Referrals

Question 1

What are the most common perio referrals

Answer 1

periodontitis
mucogingival deformitites
path
implants
tooth exposures
crown lengthening

Question 2

When should you decide to refer for chronic periodontitis

Answer 2

at initial exam, especially for severe cases and following SRP with no resolution of inflammation and pockets are still ≥5mm

Question 3

What is wrong with a 5mm PD after SRP involving chronic perio

Answer 3

inability for patient to provide adequate home care
inability to remove majority of calculus non-surgically
continued attachment loss in 5mm+ PDs even with good home care and compliance

Question 4

Why do surgical therapy with chronic perio

Answer 4

access root surfaces
access to bony defect; recontour and regenerate
reduction in future attachment loss and tooth loss

Question 5

Whats the bottom line in determining whether to refer for pathology or not

Answer 5

distinguishing normal from abnormal
understanding possible etiology
identify differential diagnosis

Question 6

This is performed in preparation for implant placement; it preserves alveolar ridge height and width (3-6mo healing)

Answer 6

socket preservation