Michele recently asked us this question so we will explain to you as we explained to her. During the patient’s first visit to our office, if there is no immediate emergency problem, we will do a complete and comprehensive dental examination as we have described in a previous blog. We do not read the full mouth series of X-Rays until after the patient’s first visit as we do so in a non-rushed environment so that nothing is missed. We compare our notes, radiographic and photographic findings as well, and come up with a specific treatment plan for that patient based on their needs and in the order that benefits them best.
Additionally, there are different types of “cleanings”, that may be needed. There can be a simple prophy, a scaling in the presence of gingivitis, periodontal scaling and root planning, or even a gross scaling based on the individual’s situation. To determine this, we utilize all of the information we obtained and then plan out the sequence of treatment based on that patient’s findings. We also want to make sure that we do no harm to the patient such as having an old restoration with decay come out during the “cleaning” without notifying the patient first of that potential risk if it is defective or has decay underneath it. If we are worried about that or if there are infections or other problems that are of a higher priority, then we will address them first. We also must make sure from a medical/medication standpoint that there are no concerns prior to any dental treatment. For these reasons we will schedule the patient for a “diagnosis” appointment after this initial visit before any treatment is done and explain what is needed and answer any questions the patient may have.
(The information contained in this article is strictly for educational purposes and is not meant to replace the professional knowledge or advice of your personal dentist.)
