Name of the Procedure:

Common Name(s): Comprehensive Periodontal Evaluation
Technical/Medical Term: D0180

Summary

A comprehensive periodontal evaluation is a detailed examination of the gums and supporting structures of the teeth, tailored for both new and established patients. This procedure helps diagnose gum diseases and assess overall dental health.

Purpose

• Medical Conditions: Gingivitis, periodontitis, and other periodontal diseases.
• Goals: Identify gum disease presence and severity, assess the health of teeth and their supporting structures, and formulate a personalized treatment plan.

Indications

• Symptoms: Bleeding gums, gum recession, persistent bad breath, shifting teeth, and swollen or tender gums.
• Patient Criteria: Any patient showing signs of periodontal disease or risk factors such as smoking, diabetes, and previous periodontal issues.

Preparation

• Pre-procedure Instructions: Brush and floss teeth thoroughly before the appointment.
• Diagnostic Tests: Previous dental charts and X-rays may be reviewed; new X-rays might be taken.

Procedure Description

1. Initial Assessment: The dental professional reviews medical history and discusses any current dental concerns.
2. Visual Examination: The gums, teeth, and mouth are visually inspected.
3. Probing: A periodontal probe measures the depth of gum pockets around each tooth.
4. X-rays: If needed, X-rays are taken to assess bone loss or other issues not visible during the visual exam.
5. Documentation: Findings are recorded, and a diagnosis is made.

• Tools Used: Periodontal probe, dental mirror, X-ray machine.
• Anesthesia/Sedation: Generally not required but might be used in certain cases for patient comfort.

Duration

The procedure typically takes about 30 to 60 minutes.

Setting

Performed in a dental office or specialized periodontal practice.

Personnel

• Primary Personnel: Dentist or periodontist.
• Supporting Staff: Dental hygienist, dental assistant.

Risks and Complications

• Common Risks: Mild discomfort during probing.
• Rare Risks: Infection, prolonged bleeding, or reaction to X-rays if applicable. Management involves standard dental care protocols and follow-up.

Benefits

• Expected Benefits: Early detection and treatment of gum disease, improved dental health, prevention of tooth loss.
• Timeframe for Benefits: Immediately post-diagnosis, with ongoing improvements following treatment recommendations.

Recovery

• Post-procedure Care: Maintain regular oral hygiene; follow any additional instructions provided by the dentist.
• Recovery Time: Immediate, with no downtime required. Follow-up appointments may be necessary based on the findings.

Alternatives

• Other Options: Basic dental check-ups, scaling and root planing for diagnosed periodontal disease.
• Pros and Cons:
  • Basic check-ups: Less thorough but useful for routine monitoring.
  • Scaling and root planing: Therapeutic rather than diagnostic, specifically treats periodontal disease.

Patient Experience

• During the Procedure: Likely to feel mild pressure or discomfort during probing; generally well-tolerated.
• After the Procedure: Minimal discomfort, if any. Regular dental hygiene practices should be continued. Pain management is usually not necessary but can be addressed if discomfort arises.