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Debbie Seidel-Bittke, RDH, BS is known as a top dental consultant by Dentistry Today.

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Can we alternate our Perio Maintenance Appointments with a Prophy Appointment?

By: Debbie Seidel-Bittke, RDH, BS

November 5, 2015

I get this question at least every month so I want to address this publicly.

The question is ” Can we alternate our Perio Maintenance appointments with a Prophy Appointment?”

The answer to this question is going to be “No.”[video_player type=”embed” width=”560″ height=”315″ align=”center” margin_top=”0″ margin_bottom=”20″]PGlmcmFtZSB3aWR0aD0iNTYwIiBoZWlnaHQ9IjMxNSIgc3JjPSJodHRwczovL3d3dy55b3V0dWJlLmNvbS9lbWJlZC9KLVg2dGlDVkJ4VSIgZnJhbWVib3JkZXI9IjAiIGFsbG93ZnVsbHNjcmVlbj0iIj48L2lmcmFtZT4=[/video_player]

You may ask “WHY?”

Here is Why:

  • Periodontal disease is episodic and although your patient may seem healthy there will be times when the disease will return to an active phase.
  • There are several insurance companies (and this is constantly changing) who will never cover perio procedures once you revert to billing for a prophy appointment

When you perio patients returns about every ninety days, you have an opportunity to re-evaluate the total health of your patients and if their periodontal condition becomes active again, you can now intervene with the appropriate care.

In the above video I explain how my parents had high cholesterol (They are no longer alive so I put this into past tense.  And no, they did not die from this disease but other systemic diseases. More on this later.), and every three months they saw their physician to re-evaluate if this disease was status-quo or needed more medications, etc.

Our family also stopped eating eggs because at this point in time, they thought “eggs” were part of this cause for high cholesterol.

What we did not address with regard to these “inflammatory” diseases is to “treat” the inflammation. We have since, learned that oral inflammation will contribute to systemic inflammation.

Bottom line. A healthy mouth means less chance of systemic diseases such as high cholesterol.

The high cholesterol as I previously stated did not cause the death of my parents however, my mother died from endocarditis which occurred after a tooth abscess and extraction. This led to the a hemorrhagic stroke, her kidneys failed and ultimately she lost her life.

My father on the other hand died of Acute Mylocytic Leukemia.

May God Rest their sole.

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