I am confused by a long list of planned procedures suggested by dentist.

Hello,  I've been given an extensive list of Dental procedures broken up into three sections. I have no clue as to which procedures are necessary and which are not.  The first section lists the "necessary" procedures for cleaning my teeth. All I want is a simple teeth cleaning, the one you get twice a year from a hygienist. The dentist office gives me an extensive list of necessary procedures as part of their "Deep Cleaning 3-step Process" to treat periodontal disease. Here is a list of their "necessary" procedures:   --Chlorohexidine --Flouride varnish  --Perio RT Planing/QD, Surface UR --Antibact Irr/Quad, Surface UR --Perio RP 1-3 Th/Quad, Surface UL  --Antibact Irr/Quad, Surface LL --Perio RP 1-3 Th/Quad, Surface LL --Perio RT Planing, Qd, Surface LR --Antibact Irr/Quad, Surface LR --And Finally, four laser treatments on Surfaces UR, UL, LL, LR. The next section lists procedures to provide fillings for two teeth. They are as follows:  --Composite Post 2 Sur, tooth 31, Surface: OD  --Composite Post 1 Sur, tooth 31, Surface: B5  I'm assuming that "Sur" stands for surface. However I'm unclear what the procedures mean overall.  The third section is treatment for the extraction of three teeth that they say cannot be saved. The procedures are as follows:  --Surg Extract (Spec) tooth 17 --Bonegraft Ext (Spec), tooth 18  --Surg Extract (Spec), tooth 18 --Rem Part Bony (Spec), tooth 33 I realize that any information you provide is limited without examining the x-rays and any other diagnostics. I just hope you'll be able to provide at least SOME help in (1.) Untanding these terms and (2.) Knowing the level of importance for each procedure.  I really want to make an informed decision. Any assistance you can provide is more than I already have.  Thank you for your time!  Lee Griffin  LeeG.Entertaiment@yahoo.com  713-825-5334

Do you want to answer this question? Login or register now to answer this question.

No profile picture

Answer: Treatment plan confusion

By Sarah h
Dental Professional

Receiving a treatment plan can be overwhelming and many times questions arise after you leave the office.  You provided a great deal of information which I can hopefully explain in easier terms for you.

The dentist is recommending a deeper "cleaning" in some limited areas of the mouth.  This type of periodontal therapy is diagnosed with the use of dental radiographs and a full periodontal charting.  You may recall the dentist or hygienist taking measurements of your tissues.  They will call out numbers 1-10mm, taking 6 readings (probing depths) per tooth.  Any numbers over 3mm indicate inflammation and the beginning of periodontal disease.  The higher the number, the more extensive the disease.  The description is perio RT planing/QD for a full quadrant of the mouth and Perio RP 1-3 th/QD for a quadrant with 1-3 teeth involved.  Chlorahexadine is an antimicrobial irrigation you will take home and rinse with for several weeks after your therapy.  It is very important to understand, periodontal disease is not curable, however it can be controlled.  Having a regular "cleaning" when peridontal disease is present, is a disservice to the patient. It will not remove the harmful bacteria in the deep pockets that will continue to thrive in the mouth and blood stream causing high blood pressure, heart disease, and contributing to plaque throughout the body.  Usually, because the dental hygienist will be removing buildup from the root surfaces of the teeth, you will need to have local anesthetic in the area.  After the procedure, fluoride varnish is recommended to seal the root surfaces of the teeth and help with sensitivity.  

Once the periodontal therapy is completed, you will be seen for a routine visit every 3-4 months in order to stay ahead of the life cycle of the harmful bacteria.

 

Composite Resin indicates a white or tooth colored restoration (filling).  You have 2 seperate areas on your lower right second molar (tooth #31).  The first is along the gum line, B5 is the surface and the second involves the back of the tooth and the chewing surface.  These types of fillings are usually due to a lack of flossing, which also contributes to peridontal issues as well.

 

Lastly, the dentist has recommended 3 extractions.  Tooth #17 is your lower left wisdom tooth and #18 is your lower left second molar (the tooth in front of your wisdom tooth).  They are also recommending a bone graft after tooth #18 is removed which is the standard of care.  Think about removing a large tree from your yard, the hole has to be filled with dirt in order to regain a solid foundation.  Removing a tooth is very similar, a bone graft will replace the missing structure and allow your jaw to heal.   Tooth #33 doesn't exist, unless you have an extra wisdom tooth.  

 

Hoping this brought some clarity to your treatment plan.  Please feel free to ask additional questions if necessary.

More Questions from General Dental

I can't open my mouth very wide.

I have wisdom tooth that has been growing olin for maybe 8-10 months. It's sore. Recently it has been giving me pain in my temples ears throat and roof of my mouth. So as of now I can't open my mouth. No swelling inside that I can tell of, I just...

Swelling and painful roof of mouth and white tint

I was off work for about a year and a half. And i just went back to work 2 days ago. I am a flat roofer. I sometimes have to tear off old roofs and replace them with new. The roof we started 2 days ago is an old roof so it has black tar pitch in it....

Broken Root Canal Infected?

Is it possible for my old broken root canal to be infected? It doesn't hurt but my mouth and face has been numb for two weeks on the right side same as the broken tooth. What's left of the tooth is black. Thanks.

Infection and Bump on Gums

My daughter must of had a infection she did not inform me about. She just called me and said the bump on her gums popped and yellow stuff came out and it feels fine now. Should I rush her to the hospital or could it wait about 4 days into I take her...

White stuff appearing in mouth?

Recently brushing my teeth, eating and drinking water has been leaving a stinging sensation in my mouth. Particularly around my gums sometimes but mostly on the floor of my mouth. I had a look and found these white stuff on the floor of my mouth....

White mark on side of tongue

Hi, I noticed over 7 months ago this area on the side of my husbands tongue that is white like a line. It is right where his bite aligns. He had a upper molar extracted over a year ago. Before then we never noticed the area. He also has a very...

I think I have an abscest

I had a tooth pulled and I got dry socket now I have a lump that seems to have a head on it.. I am taking antibiotics clindamycin 300mgx3daily. The pain is gone in my jaw but the lump is sensitive.I go back to my dentist saturday. But I am so...

Canker sores

A few months ago I bought the 2 step crest whitening toothpaste...at the same time I had gotten 2 bad canker sores in my mouth with I thought was from eating something.... I stopped using the tooth paste for a while and started again about a week...

cost of comprehensive oral evaluation

I believe my dentist is overpricing treatments and I need to know how much is the average cost of a comprehensive oral evaluation....takes him 5 minutes at the most. I know he is overcharging for fillings, etc. Also I am a senior who will be 68 in...

Drastic color change in under a week

Please help, i'm so worried. I had a resin composite build up with two metal pins for my top front tooth after it broke off at the gums. Dentist asked if I had injured that tooth before because the nerve looked damaged. It was beautiful and matched...