Teaming Up about Scaling and Root Planing (informational)

From: Joel M. Eichen (joeleichen_at_yahoo.com)
Date: 12/30/04


Date: Thu, 30 Dec 2004 09:25:22 -0500


Okay its not sci.med.dentistry,
but there's good stuff there too!

Joel

**

http://tinyurl.com/63xdb

   DentalCom.net > Main Forum > Dental Hygienists
 Scaling and root planing
 

 
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  #10 Today, 09:18 AM
 Joel344
Member Join Date: Oct 2004
Posts: 1,178
 
 

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Cute SMILEY there, thanks.
   
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  #9 Yesterday, 10:28 AM
 Joel344
Member Join Date: Oct 2004
Posts: 1,178
 
 

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Thanks Marty,

We will check back later ........

Shad Lewis said we have to give Marty her own smiley.

The ones on the right are too small.

Joel

Here ya go ....

   
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  #8 12-28-2004, 12:58 PM
 MartyCollinsRDH
Member Join Date: Dec 2004
Location: Pennsylvania
Posts: 40
 
 
 

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Oh that is so nice of you. You are a very special person.
Its time to go, I'll be back later. You know, work!

Hugs,

Marty
  
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  #7 12-28-2004, 12:54 PM
Sue
Member Join Date: Oct 2004
Posts: 706
 
 No. I am not a hygienist.

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No.

My interest in dentistry:
I volunteer part-time for the MDA (Mn Dental Association). I also have
started an initiative to help get high-risk children in to see a
dentist (at a local elementary school).

My fulltime occupation:
Medical research. I work for Medtronic, Inc ---> www. medtronic.com
(in case you are curious about us).

My research is in medical device therapies and diagnostics used for
the management of heart failure. As a company however, we are involved
in much more.

Description:
"Medtronic is the world leader in medical technology providing
lifelong solutions for people with chronic disease. We offer products,
therapies and services that enhance or extend the lives of millions of
people. Each year, 2.5 million patients benefit from Medtronic's
technology, used to treat conditions such as heart disease,
neurological disorders, and vascular illnesses."

Hugs,
Sue
  
Sue
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  #6 12-28-2004, 12:42 PM
 MartyCollinsRDH
Member Join Date: Dec 2004
Location: Pennsylvania
Posts: 40
 
 
 

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Thank you too Sue. Are you a dental hygienist?

Hugs,

Marty
  
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  #5 12-27-2004, 04:30 PM
Sue
Member Join Date: Oct 2004
Posts: 706
 
 

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Hey Marty. THANK YOU! I was hoping you would share your expertise!

-Sincerely, Sue
  
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  #4 12-27-2004, 04:18 PM
 MartyCollinsRDH
Member Join Date: Dec 2004
Location: Pennsylvania
Posts: 40
 
 
 

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Hi!

I can help you out here (been a hygienist for 2 plus years). From what
I can "gather" from your post. You haven't had your teeth cleaned in a
while. You can expect to be a little sore, and most likely you won't
even need an ibuprofen to help you out. This of course will vary if
you are a: smoker, have heavy deposits under the gums, and vary on how
much inflammation is present. Not all people need anesthetic for SRP
(Scaling and root planning). I have seen, unfortunately, some
practioners due this procedure with out explaining the risk/benefits
to the patient. This is sad that they didn't talk to you about it.

Gum disease, aka. periodontitis otherwise known as a chronic
infection, can cause the eventually loss of your teeth and effect your
health if you don't take care of it. Good communication, not to
mention your role in your own oral health is vital. The
dentist/hygienist can't help you get better and prevent this if they
don't explain to you what they are doing and why they are doing it.
There is a lot that goes into treating "gum disease" then just going
in a getting the procedure and hoping that waving a magic wand will
make it go away.

I would ask them to explain to what extent your periodontitis has
progressed (yes, there are different levels). (Ask them to see your
probe chart and to EXPLAIN it to you.) Ask them about the risk factors
to your health, and let you know you are anxious and to use good pain
control methods so they can do a good job and you can be comfortable.

