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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.
What else can I help you with?
What is Dental code 4921?
Dental code 4921 refers to a specific procedure related to periodontal scaling and root planing in the context of dental insurance billing. This code is typically used for the treatment of periodontal disease, specifically for scaling and root planing in one quadrant of the mouth. It involves removing plaque and tartar from below the gum line to help reduce gum inflammation and improve overall oral health. Always consult with a dental professional or your insurance provider for precise details regarding this code and its application.
What is the difference between periodontal and endodontic lesions?
periodontal is of the gum and endodontic is of the root of the tooth itselt
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
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 is dental irrigation?
Dental irrigation is a procedure that involves the use of a fluid, typically saline or an antiseptic solution, to cleanse and flush out debris, bacteria, and contaminants from the oral cavity or periodontal pockets. It is often employed during dental treatments such as root canals, periodontal therapy, and after oral surgeries to promote healing and prevent infection. This technique enhances the effectiveness of dental procedures and improves overall oral hygiene.
What is dental code D4321?
Dental code D4321 refers to the procedure of "Periodontal Scaling and Root Planing - 1-3 Teeth per Quadrant." This code is used to bill for a deep cleaning treatment that targets periodontal disease by removing plaque and tartar from below the gum line for a limited number of teeth in a specific quadrant of the mouth. It is typically performed to improve gum health and is often part of a comprehensive periodontal treatment plan.
What is dental code D4341?
Periodontal scaling and root planning
What is Dental code 42006?
Dental code 42006 refers to the procedure for "Scaling and Root Planing," which is a deep cleaning treatment aimed at patients with periodontal disease. It involves the removal of plaque and tartar from below the gum line to help restore periodontal health. This code is typically used to bill for services that involve the scaling of multiple quadrants of the mouth. It's essential for maintaining gum health and preventing further dental issues.
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
What is the treatment of periodontal?
Cleaning the affected gums and halting more damage are the main goals of periodontal disease treatment. Medication, extensive cleaning techniques including scaling and root planing, and in more severe cases, surgery, are common forms of treatment. Dental implants are frequently used to replace lost teeth when severe periodontal disease causes tooth loss. Dental implant clinics in Kondapur offer cutting-edge treatment options to restore both function and beauty for people in need of professional care. Experience specialized care and personalized bone grafting options at FMS Dental Hospital in Kondapur, Hyderabad, which combines state-of-the-art technology with humane care.
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.
