NEW FROM THE DDS GUARDIAN
PERIODONTAL DISEASE TREATMENT: BEST PRACTICES TO IMPROVE OUTCOMES AND MITIGATE RISK
Julie Goldberg, DDS - Education Coordinator
Periodontal disease is the most common cause of tooth loss among adults.1
Mismanagement of this disease can lead to patient dissatisfaction, allegations of
supervised neglect, and failed implants. This article will cover best practices to improve
patient outcomes and mitigate risk related to the assessment and treatment of
Identify risk factors and indicators
Review existing office health history forms
The health history form may provide the first opportunity to identify patients who are at
risk for periodontal disease. Pre-existing health issues and behaviors that may indicate
an increased risk of periodontal disease includes: diabetes, xerostomia, smoking,
electronic cigarette and smokeless tobacco use, and any barriers to maintaining oral
hygiene. Including these conditions and habits on your health history form provides an
opportunity to discuss treatment of the condition or cessation of the habit.
Evaluate a patient’s health history responses and document any clarifying
Reviewing your patient’s health history forms for accuracy, can help provide a thorough
understanding of the patient’s condition and dental habits. For example, many
patients are unaware that they may be prone to xerostomia with certain medications.
A discussion with the patient to confirm their self-reported history also allows you
an opportunity to educate the patient on their identified periodontal disease risks.
Subsequent documentation of these discussions in the patient’s chart further supports