>> 17 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream 2003;74(9):1395-1401. 13 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> Preshaw PM, Heasman PA. Periodontal maintenance in a specialist periodontal clinic and in general dental practice. endobj %PDF-1.4 The authors voted in favor of SRP as the initial nonsurgical treatment for chronic periodontitis. endobj endstream endobj endobj The guidelines have not been updated since 1999, so this is a pretty big deal! 38 0 obj<>>> endobj 8 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream 19 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> endobj For patients with chronic periodontitis, SRP showed a moderate benefit, and the benefits were judged to outweigh potential adverse effects. (;>����= x��S��l�fz�{Bv�|��s�Nz���q�}2�6��`y��,��>/#���������4�� ���D�(�����/)��)Y�%�s%~T;���t�*�?��(��(Ls�&%�U��~R������y��w��
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����eA���h��Qfp,P��i��``�Em�h�!��{8<. 69 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/Annots[45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R]/MediaBox[0 0 567 756]>> 33 0 obj<>>> �26S072PI�r
� �*T0T0 B�����f����� � � Cohen RE, Research, Science and Therapy Committee, American Academy of Periodontology. endobj Your patients may not know the difference between a routine cleaning and periodic periodontal maintenance. �26S072PI�r
� endobj � endobj By definition, the 4910 periodontal maintenance code is defined as the procedure following periodontal therapy and continues at varying intervals determined by the clinical evaluation. endobj �26S072PI�r
� x�+�r 46 0 obj<>>> endobj January 2005. �*T0T0 B�����f����� � � 74 0 obj <>/ExtGState<>/ProcSet[/PDF/Text]/Font<>>>/Subtype/Form/BBox[0 0 567 756]>>stream endobj Tips for minimizing claim denials for periodontal maintenance: ⢠If there are unusual circumstances that require a different interval of treatment than the one specified in the patient's plan documents, the dentist should provide documentation with the 16 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> 64 0 obj<>>> The need for periodontal maintenance treatment after active therapy due to the potential for disease recurrence. endstream 66 0 obj<>>> 61 0 obj<>>> including limits related to the following dental services: Fluoride treatment Full mouth debridement Oral evaluations Prophylaxis Periodontal maintenance Periodontal scaling and root planing Sealant treatments Full-mouth or panoramic x-rays 30 0 obj<>>> 24 0 obj <>stream x�+�r �26S072PI�r
� 50 0 obj<>>> endobj Investing in better oral health for all. �26S072PI�r
� Periodontal maintenance should always follow definitive periodontal therapy for a period of time, typically one year or longer. endobj �26S072PI�r
� 71 0 obj <>stream endobj endobj Periodontal Maintenance Kit IM-D4910 Hu-Friedy has created a collection of procedural instrument kits that follow American Dental Association (ADA) - Current Dental Terminology (CDT) Coding. Note that expert opinion for does not imply endorsement but instead signifies that evidence is lacking and the level of certainty in the evidence is low. �*T0T0 B�����f����� � � Copyright © 2020 American Dental Association. endobj 11 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream endobj American Academy of Periodontology. x�}�� endstream Periodontal maintenance scaling is needed to maintain gum and bone health. 63 0 obj<>>> x�+�r 44 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream endobj endobj 15 0 obj <>stream |: 12 0 obj <>stream D4910 Periodontal Maintenance Follows the completion of active therapy to treat periodontal infection for the lifetime of the dentition or implant replacements and includes removal of plaque biofilm and calculus from supra and subgingival sur- faces. 31. 49 0 obj<>>> Periodontal charting must be current within one year to support periodontal maintenance visits for The purpose of this paper is to provide an overview of the role of periodontal maintenance procedures in the treatment of periodontal diseases. endobj �26S072PI�r
� 57 0 obj<>>> Typically there is a ninety day exclusion period following active treatment. endobj �*T0T0 B�����f����� �� � endstream endstream Use this ADA-published brochure to explain why regular, professional treatment is important in controlling periodontal disease. endstream endobj 59 0 obj<>>> x�}��N�@E�� 10 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> 32. ��k?���y ��.�U�Q3ͣ��zx��ϛL�y�ܖ�G2G7!���Dý��>�V�9(��b�ٽ�j{���Q2(�_Zv^�+��� Take advantage of endorsed, discounted business products, Access oral-health information for the public and ADA Find-A-Dentist. Dentists treating patients with chronic periodontitis, a severe form of periodontal disease that can lead to tooth loss, are advised to use scaling and root planing (SRP), deep cleaning of the teeth, as initial treatment, according to new guidelines from the American Dental Association. 29 0 obj<>>> �26S072PI�r
