It has long been stated that if there is bleeding, there is calculus. When a patient presents with the same pocket or bleeding despite our scaling efforts, the disease rears itself as a truly frustrating venture. We are speaking of periodontal disease. It is frustrating for the patient with good homecare and recurrent disease. It is frustrating for the practitioner who is providing the best level of care and disease is still present. We have all experienced it and the subsequent question is "what else can I do?"
When you couple magnification along with visualization, a new level of care emerges. The Perioscope has shown us exactly what is present on the tooth root. For our existing patient, we are finding burnished bacteria, bacteria at the entrance of roots and at the base of the pocket, and lots of calculus at the margins of restorations. For the patient we are able to SEE the calculus being removed and have confidence that we are providing the highest level of care. Aftercare is rarely different from normal scaling and root planing procedures. NSAIDS are recommended on an as needed basis, excellent homecare is required for long-term success and supplemental antibiotics are sometimes needed. Our patients report little to no tenderness or sensitivity.
Please feel free to discuss with me.
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