Final Perio Tutprial

Question 1

When should referral be indicated to secondary care / therapist - basically

Answer 1

Stage II, III or IV and residual pocketing >6mm
- initial non-surgical management in practice
- may be accepted for referral

Grade C or stage IV and pocketing >6mm
- lifestyle modification in practice
- referral for periodontal care

Question 2

What is needed in the formal referral letter to specialist?

Answer 2

Referrer details

Patient details

MH

SH - SMOKING / interp

Clinical info
- diagnosis + classification
- reason for referral
- details of previous tx
- relevant radiographs / charts
- clinical images

Question 3

What should be included in tx prescription for the hygienist referral?

Answer 3

• tx to be carried out by hygienist
  Step 1, 2 etc

Discuss risk factors

Supragingival / subgingival etc

Use LA as required. Lidocaine 2% 1:80k epinephrine, max carts 4 per visit (2.2ml)
- type, strength, name
- maximum doseage
- frequency
- route administration