Dental Practice Solutions

Optimize your dental hygiene department by taking an integrated, team approach

  • Do you feel like you are working hard and your production is not increasing?
  • Do you feel like your hygiene department is under performing?
  • Is your hygiene department producing 25-30% of your total production?
  • Are hygienists in your office treating bloody prophys?
  • Does your hygiene department help enroll implant cases and high-end treatment?
  • Do you have one or more holes in your schedule daily?

I am so happy that you are here because we have answers and solutions to your challenges.

Dental Practice Solutions - Debbie Bittke

Determine: Treatment Planning for the Periodontal and Gingivitis Patient

By: Debbie Seidel-Bittke, RDH, BS

June 11, 2015

Diagnosis of Gingival and Periodontal

The Blog  last week focused on determining a diagnosis for your patient: Are they healthy or do they have periodontal disease?

Now that you have determined the patients status, you will determine a treatment plan for your patient with periodontal disease or gingivitis.

The American Academy of Periodontology has a wealth of scientific information to base your decision. The information presented in this blog and the video below are provided by the information listed on the AAP website. (

Your treatment plan will be based 1st on the prognosis of your patients oral health condition.

There are 2 Types of Gingival Diseases: Plaque-Induced Gingivitis and Non-Plaque-Induced Gingivitis.

A couple of months ago I wrote an eBook about treatment for these patients who do not have periodontal disease, they do not have any probing measurements above 4mms and there is no radiographic evidence of bone loss. (See below under “Plaque-Induced Gingivitis”)

How do you treatment plan this type of patient?

And how do you get paid for a patient when it is more than a prophy and not a patient who needs scaling and root planing?

Now sure?

Get this eBook and 4 Video Training Series to Dive Deeper Into This Months Topic. eBOOK AND VIDEO TRAININGS AT THIS LINK



Therapeutic Goals are to establish gingival health. The plaque-induced gingivitis patient will need more than a prophylaxis and less than Phase I Periodontal Therapy. Please download the free resource to the left if you are not sure how to treatment this patient. (Or click this LINK to download)


This is the most common type of Periodontitis.

Non-surgical Treatment considerations will include the following:

1. Initial therapy (SRP)

2. Antimicrobial therapy – adjunct

3. Oral hygiene instructions, reinforcement, evaluate plaque control

4. Remove factors: i.e. overcontoured crowns, overhanging restorations, etc.

Please review the traing video (19 minutes in length) for more patient treatment information. See this video below.

At the end of this month of June there will be an eBook which takes a deep dive into all the information on Treatment of the Hygiene Patient: Health or Disease.

Just as in real estate they say “LOCATION!” “LOCATION!” “LOCATION!” in dentistry we must be dilegent and “DOCUMENT!” “DOCUMENT!” “DOCUMENT!”

Documentation needs to be completed before the patient leaves your office. If this is not completed before the patient leaves your office is not considered a “Legal” document.

I will talk in more depth about documentation next week. I will have an interesting resource to check out on Record Keeping and Documentation so be sure to check back next week!

Be sure to view this training video for more in-depth information on this topic in today’s blog: (CAUTION: It’s 19 mins in length! YIKES! I have so much to tell you today. lol)

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Lead Pages picAbout Debbie

In 2000, Debbie founded Dental Practice Solutions, a dental practice management business focused on creating profitable dental hygiene departments, as well as improving the total bottom line of the dental practice. She has been named as one of Dentistry Today’s Top Consultants for 10 years in  row!

Debbie is a former clinical assistant professor from the University of Southern California where she taught the senior dental hygiene students skills to treat periodontal patients. She also co-taught the practice management course  at USC from 200o-2002. (Until the school start PBL – Problem Based Learning) Debbie also wrote the accreditation for a new dental hygiene program in Portland, Oregon and is a former dental hygiene program director.

Debbie has a team of experts to guide teams throughout the world to provide quality, patient centered practices that sustain profits for the life of their dental practice.