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I am a registered dental hygienist (RDH) licensed in the state of Oregon to perform many dental procedures including periodontal scaling and root planing (PSRP). I graduated from Dental Hygiene school in 2004, and at that time we were not being trained to routinely irrigate during PSRP. However, I know that over the years opinions have varied on this topic, and the "standard of care" has gone back and forth with regards to how effective (and therefore necessary) irrigation really is. I don't know if this question is from a dental professional, or a consumer, I will answer as though it is a consumer (patient) asking. Using my knowledge of periodontal disease and the treatment modalities currently available to us, I can't think of any reason why irrigation would be harmful or detrimental to your treatment. Usually, Irrigation would be performed with a solution called Chlorhexidine Gluconate 0.12% (Peridex). Peridex has been proven to kill periodontal pathogens (the bacteria that cause perio) so my personal opinion is "It sure won't hurt. Why not?" However, in my clinical practice, I don't routinely perform irrigation in conjunction with PSRP unless the procedure was particularly messy or difficult. Simply because, that's not how I was trained. Now, if you are being charged an additional fee for the irrigation, well, I don't know what to tell you. If the fee is small (like $20 or less) then it might be worth it. Otherwise, if it was myself or my family I would recommend saving your money and buying a bottle of Peridex (prescription required) and rinsing with peridex 1-2x a day for the first 6 weeks following PSRP. This has been proven to give better results than PSRP alone.
WARNING THOUGH: Continued use of Peridex will probably cause black/brown staining on your teeth. The good news is that 90-99% of that stain is removable with a professional polish.
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∙ 16y ago
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What is the difference between periodontal and endodontic lesions?
periodontal is of the gum and endodontic is of the root of the tooth itselt
Is oraqix necessary for periodontal root planing?
No. This is a topical anesthetic gel that can be placed around the teeth being scaled. These solutions numb the soft tissues, not the tooth itself. I am a dental hygienist and do this procedure all the time. I never use oraqix. I do sometimes use local anesthesia (lidocaine) if my patient is tender, but I don't use it on every patient.
What specific dental procedures would require antibiotic prophylaxis?
Extraction, oral surgery, scaling and root planing, placement and removal of ortho band and rubber dam, incision of abscess, full mouth periodontal charting, working length determination during root canal treatment
What is dental code D4341?
Periodontal scaling and root planning
What is the treatment of periodontal?
Hi, Generally, very basic line of treatment or the first thing to do in any periodontal disease or condition is oral prophylaxis/ cleaning/ dental scaling. Then the further treatment will be according to the severity or condition of the periodontal disease, which are (in order of less severity to more severity) root planing, deep curettage, flap surgeries with or without bone grafting. Most important thing in periodontal treatment rather in any gums related treatment is maintaining the gum condition after treatment by proper brushing, regular use of antiseptic mouthwash and other things which are specified by dentist after that particular treatment.
What do Periodontal diseases cause?
Left untreated, periodontal disease results in the destruction of the gums, alveolar bone (the part of the jaws where the teeth arise), and the outer layer of the tooth root
How do you treat periodontitis?
Initial therapy Removal of microbic plaque and calculus is necessary to establish periodontal health. The first step in the treatment of periodontitis involves non-surgical cleaning below the gumline with a procedure called scaling and debridement. In the past, Root Planing was used (removal of cemental layer as well as calculus). This procedure involves use of specialized curettes to mechanically remove plaque and calculus from below the gumline, and may require multiple visits and local anesthesia to adequately complete. In addition to initial scaling and root planing, it may also be necessary to adjust the occlusion (bite) to prevent excessive force on teeth that have reduced bone support. Also it may be necessary to complete any other dental needs such as replacement of rough, plaque retentive restorations, closure of open contacts between teeth, and any other requirements diagnosed at the initial evaluation.
Is scaling and root planing necessary?
Scaling and root planing (SRP) is a necessary dental procedure IF you need it. Otherwise, it is a ripoff. So, how can you tell if you need it? SRP is is used for someone who has been diagnosed with gum disease. This person generally will have several periodontal pockets of 5mm depth or more. There will be bleeding when these measurements are taken. They didn't take these measurements or write them down in the chart? It's a ripoff. SRP is used to removed accumulated calculus (tartar) and smooth the root surfaces. It is generally more involved than a simple cleaning, requiring multiple appointments, depending on the number of teeth involved. You have a full mouth of teeth and they want to root plane the entire mouth in an hour? It's a ripoff. If you have been told you need SRP and you doubt it, ask for a copy of your x-rays and perio charting. Then get a consultation appointment with a specialist called a periodontist (gum specialist) for a second opinion. If the periodontist concurs, return to your dentist and schedule the appointment. If the periodontist does not agree, find yourself another dentist.
What is sharp curette?
A periodontal or surgical instrument having a sharp, spoon-shaped working blade; used for debridement. The periodontal curet, available in many sizes and shapes, is used for root and gingival curettage.
What is the first fiber to be lost during periodontal disease?
Periodontal Ligaments-dense and connective fibers that connect the cementum covering the root of the tooth with the alveolar bone of the socket wall-MDA 10th ed
Which of the irrigation methods requires the most water to add 100 mm to the root zone of plants?
Trickle Irrigation
Deep teeth cleaning?
Deep teeth cleaning, also known as scaling and root planing