� Properly maintain ventilation systems. Recommendations for the other local antimicrobials (doxycycline hyclate gel and minocycline microspheres) were expert opinion for. x�+�r endobj 70 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream x�+�r endobj endobj endstream �26S072PI�r
� �26S072PI�r
� 67 0 obj<>>> CHICAGO â Dentists treating patients with chronic periodontitis, a severe form of gum disease that can lead to tooth loss, are advised to use scaling and root planing (SRP), deep cleaning of the teeth, as initial treatment, according to new guidelines from the American Dental Association (ADA). 73 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[2 3 564 754]/MediaBox[0 0 567 756]>> endobj x�+�r This method saves a patient money as a prophylaxis is typically 100 percent covered, whereas periodontal maintenance may be covered partially or not at all. endstream endobj 1 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream endobj 39 0 obj<>>> x�+�r A{���D���D� endobj Commission for Continuing Education Provider Recognition, Joint Commission on National Dental Examinations, National Commission on Recognition of Dental Specialties and Certifying Boards, Nonsurgical Treatment of Chronic Periodontitis. �26S072PI�r
� Guidelines for periodontal therapy. x�+�r endstream 62 0 obj<>>> endobj endobj It thus attempts to establish some guidelines that practitioners may use when calculating recall intervals. endstream Although treatment with locally applied antibiotics may be recommended in conjunction with periodontal maintenance, the cost of those medications is generally not included in periodontal maintenance procedures. Periodontal maintenance is often referred to as a dental deep cleaning, because it includes: Scaling â cleaning beneath the gum line to remove plaque, bacteria, and other build-up Root Planing â shaping the root of the tooth to remove leftover debris, and decrease the chances and/or amount of bacterial build-up in the future �*T0T0 B�����f����� �� � endobj Together. endobj endobj Cohen RE; Research, Science and Therapy Committee, American Academy of Periodontology. �26S072PI�r
� endobj x�+�r endobj endobj You also may have had periodontal surgery. endobj 51 0 obj<>>> �*T0T0 B�����f����� �� � endobj 27 0 obj<>>> This was a long time coming as both the [â¦] x�+�r endobj 14 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream 31 0 obj<>>> An appropriate periodontal maintenance program, specific to individual circumstances, has been recom- mended to the patient for long-term control of the disease, as well as for the maintenance of dental implants, if present. Services (DHCS) restored optional adult dental benefits for members ages 21 and older with full-scope dental coverage. endstream Active periodontal treatment may be reported as D4341, D4342, D4240, D4241, D4260, or D4261. �*T0T0 B�����f����� �! 60 0 obj<>>> endstream endobj �26S072PI�r
� 47 0 obj<>>> 2 0 obj <>stream treatment, results, and recommended follow-up are essential, starting with the initial examination and continuing for as long potential complications, or ⦠65 0 obj<>>> 35 0 obj<>>> endstream 21 0 obj <>stream Access news, member benefits and ADA policy. Help patients understand that periodontal disease doesnât always go away after one treatment. 4 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> Dental Hygienistâs Guide to Delivering an Effective Periodontal Program. 26 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream 5 0 obj <>>>/Subtype/Form/BBox[0 0 567 756]>>stream Periodontal Maintenance (D4910) Effective January 1, 2018, the Department of Health Care . As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner’s professional judgment and the patient’s needs and preferences. 41 0 obj<>>> and the patientâs insurance provided insurance coverage 2X/year and the patient is on a 3-4 month recall. x�+�r 68 0 obj <>stream Recommendations for the nonsurgical use of other lasers as SRP adjuncts were limited to expert opinion against because there was uncertainty regarding their clinical benefits and benefit-to-adverse effects balance. The bacterium that causes periodontal disease re-establishes 3 months after treatment. 53 0 obj<>>> 52 0 obj<>>> Learn about ADA CERP recognition, look up CERP recognized CE providers and find CE courses. Periodontal Maintenance and insurance. 18 0 obj <>stream The list of dental benefits included Periodontal Maintenance (D4910) as a new benefit. endobj endobj m��3a���EZ�N|��-�/�(eX���.��=��� 33. A 3-4 month Periodontal Maintenance Therapy Appointment/Recare is a Soft Tissue Management Program that is a non-surgical approach to Control Periodontal Disease. �26S072PI�r
� �*T0T0 B�����f����� �� � endstream �*T0T0 B�����f����� � � 22 0 obj<>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/CropBox[6 3 561 750]/MediaBox[0 0 567 756]>> endstream 34 0 obj<>>> 2005;32(3):280-286. âonce a periodontal patient, always a periodontal patient.â That phrase is true, in the sense that periodontal dis-ease is chronic and must be controlled. �*T0T0 B�����f����� � � endobj However, some Medi-Cal adult endobj �26S072PI�r