In general, Scaling and Root Planing is done by quadrants or halves.
You will be able to chew on one side, and they will (should) use
topical anesthetic. Don't be afraid, though it is natural, but the
dentist/hygienist will be as gentle as possible.

Ask the dentist and hygienist about the procedure, and mention to them
about your dinner plans. Also, let them know about your anxiety about
the procedure (which is minimally invasive, at best). The topical
anesthetic is there to keep you comfortable, as the hand instruments
can put a bit of pressure on sensitive (possibly inflamed and more
sensitive than usual) tissue.

This is something that is routinely done, but it is odd that he didn't
mention your gingival health before scheduling a scaling and root
planing appt. Be sure to discuss the issue (if any) before the
procedure. That way you are in the know and both of you are happy. I'm
sure he/she's just trying to keep you healthy. It's rare (at least I
think so) to come across a dentist who is so periodontally involved,
and it's a good thing he is so perio happy.

Communication goes a long way in this arena. Believe me.

Hugs,

Marty
  
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  #3 12-27-2004, 02:27 PM
Sue
Member Join Date: Oct 2004
Posts: 706
 
 

--------------------------------------------------------------------------------

Quote:
Originally Posted by William Boynton
Scaling and Root Planing!!

Hello,

I have an appt. for scaling and root planing, but the dentist did not
say that I had any type of gum disease, just that it had been so long
since my last cleaning that I needed to do the procedure. Do dentists
ever just do this procedure for "deep cleaning"? I am supposed to go
to a dinner that night, will I be able to? How much pain will I be in?

Also, I am terrified of the dentist, I had one root canal done
recently, and that went OK, but I am still very scared. This fear is
what kept me from going to the dentist for about 5-6 years and is
probably why I have to get this procedure done. I have had surgery
before and been less scared! Is this a painful procedure?

Thank you so much for reading!

William Boynton
This message sent from my Blackberry

William,

I am not a dentist but I can empathize with your root canal situation.
Usually these are not painful procedures, but sometimes they may not
get all of the canals... (sorry dentoids if I am mistating this).

Anway that is what I was told when I experienced a lot of pain
following a RC. They had to redo it... then the pain went away.

I don't think that root planing or scaling are painful at all.. can a
dentist or hygienist please speak to this?

As far as being afraid of the dentists.. the best advice that I can
give you there is to keep up on your home maintenance and visit the
dentist AT LEAST yearly (every 6 mos preferably). This way you likely
will not run into big problems down the road. It is a matter of upkeep
and preventive maintenance. These visits are painless. It is when you
have significant teeth problems... that's when you may experience some
pain... but even then there are new techniques to minimize pain during
these procedures.

Check out Mac Lee's site: http://www.ihatedentists.com/

 Sue

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Last edited by Sue : 12-27-2004 at 02:30 PM.
  
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  #2 12-27-2004, 02:18 PM
 shadlewis
Wet-Gloved Dentist Join Date: Oct 2004
Posts: 183
 
 

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It always make me happy when I see people diagnosing dental problems
over the phone.
  
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  #1 12-27-2004, 01:07 PM
William Boynton
Member Join Date: Dec 2004
Posts: 1
 
 Scaling and root planing

--------------------------------------------------------------------------------

Scaling and Root Planing!!

Hello,

I have an appt. for scaling and root planing, but the dentist did not
say that I had any type of gum disease, just that it had been so long
since my last cleaning that I needed to do the procedure. Do dentists
ever just do this procedure for "deep cleaning"? I am supposed to go
to a dinner that night, will I be able to? How much pain will I be in?

Also, I am terrified of the dentist, I had one root canal done
recently, and that went OK, but I am still very scared. This fear is
what kept me from going to the dentist for about 5-6 years and is
probably why I have to get this procedure done. I have had surgery
before and been less scared! Is this a painful procedure?

Thank you so much for reading!

William Boynton
This message sent from my Blackberry
  
William Boynton
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