Dentaltown October 2014 - (Page 124)
hygiene and prevention
perio program feature
Reflecting on Your Perio Program
This is the fifth installment of our five part series on implementing a perio program in your practice. The first installment
focused on assessing the periodontal health of your practice, asking, " How healthy are your patients and how healthy do you want
them to be?" Answers to these questions provided the foundation
for the second installment, focused on getting the conversation
going between dentists and hygienists on their philosophies of
periodontal treatment and prevention. In the third installment it
was time to create the plan for your perio program. Once the plan
was ready, the focus was implementation. The fourth installment
provided ideas for presenting the perio program to patients to gain
their acceptance and full participation. In this final installment,
our clinical experts provide reflections on the implementation and
acceptance of the perio program and helpful suggestions for measuring success and identifying areas needing improvement.
Diane Brucato Thomas, RDH, EF, BS, FAADH, OMT, BBP:
V aluable feedback to evaluate the success of your perio program can come from everyone involved. The doctor may notice a
need to refer fewer clients to the periodontist as one positive result
of the periodontal program. In addition, production numbers
should increase significantly.
The front desk personnel are often the ones who receive direct
reports from the clients regarding their feelings about the services
they receive. Maintaining good, open-minded, non-defensive communications with these co-workers can only improve your service as a
clinician. This feedback provides the opportunity to grow and excel.
The scheduling experts can report the percentage of clients
who actually schedule for recommended periodontal treatment,
124
OCTOBER 2014 » dentaltown.com
while those collecting fees can report on collection success. Those
team members can offer suggestions as well as feedback. For example, despite making every effort to convey a client's responsibility
to pay at time of service, one day I had a client who had spent the
entire day with me in treatment, then claimed he wasn't expecting
to have to pay that day. To avoid this in the future, the front desk
team solved this problem by performing collections when clients
walk in the door, before I take them back into the operatory. They
explain by saying, " We have found that when clients come in for
long procedures, it is easier for them to complete business transactions while they are fresh, beforehand. This way, when you are
done, you can just go home and rest."
The clinician can take advantage of the re-evaluation appointment after treatment is completed and healing is well underway to
evaluate the success of the periodontal program. The re-evaluation
appointment should include a complete periodontal charting of
probing scores, bleeding points, purulence and tissue description.
I cannot say it enough: L earn to read the tissues! If you were completely thorough removing sub gingival calculus or if you missed
something, the tissues will not lie. Healthy tissue is pink, not red
or cyanotic, and it does not bleed. Do not be afraid to reinstrument
and re-evaluate to achieve optimal tissue health. If an area does not
resolve, it may be necessary to refer the client to a periodontist.
In performing thorough re-evaluations and reading the tissues,
you may discover you have a weakness pattern. For example, there
was a time when I consistently missed the disto-lingual line angles of
mandibular bicuspids. B y paying attention to that, I was able to identify an area where I needed to improve my skills and push myself to
overcome that weakness. In that process, I became a better clinician.
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown October 2014
Dentaltown.com Highlights
Howard Speaks: Debt and Cash Flow
Professional Courtesy: The Amazon Question
Continuing Education Update
According to the AAP, Periodontal Disease is Associated with Heart Disease
Teach Me Ideal Dentistry for Veneers
Appointment Flow
HIPPA, HITECH, ePHI: OMG, What a PIA
Second Opinion: The $63,750 Obamacare Incentive — Is it Worth It?
Doctor’s Biggest Financial Mistakes
CAD/CAM Dentistry: Exploring the Possibilities
Productive CAD/CAM Dentistry
Product Profile: Bluephase Style LED
Product Profile: Enamelon Preventive Treatment Gel
Product Profile: G-ænial Bond
New Products
Composite Materials for Optimal Restorative Results
A Step-by-Step Guide to Developing, Promoting and Staging a Successful Community Event
Better, Faster, More Effi cient Dentistry
Industry Leaders on Industry-leading Handpiece Manufacturers
You Should Know: PACE Marcom
Poll
Ad Index
You Should Know: Triology
Digital Marketing by the Numbers
Perio Reports
How to Perform a Painless Perio Probing
Step 5: Refl ect on the Program
Dentally Incorrect
Dentaltown October 2014
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