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1 26th January 20:34
katie
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Posts: 1
Default Do I *really* need root planing?


I went to a new dentist today, and he informed me that I need to come
back in for a root planing. Here is my background:

*30 year old female
*1 cavity ever (10 years ago)
*floss about every other day- usually no bleeding unless I am near my
period
*pockets of mostly 2-3 mm, a couple 4mm, and one 5mm (they say)

Am I really a candidate for this procedure, or am I being scammed? My
previous dentist had mentioned one tooth with a 4mm pocket, which he
has been watching for several years with no change to it, and he has
never mentioned root planing before- never even heard of it.

Thanks!
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2 26th January 20:34
dr steve
External User
 
Posts: 1
Default Do I *really* need root planing?


Who knows from a monitor in Michigan?

But,,,,,,,,, if your report is accurate,,,,,,,, you *might* need to scale
and root plane that one 5mm surface, or you might not.

HMO or PPO insurance scheme , right?

--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
DrSteve@Mancuso.d.d.s.com
{remove first 3 dots for email}
.................................................. ...

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
Please ignore j..d...
~~~~``````````#####----
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3 27th January 11:18
joel m. eichen d.d.s.
External User
 
Posts: 1
Default Do I *really* need root planing?


I am gussing but I say you do not need it .......

NOW I will read the rest of your post!


Joel

--
Joel M. Eichen, D.D.S.
Philadelphia PA

http://www.phillyducks.com
We’re Just A Duck Call Away!


STANDARD DISCLAIMER applies ~
meaning no one IN PENNSYLVANIA
has seen the tooth or teeth in
question so take this advice in
proper context ~ its the internet!

We is guessin'!
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4 28th January 02:38
tony bad
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Posts: 1
Default Do I *really* need root planing?


It is impossible to be certain without an exam, however, this is a procedure
that is done far more often then it is really needed. I also find many cases
where the office calls it "scaling and root planing" while doing little more
then a thorough cleaning. Your dental profile does not sound like the usual
candidate for scaling, but without a look at x-rays and such, no one can be
certain.

If you have doubts, get another opinion.

T
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5 28th January 02:38
fmn
External User
 
Posts: 1
Default Do I *really* need root planing?


This at first smells of a "soft tissue management program"-translated as a
way some unscrupulous dentists try to increase their income in the hygiene
area. Keep in mind, though it may not be as Steve says here.
The pocket depths have been a measure that has been paid attention to as at
least a concrete measure. Also as Steve alludes to, if 10 people measured,
the measurements would vary a lot. So I am saying you cannot just judge the
measurement. For instance, if you have heavy tartar and gum recession and a
3 mm pocket that would possibly need root planing. If the gums are healthy
and not inflamed (noted by lack of bleeding when probed normally) a tooth
with a 3 mm pocket probably doesn't need root planing.
Now, as a side bar here, many conscientious hygienists have tried to get
another therapy code called scaling only for people with heavy tartar, but
have been unsuccessful, so we have been forced to use the more involved
scaling and root planing code for insurance and just lower the fee per
quadrant for those heavy tartar cases.
There is a code called scaling in the presence of inflammation that probably
fits your case better. This is designed as a "rough scaling" in one visit,
let it heal then "fine scale" after healing, but no root planing in
involved.
True root planing is done when significant pockets and active disease are
present which on the surface with your info you gave us, you don't fit.
The normal fee for scale and root plane is from $150-$200 per quadrant of
your mouth. So if the fee for service is $600-$$800 you are probably
getting ripped off. If, however, the fee is say $50 per quadrant due to
less time needed and the total is reasonable around $200 plus or minus $50,
then you may have a very conscientious dentist and hygienist. But again,
there are many factors besides pocket depth.
fmn
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6 30th January 13:10
dr steve
External User
 
Posts: 1
Default Do I *really* need root planing?


George,

CDT-4 eliminates the code for scaling and root planing int he presence of
inflammation. It replaces it with gross debridement to allow for diagnosis.

--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
DrSteve@Mancuso.d.d.s.com
{remove first 3 dots for email}
.................................................. ...

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
Please ignore j..d...
~~~~``````````#####----
  Reply With Quote
7 30th January 13:10
wb
External User
 
Posts: 1
Default Do I *really* need root planing?


Not my post but thanks.
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8 30th January 13:10
dr steve
External User
 
Posts: 1
Default Do I *really* need root planing?


whoops, sorry.

--
~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
DrSteve@Mancuso.d.d.s.com
{remove first 3 dots for email}
.................................................. ...

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
.......................
Please ignore j..d...
~~~~``````````#####----
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