Dr.

Henry Yonatan Mandalas

DMD (Phils)
Sp.Perio (INA)
Periodontic Department
MHKes (INA)
Faculty of Dentistry
Maranatha Christian University
2017
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 A primary goal of periodontal therapy is
to reduce the burden of pathogenic
bacteria and thereby reduce the
potential for progressive inflammation
and recurrence of disease.
 Emerging evidence of possible perio-
systemic links further reinforces the
need for good periodontal health

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Suggestions for Implementation of a Periodontal
Treatment Protocol in the General Practice Setting

 General dentists and dental hygienists should

schedule a meeting with referring periodontists and
their dental hygienists to share philosophies of
periodontal treatment and establish clarity for
referrals.
 Schedule a team meeting workshop to bring all office
staff up-to-date regarding periodontal assessments,
diagnosis, case types, periodontal risk factors,
individualized treatment of periodontal diseases,
consequences of nontreatment (tooth loss and
possible systemic involvement), and the value of
periodontal maintenance.
 Establish continuity of the verbal skills and
terminology the office staff will utilize to communicate
effectively to patients about periodontal conditions.

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 Include assessments and diagnosis of periodontal
diseases in all new patient visits, routine prophylaxis
appointments, and ongoing periodontal maintenance
to insure no patient is overlooked regarding
diagnosis of developing periodontal disease or
recurring disease.
 Select appropriate ADA Insurance Procedure Codes
for reporting periodontal procedures in order to
maximize the patient’s benefit.
 Share insurance information with patients to assist
them in reducing their dependence on dental
insurance benefits, thereby enabling them to make
independent health decisions related to treatment of
periodontal diseases

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Reference
 Larry A. Sweeting, DDS; Karen Davis,
RDH, BSDH; Charles M. Cobb, DDS,
PhD, Periodontal Treatment Protocol
(PTP) for the General Dental Practice.
The Journal of Dental Hygiene.
 Michael G. Newman, Henry H. Takei,
Perry R. Klokkevold, Fermin A.
Carranza. Carranza’s Clinical
Periodontology. 10th ed. St. Louis:
Elsevier Inc; 2006

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