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Scaling for Perio

User Level:
Patient
Posted by: lacie001  (4 years ago)
I have two questions...

I had a full mouth perio probe done and my molars had a few (probably around 6) 4's and one 5. Everything else was 3's and 2's with 1's on my front teeth. Do you automatically scale and root plane at 4's? There was some bleeding on probing - what she called it. All my molars are crowned with 7 PFM and 1 gold - not sure if that matters. (I'm 47 and obviously not a good patient but trying to get better)

Second, we have a good dental hygiene school in southern California. Would you trust a hygiene student to do this type of work? I realize it will take a while. Just not sure about the quality.

Finally, is scaling ok for crowned teeth? will it do anything to them?

Thank you very much!
User Level:
Dentist
If you have most of your teeth made of ceramic crowns, you can absolutely have a dental scaling done just as if you had natural teeth.

In fact, you must visit the dentist and hygienist to make sure you keep your teeth properly sealed with the porcelain restorations on them. Having a dental scaling will make sure bacteria is not trapped around the porcelain and potential eroding your teeth.
 
Posted 4 years ago
User Level:
Dentist
I have two questions...

I had a full mouth perio probe done and my molars had a few (probably around 6) 4's and one 5. Everything else was 3's and 2's with 1's on my front teeth. Do you automatically scale and root plane at 4's? There was some bleeding on probing - what she called it. All my molars are crowned with 7 PFM and 1 gold - not sure if that matters. (I'm 47 and obviously not a good patient but trying to get better)

Second, we have a good dental hygiene school in southern California. Would you trust a hygiene student to do this type of work? I realize it will take a while. Just not sure about the quality.

Finally, is scaling ok for crowned teeth? will it do anything to them?

Thank you very much!


There can be residual pockets without any calculus on roots. This can happen for a variety of reasons. So the answer is no. Not all 4 and 5mm pockets need scaling. Sometimes we cannot get all pockets down to 3mm or less.

When patients are trying to save money and have periodontal disease, I advise to alternate between a regular dentist and a hygiene school. Hygiene schools do great with the gums, but many times miss decay, especially decay around crown margins.
Posted 4 years ago
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