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When To Refer

Many dental hygienists and dentists in referring practices asked AZPerio’s specialists to develop a protocol to assist them in determining the ideal clinical situation to refer patients to a board-certified periodontist. With their help, we’ve developed the “When To Refer” guidelines listed below, which AZPerio expects will improve the effectiveness of periodontal treatment. For patients, this means treatments that are less painful and less expensive, with superior long-term outcomes.

Clinical Presentation/Condition

  • 6mm+ probe depths particularly without multiple local factors (calculus/plaque)
  • Vertical bone defect on radiograph
  • Recession of 3mm+ (if there is less than 2mm of keratinized tissue)
  • Exposed roots, furcation involvement
  • Complex patients (co-morbidities perio+ diabetes)
  • Peri-implant disease, periodontal abscess (immediate referral)
  • Patient age younger than 40 with bone loss and probe depths 6mm+

Treatment Resistant

  • Post SRP 4-6 week re-eval, if fail to get a good response (probe depths still remaining 6mm+ localized or generalized 5mm+)
  • Unresolved inflammation at any given site
  • Refractory/recurrent disease

Board-Certified Periodontist*
3+ years of periodontal training following completion of dental school at an American Dental Association/Commission on Dental Accreditation (CODA) accredited program

Diplomate of the American Academy of Periodontology periodontics board certification requires additional education, training and evaluation from the American Board of Periodontology,
an affiliate of the American Academy of Periodontology

As Diplomates of the American Academy of Periodontology, our specialists not only uphold
the standards of the AAP but have also established a commitment to advancing the practice
of periodontics. They have been approved for Diplomate status by a panel of internationally respected peers for demonstrating a passion for continued professional development, self- evaluation, critical review of therapy results, and providing the best, most up to date care

 

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