What do you do when a patient refuses periodontal treatment?

The ADA states, “If the patient refuses the proposed treatment, the dentist must inform the patient about the consequences of not accepting the treatment and get a signed informed refusal. However, obtaining an informed refusal does not release the dentist from the responsibility of providing a standard of care.

Is periodontal therapy necessary?

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance.

What counts as periodontal treatment?

Surgical treatments If you have advanced periodontitis, treatment may require dental surgery, such as: Flap surgery (pocket reduction surgery). Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing.

Is periodontal scaling and root planing necessary?

Scaling and root planing are not necessary for those with healthy gums. A dentist will only recommend the deep cleaning procedure if a patient has gum disease.

When is SRP indicated?

It is indicated for patients who have swollen, inflamed gingiva, generalized suprabony pockets, and moderate to severe bleeding on probing. It should not be reported in conjunction with prophylaxis, scaling and root planing, or debridement procedures.”

What are disadvantages of periodontal surgery?

Postoperative complications of surgical therapy can include bleeding, pain, and infection. Long-term negative outcomes may include a loss of periodontal attachment, gingival recession, and tooth sensitivity.

Can advanced periodontal disease be reversed?

Periodontitis can’t be reversed, only slowed down, while gingivitis can be reversed. This is why it’s important to catch it in its early stages and prevent it from moving on to periodontitis. Below are some ways you can reverse gingivitis so it doesn’t progress into something more serious.

Can a dentist refuse a patient a signed refusal form?

According to the American Dental Association (ADA), a dental office is not legally covered with signed refusal forms. The ADA states, “If the patient refuses the proposed treatment, the dentist must inform the patient about the consequences of not accepting the treatment and get a signed informed refusal.

What are the consequences of doing nothing or discontinuing periodontal treatment?

conditions
 caused
 by
 periodontal
 disease
 are
 irreversible. • Maintaining
 regular
 periodontal
 cleanings
 is
 essential. • Future
 re‐treatment
 of
 scaling
 and
 root
 planning
 may
 be
 necessary.
 The
 consequences
 of
 doing
 nothing
 or
 discontinuing
 treatment
 may
 be,
 but
 are
 not
 limited
 to: • Worsening
 of
 the
 disease


Can periodontal disease be reversible?

• Some
 of
 the
 conditions
 caused
 by
 periodontal
 disease
 are
 irreversible. • Maintaining
 regular
 periodontal
 cleanings
 is
 essential. • Future
 re‐treatment
 of
 scaling
 and
 root
 planning
 may
 be
 necessary.
 The
 consequences
 of
 doing
 nothing
 or
 discontinuing
 treatment
 may
 be,
 but
 are
 not
 limited
 to: • Worsening


What is periodontal disease?

PERIODONTAL TREATMENT REFUSAL FORM. I have been informed that I have periodontal disease. Periodontal disease stems from accumulation of plaque – sticky, colorless bacteria that form on teeth. Toxins produced by bacteria irritate the gums and harden into calculus (tartar), destroying the supporting tissue around the teeth.