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

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Answer: Understanding your treatment plan

By Sarah h
Dental Professional

If you have been diagnosed with needing a deep cleaning, scaling and root planning, unfortunately performing a simple cleaning (prophy) will be a disservice to you.  Scaling is diagnosed using both dental xrays as well as periodontal charting.  You may remember hearing the hygienist or dentist calling out numbers between 1-6 or higher.  Any number above a 3 indicates inflammation and the presence of disease.  You are unable to clean any pocket deeper than 3mm with a toothbrush or dental aid.  Therefore, scaling is necessary to remove the deposits and bacteria in the pockets.  Chlorohexadine is an antimicrobial medicament that is used to flush out the bacteria once it is broken from the deposits deep within the pockets of inflammed tissue.   The laser is optional, but suggested as it helps with reducing the unhealthy pocket so it is more manageable for you to keep clean at home and also reduces the healing time.  

The fillings are necessary and will restore the tooth after the decay is removed.  The tooth number 31 is on the lower right and is a 2 surface restoration, DO.  This involves the chewing surface of the tooth and the distal portion of the tooth which is the surface farthest away from the front of your mouth.  There is another cavity on the same tooth, #31 on the buccal or cheek surface closest to the gumline.  Resin is the description of the tooth colored filling material.  Tooth #17 is a wisdom tooth, tooth #18 is directly in front of it, both are on the lower left side of your mouth.  Bone grafts are optional, however they are the standard of care and will place bone in the area where the tooth is removed.  This will cover the extraction site, aid in healing and place bone back over where the alveolar nerve rests.  There is no tooth #33, unless you have an additional wisdom tooth on the lower right.  Most adults only have one set of wisdom teeth which include teeth #'s 1, 16, 17 and 32. 

 

Hope this helps you in deciding which treatment is necessary and what best fits your schedule.

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