Malek Periodontics
When To Refer
The following guidelines were developed to improve the effectiveness of our treatments to help ensure that our patients receive a positive experience with superior long-term outcomes:
Clinical Presentation / Condition
- 5mm+ probe depths particularly without multiple local factors (calculus/plaque)
- Vertical bone defect on radiograph
- Recession of 3mm+
- Exposed roots, furcation involvement
- Complex patients (co-morbidities perio + diabetes)
- Peri-implant disease, periodontal abscess (immediate referral)
- Patient age younger than 40 with bone loss and probe depths 4mm+
Treatment Resistant
- Post SRP 4-6 week re-eval (probe depths still remaining 6mm+ localized or generalized 5mm+)
- Unresolved inflammation at any given site
- Refractory/recurrent disease