team Flashcards
What pts may be accepted for referral after non-surgical tx?
Stage II, III or IV periodontitis and true pocketing of 6mm and above
What pts should be referred once lifestyle and behavioural risk factors have been addressed and appropriate NST (step 1 and 2) have been carried out?
Grade C or Stage IV with true pocketing of 6mm or more
What should be included in referral letters?
Referrer details
Pt details
Medical history - including meds
Social history - smoking, perio family history
Clinical info - diagnosis and classification, reason for referral, tx carried out, radiographs and photographs
Who else can be involved in a practice for periodontal care?
Oral health educator
Dental therapist
Dental hygienist
What is a PSD and what should it include?
Patient Specific Direction - prescription of LA for dental therapist or dental hygienist
- type of anaesthesia - name and strength
- maximum dosage
- frequency eg - as required
- route of administration
When should dentists prescribe LA to hygienists/therapists?
If it would benefit the patient - pockets ≥4mm
How long do LA prescriptions last?
1 year
What should you do if a pt doesn’t want to be referred?
Document this
What is the max number of cartridges per visit when prescribing LA?
4
What percentage of sites do you expect to respond in perio tx?
2/3
For what reasons may deeper pockets not respond to tx?
Anatomical factors - vertical bone defect, enamel pearls, root grooves
Risk factors - smoking, uncontrolled diabetes
Endo-perio lesions
Fractures
What should be carried out at maintenance appointments?
Update MH and SH and assess pts control of modifiable risk factors
Full mouth 6PPC at least annually
MPBS
Review OH and provide personalised OHI
Advice on risk factor control
Supra and subgingival PMPR where required
Correction of local plaque retentive factors
