There's a code for that!
Take 5: Perio Tx Planning
Periodontal Assess-
-ment Components
An RDH's favorite "pie". Yum!!
100

Includes the removal of plaque, stain and calculus from tooth structures...thereby preventing disease initiation.

What is D1110 Adult Prophylaxis?

100

Data collection, immediate needs met (ER, EXT's, Etc), also referred to as "emergency therapy"

What is Phase 0- Assessment and Preliminary Therapy?

100

Can occur immediately when the site is probed or be delayed; excessive force may cause bleeding (ideal pressure is 10-20g)

What is bleeding on probing (BOP)?

100

The palpable or visible movement of a tooth when in function; can be assessed with a gloved finger placed on tooth while the patient either taps or simulates chewing

What is Fremitus?

100

Performing a comprehensive periodontal evaluation

What is to assess?

200

Involves the therapeutic treatment of 4 or more periodontally involved teeth per quadrant...

What is D4341 Scaling and Root Planing Generalized per Quadrant?

200

All nonsurgical measures used to control gingivitis and perio including instrumentation and OHI; also called 'bacterial control and anti-infective therapy"

What is Phase I Nonsurgical Periodontal Therapy (NSPT)?

200

Also called suppuration or pus (dead white blood cells), ONLY occurs in infection, easiest to detect by tissue manipulation

What is presence of exudate?

200

Occurs on multi-rooted teeth when periodontal infection invades the bone around the roots; detected with blunt-ended, curved probes

What is Furcation Involvement?

200

Arriving at periodontal diagnosis or diagnoses

What is to diagnose?

300

Involves therapeutic treatment of 1 to 3 periodontally involved teeth per quadrant...

What is D4342 Scaling and Root Planing Localized per Quadrant?

300

Periodontal surgery, placement of implants, & root canal therapy

What is Phase II Surgical Therapy?

300

Measurement from the free gingival margin to the base of the pocket; depths are recorded for six sites on each tooth.

What are probing depths?
300
Local contributing factor that must be removed for successful tx; NSPT is indicated.

What is presence of calculus deposits?

300

Establishing a master plan for periodontal therapy

What is a plan?

400

Follows the completion of active therapy to treat periodontal infection for the lifetime of the dentition...may also include site specific scaling and root planing for areas of localized disease recurrence.

What is D4910 Periodontal Maintenance?
400

Splinting teeth, restorations, replacement of missing teeth by fixed or removable prostheses

What is Phase III Restorative Therapy?

400
The measurement of the relationship of free gingival margin to the CEJ

What is the Level of the Free Gingival Margin?

400

A recording of the overt signs of inflammation; erythema, edema, and changes in color and contour

What is a gingival description (GD)?

400

Performing the periodontal therapy by the members of the team

What is to implement?

500

The removal of plaque, calculus and stains from supra- and sub-gingival tooth surfaces when there is generalized moderate or severe gingival inflammation in the absence of periodontitis

What is D4346 Scaling in the presence of generalized moderate, or severe gingival inflammation – full mouth, after oral evaluation?

500
This phase is used to maintain teeth functioning throughout life, the goal is to prevent recurrence of disease

What is Phase IV Periodontal Maintenance

500

Movement of a tooth in either a horizontal or vertical direction

What is tooth mobility?

500

Estimate of the periodontal support around the tooth as measured with a periodontal probe; loss of attachment is a critical factor in distinguishing between gingivitis and periodontitis

What is Clinical Attachment Level (CAL)?

500
Reevaluating the response to any periodontal therapy provided

What is to evaluate?