Revaluation In this step you need to know if the patient is following a good oral hygiene regimen and if you did a good job with your scaling and root planning in addition to the hygiene instruction, so you should Re-evaluate results of initial therapy (4-6 weeks after initial therapy) and Re-evaluate oral hygiene status of the patient using the Bleeding and plaque score.
Compare with initial findings:
Therefore, a patient to be ready for re-evaluation must have no obvious calculus present clinically and have all local etiologic factors eliminated, "hopeless" teeth extracted, carious teeth filled, over hanged restorations or over contoured crowns corrected and the patients achieved a satisfactory level of oral hygiene (assess plaque control (<20%), bleeding score (<18%), assess tissues response to initial treatment, plan further treatment that should take the form of a definitive treatment plan and may include maintenance care or periodontal surgery.
Recall/Maintenance (Supportive Therapy) Recall visits should be depending on the Periodontal Status and clinicians judgment.
1. Patients with high motivation and no systemic conditions (every 6 months).
2. Patients with moderate or severe periodontal disease (3-4 months or even earlier in high risk patients).
On each recall visit. The following should be emphasized:
1. Evaluation of the current oral health status.
2. Necessary maintenance treatment.
3. See if recurrence of disease or any other dental treatment needed.
4. Provide necessary periodontal scaling and root planning.
5. Patient motivation
Unless otherwise mentioned by the instructor, perform the following:
1. Use Williams periodontal probe
2. Determine the location of CEJ in relation to GM, if not visible consider GM-CEJ= -3mm (normal)
Detectable increased tooth mobility not exceeding 1 mm of bucco-lingual movement
Detectable increased tooth mobility in excess of 1 mm but less than 2 mm of B-L movement
Detectable increased tooth mobility in excess of 2 mm B-L movement or clinically evident apical movement upon application of force with an instrument handle on the tooth crown directed in an apical direction6>