PennWell Dental Community
When we talk about periodontal charting we think pocket depth. Pocket depth is an important part of the periodontal exam but it’s obviously not everything. In fact, as a stand alone diagnostic, it’s almost meaningless. Why do I say this? Because pocket depth is relative. We talk pocket depth but what we really mean to get at is loss of attachment. If the gingival margin is at the CEJ and we measure a 6mm pocket we are faced with…Continue
Added by Richard L. Pascoe DDS MS on December 21, 2015 at 1:55pm — No Comments
Tooth mobility needs to be considered when evaluating the treatment and care of a periodontal patient. Why? Because untreated mobility can have negative consequences for healing, especially if a regeneration procedure is planned. Other more obvious sequela of mobile teeth are problems with patient comfort and the possibility of accidental avulsion.
In an examination, we chart mobility. It’s VERY technical! If you can wiggle a tooth one millimeter it’s…Continue
Added by Richard L. Pascoe DDS MS on December 14, 2015 at 11:23am — No Comments
Added by Brent Cornelius, DDS on December 11, 2015 at 2:49pm — No Comments
We are in a series discussing the key elements of a periodontal evaluation. My last blog touched on the importance of evaluating not only the quantity, but also the quality of calculus. Now, let’s move on to another important finding, furcation involvement.
The degree of furcation involvement is a major factor in determining an accurate prognosis and in the development of an appropriate treatment plan. Furcation exposure, more than anything, complicates…Continue
Added by Richard L. Pascoe DDS MS on November 25, 2015 at 9:55am — No Comments
OFFICE MANAGER DAILY CHECKLIST
Added by Cambridge Dental Consultants on November 25, 2015 at 9:08am — No Comments
In a previous blog I mentioned three important examination findings that play an integral part in a periodontal evaluation and the development of a treatment plan. One is an assessment of the calculus.
There are two things you need to know about the calculus. First is to determine if calculus is present. This is not a problem if you are dealing with supra-gingival deposits. It’s also not a problem if you are dealing with the typical bulky subgingival calculus we so often find.…Continue
Added by Richard L. Pascoe DDS MS on November 19, 2015 at 7:34pm — No Comments
Savvy dentists know that writing blogs are good for their marketing. Blogs can bring people to your website because they are searchable. They can inform patients about topics they didn’t know. For example, many people might not know ways to eliminate bad breath. However, if you believe that blogs’ sole purpose is directing traffic to your website, you could be missing a golden marketing opportunity.
Added by Charles Crawford on November 19, 2015 at 2:01pm — No Comments
We are happy to announce that DentaKit.com now carries PlaqueHD Toothpaste. This fluoride toothpaste reveals plaque while a patient brushes their teeth! Patients can buy it directly from us at: http://www.dentakit.com/plaquehd.html…Continue
Added by Lynn Schneider on November 18, 2015 at 3:24pm — No Comments
Wondering what you can do to provide more value to your patients?
Do you wish to give your dental practice…Continue
In the past, I have mentioned what I feel are the most important examination findings of a periodontal examination from a treatment planning perspective. In my opinion they are:
1. A determination of the quality of the calculus
2. A determination of the extent of furcation exposures
3. A determination of mobility
Note that pocket depth isn’t one of them. It’s not that I find pocket depth insignificant,…Continue
When someone says periodontal exam we think of periodontal probing. Measuring pocket depth is an important part of the examination but it’s not the whole story. In my opinion, it isn’t even the most important part of the story.
What are we attempting to do at the examination? Breaking it down to the bare minimum, we want to make a periodontal disease diagnosis and we want to develop a plan of attack.
When you think of it, the diagnosis is…Continue
Added by Richard L. Pascoe DDS MS on November 3, 2015 at 2:55pm — No Comments
It seems that many of us suffer from “one size fits all”. This is not surprising; it’s how we were trained. I’m referring the hygienic phase of periodontal treatment. This is where every periodontal patient receives instructions in plaque control, comprehensive scaling and root planing, then a revaluation to determine additional (surgical) needs. I could never buy into this approach. I always thought we could be more sophisticated in our diagnosis and…Continue
This past July, the American Dental Association released Evidence-based Dentistry Guidelines for Non-surgical Treatment of Periodontal Disease.
A panel of 16 experts reviewed over 1900 articles and in the end 72 articles were included in the analysis. All studies were randomly controlled…Continue
Added by Richard L. Pascoe DDS MS on October 15, 2015 at 11:57am — No Comments
We all want to be involved in a practice that is built on solid ground. A practice that can withstand the unavoidable ups and downs of economic cycles, one that can withstand the closing of a major business down the street with the subsequent layoffs. We’ve all seen those practices, the ones that always remained booked out several weeks in spite of uncontrollable head winds. What sets those practices apart from all the others?…Continue
Added by Richard L. Pascoe DDS MS on September 30, 2015 at 9:34am — No Comments
I've been neglecting my celebrity reporting "duties." Things are pretty busy in the old office of DentistryIQ. But I simply couldn't pass up a chance to comment on Charlie Sheen's latest news. He settled out of court with his dentist's office to avoid having to appear in court.
For those of you who may have forgotten the riveting story that broke last October, according to Radaronline, when his dental hygienist attempted to place the nitrous oxide mask on his face, Sheen…Continue
An important customer service function for your Accounts Manager is to check to see if any patients have Credit Balances. If a patient is due a refund, as part of providing excellent customer service, a letter of explanation should be sent to the patient with the check. I highly recommend this be done at least monthly if not weekly. Also check with your local state board as there may be specific requirements for your state on how to handle credit…Continue
Added by Cambridge Dental Consultants on September 29, 2015 at 10:04am — No Comments
Curette sharpening can be a challenge, but with the right tools you’ll get superior results.
Sharpening the toe of the curette has always been a difficult maneuver, evidenced by the number of curettes that have been sharpened to a point. Check your instruments and see if I’m right or not. If I’m not, you must be commended because you are certainly in the minority.
Sharpening the toe with a conventional flat hand stone is tricky. As you…Continue
Something you can do to immediately help your practice is to look at your practice from the patient's perspective.
What I mean is eyeball your dental office as if you are a new patient. Listen to how your front desk handles new patient calls, stroll around the parking lot, take a seat in the lobby and view the surroundings. Visit the patient restroom. Sit in each of the dental chairs and look up at the…Continue
Dental floss has long been the standard for inter-proximal plaque control. We stress the importance of its use to our patients and they all embrace it. From that day forward they are flossing every day without fail. No further discussion of it is ever needed, right? For any of you that find this to be true you need read no further.…Continue