Perio_III

Periodontics III Summary Notes Enoch Ng
Conclusion
- Main reason for non-compliance is patients don’t attend their own dentist exclusively for maintenance therapy
- Tooth loss and perio deterioration was more marked in this group that patients who in addition attended
specialist office for maintenance therapy
- More is spent on oral health ($71Billion) than cancer ($62Billion)
o Heart conditions have the most ($90Billion)
- Average total expenditure for insurance covered patients is ~ $400
o Only 6-7% of all insured patients reach their yearly maximum
- Around half of all perio procedures are done by non-specialists
o Some preventative procedures are also perio procedures
Background Information and Dental Codes
- Dental benefits plans vary greatly between providers
- Not all carriers legally required to adhere to ADA standard
o Many states designate the ADA as standard for dental carriers, not-for-profit carries (Blue Cross, Delta),
are not governed by such provisions
- Many carriers created contracts based on old CDT codes – until these expire, they will not change over to new
CDT codes
o Insurance carriers typically have large in-house computer systems that are complex and may take time
to re-program
- Dental vs dental hygiene provided services
- Determine overall medical, oral, dental, and perio status
- Use appropriate CDT code regardless of patient insurance
o Clinical evaluation codes
o Preventative codes
o Non-surgical codes
o Surgical codes
o Implant codes
The Leadership Curve
X axis = leadership skill
Y axis = clinical range of clinical care provided
Clinical, organizational, and relationship skills are also
illustrated