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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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17y ago

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