I recently asked about sensitivity in an old filling and dentist said I have no visible decay around filling and either is a micro crack that will get better with time, or the filling is leaking slightly.
However, due to not being to the doc in yrs. I have accumulated funk on my teeth that I am not proud of. I have already made radial changes including oral irrigation and ordering a sonic toothbrush. However, doc indicated I need SRP and I am a little skeptical. I have my Xrays and perio chart. No bone loss, chart shows 122 sites at 1-3mm, and 46 sites at 4mm, nothing over 4. When I went to the dentist, I originally wanted cleaning and checkup but hygienist was back logged so I did not get cleaned before checkup. A friend said a good cleaning should be done BEFORE running right to SRP. I am not going to forgo if I need it but I am questioning if that is really needed if I can get back on my regular cleanings and fix home care.
I have images but cannot upload here. Can anyone share opinion on this?
Ya, that's a judgement call because you're somewhat borderline on your periodontal evaluation results. We normally like to see 1-3mm pockets and nothing above that. A 4mm pocket isn't too bad and a regular dental cleaning may take care of it. You may want to ask the dentist if a regular dental cleaning is possible and then a re-evaluation at 6 months to see how the gum health is at that time.
Sometimes a debridement is done prior to SRP due to the heavy amount of calculus and the benefits of removing the tartar to be able to do a better examination since the tartar covers up the teeth, etc.
Unfortunately I'm not able to do your radiographic and clinical exam so I can't give you a great solid answer. But if you're not comfortable with the recommendation, you may want to discuss with your dentist more thoroughly until you're comfortable with the treatment recommendations.
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