NSPT decisions to follow

Question 1

what is a reevaluation appointment

Answer 1

a formal step in nonsurgical therapy designed to gather information and use in several critical clinical decisions regarding future care of patients with chronic perio

Question 2

what steps should be done when reevaluating

Answer 2

-medical update, perio assessment, comparison results with initial assessment, and decision making

Question 3

when would you need additional nspt

Answer 3

• patient’s oral hygiene efforts are inadequate for disease control
• subgingival calculus deposits that were unreachable may be accessible because of tissue shrinkage
• patient may need additional smoking cessation counseling

Question 4

surgery may be needed to

Answer 4

control chronic perio, or regenerate periodontium lost because of disease

Question 5

what are periodontal referral guidelines

Answer 5

1. general practice should treat patients with mild or moderate chronic perio
2. slight perio with severe recession may need surgery
3. referrals will occur at different points depending on the plan established by the DDS

Question 6

will someone with severe chronic perio need surgery?

Answer 6

yes

Question 7

will someone with mild chronic perio need surgery?

Answer 7

varies

Question 8

LEVEL 1 referrel guidelines

Answer 8

those who may benefit from co-management by going to periodontitist
patient is shared between general dentist and periodontal specialty practice

Question 9

level 2 referral guidelines to a periodontitist

Answer 9

those who would likely benefit from co-management

Question 10

level 3 referral guidelines to a perio

Answer 10

those who should be treated by a periodontitist

Question 11

should a patient with refractory disease be transferred to a periodontitist?

Answer 11

yes