� �26S072PI�r
� The strengths of 2 other recommendations are weak: chlorhexidine chips and photodynamic therapy with a diode laser. endstream 36 0 obj<>>> x�+�r endobj Periodontal maintenance includes localized, non-surgical procedures necessary to keep the disease under control. 6 0 obj <>stream A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline and systematic review on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts. Principles of ethics and code of professional conduct. endobj �*T0T0 B�����fh����� �� However, due to concerns expressed by clinicians to the ADA CDT code com-mittee, a clarifying statement was added to allow dentists to judge how each pa-tient is maintained. J Periodontol 2001;72:1624-1628. Access cutting-edge continuing education courses, Find evidence to support your clinical decisions. endobj endstream It is the most conservative approach to prevent more extensive and aggressive treatment. endobj Meet, Play, Learn atADA’s annual meeting. Antibiotics for Dental Pain and Swelling Guideline A panel of experts convened by the ADA Council on Scientific Affairs presents clinical recommendations concerning the use of antibiotics for the urgent management of pulpal- and periapical-related dental pain and intra-oral swelling. endobj Periodontal maintenance (D4910) is ongoing and therapeutic in nature, not preventive. endobj %���� endstream �*T0T0 B�����f����� � � x�+�r Background: Periodontitis is a bacterially-induced, chronic inflammatory disease that destroys the connective tissues and bone that support teeth. Periodontal maintenance. x�+�r 32 0 obj<>>> 42 0 obj <>stream �26S072PI�r
� Position paper. 4. endobj Clinical Indications Medically Necessary: Periodontal maintenance is a nonsurgical treatment considered medically or dentally necessary, following periodontal therapy,that continues for the life of the dentition or any implant replacements and provides treatment and continuing care of patients with a history of/and ongoing periodontal disease. �26S072PI�r
� American Dental Association. �*T0T0 B�����f����� � � 28 0 obj<>>> by Karoline Biami, RDH. endobj 54 0 obj<>>> x�+�r �26S072PI�r
� In addition, you should be using thin ultrasonic inserts on low power for at least 75 percent of the scaling in a periodontal maintenance visit. endobj Position paper: periodontal maintenance. �*T0T0 B�����f����� �� � x�+�r 55 0 obj<>>> Nonsurgical Treatment of Chronic Periodontitis Clinical Practice Guideline (2015) A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline and systematic review on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts. Or D4261 a ninety day exclusion period following active treatment of endorsed, discounted business products access... The strengths of 2 other recommendations are weak: chlorhexidine chips and photodynamic therapy with diode! More extensive and aggressive treatment, D4260, or D4261 of health.... 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From June 20th-23rd, 2018, the Department of health Care current thinking about maintenance.! Atada ’ s annual meeting, D4260, or D4261 meet, Play, Learn atADA s! Controlling periodontal disease RE, Research, Science and therapy Committee, American Academy of Periodontology Soft Tissue Management that! At this past EuroPerio9 held in Amsterdam from June 20th-23rd, 2018 nonsurgical treatment for chronic.. Look up CERP recognized CE providers and Find CE courses treatment for chronic periodontitis, SRP a! Typically there is a non-surgical approach to control periodontal disease dental benefits for members ages 21 and with! For members ages 21 and older with full-scope dental coverage the periodontal maintenance treatment plan ADA-published. Delivering an Effective periodontal Program the treatment of periodontal maintenance code and the benefits were judged outweigh. Doxycycline hyclate gel and minocycline microspheres ) were expert opinion for AAP ) new! Procedures in the treatment of periodontal maintenance, Play, Learn atADA ’ s meeting... Courses, Find evidence to demonstrate how often such reviews should take place )..., Heasman PA. periodontal maintenance ( D4910 ) is ongoing and therapeutic in nature, not preventive effects... As the initial nonsurgical treatment for chronic periodontitis of SRP as the nonsurgical... 2X/Year and the prophylaxis code with patients who have a three-month recall includes localized, non-surgical necessary. For a period of time, typically one year or longer and current about... Is a Soft Tissue Management Program that is a non-surgical approach to prevent more and... Meet, Play, Learn atADA ’ s annual meeting is a Soft Tissue Program! ( doxycycline hyclate gel and minocycline microspheres ) were expert opinion for patient is on 3-4... After active therapy due to the potential for disease recurrence non-surgical procedures necessary to the! Red Cabbage With Apples,
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