’s a routine hygiene visit. He questions why it’s not a “deep cleaning”. I look at the radiographs, no calc visible. I spot probe and get between 2-3mm with BOP and calc visable at the GM but very firm gingiva. The only 4-6mm pockets were the distals of wisdom teeth I look back in the chart and see that his last prophy was in June, probing 4-6 in all posterior, probing before that done in 2012 exact same recordings. Luckily another hygienist was walking by and I asked her to look at my measurements. She agreed with my findings/measurements.

Later discussing the situation with the same hygienist, she mentioned that she had a patient explain that they were there for A “deep cleaning” and she found borderline healthy readings.

The same hygienist treatment planned these two patients.

I work in corporate dentistry, the hygienists get “bonuses” for each quad SRP.

I don’t want to be rude. I don’t know how to bring it up.



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2 Answers

4-6mm is Perio disease unless it’s a pseudo pocket. Are you charting Attachment Levels too? Complete Perio charting includes recession, furcation, mobility, bleeding, exudate. Just because all other areas are 3mm or less what about the attachment level reading? That will give you an overall idea of disease.
Also, if the last hygienist told pt the next visit will be S/RP…..what did she do that day? If she did a debridement or 1110 then his tissue could have improved since last visit.

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This ad was in August 2014 Access Dental Hygiene Magazine about Patient Risk Assessments made easy. It is FREE unlike Previsor. You can enter all pertinent patient data and know risks for caries, Perio and oral pathology. It will help you in deciding if you should S/RP or not since you do not trust the hygienist and dentist you work with.

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