Transcript Referral Guidelines

Guidelines for the Management
of Patients with Periodontal
Diseases
Correlation of PreViser Scores with
AAP Guidelines
Treatment Guidelines Premises




Most patients are referred when disease is
severe resulting in more tooth loss and
treatment that is complex and expensive
When treatment is initiated during the early
stages of disease, success is more likely,
treatment is more conservative, and fewer teeth
are lost
Risk predicts the future severity of disease
Treatment including the need for referral to a
periodontist should be based on Risk and
Disease
Courtesy PreViser Corporation, all rights reserved
Initial Disease State and Risk Level
Health
Gingivitis
Beginning
Periodontitis
Moderate
Periodontitis
Severe
Periodontitis
Very high risk
High risk
Moderate risk
Low risk
Very low risk
Each patient will occupy precisely one cell in the grid
Courtesy PreViser Corporation, all rights reserved
AAP Guidelines and PreViser
Initial Scores
Health
Gingivitis
Mild
Periodontitis
Moderate
Periodontitis
Severe
Periodontitis
Very high risk
Risk = 5
Disease = 1
Risk = 5
Disease = 2-3
Risk = 5
Disease = 4-10
Risk = 5
Disease = 11-36
Risk = 5
Disease = 37-100
High risk
Risk = 4
Disease = 1
Risk = 4
Disease = 2-3
Risk = 4
Disease = 4-10
Risk = 4
Disease = 11-36
Risk = 4
Disease = 37-100
Moderate risk
Risk = 3
Disease = 1
Risk = 3
Disease = 2-3
Risk = 3
Disease = 4-10
Risk = 3
Disease = 11-36
Risk = 3
Disease = 37-100
Low risk
Risk = 2
Disease = 1
Risk = 2
Disease = 2-3
Risk = 2
Disease = 4-10
Risk = 2
Disease = 11-36
Risk = 2
Disease = 37-100
Very low risk
Risk = 1
Disease = 1
Risk = 1
Disease = 2-3
Risk = 1
Disease = 4-10
Risk = 1
Disease = 11-36
Risk = 1
Disease = 37-100
Patients who should be treated by a periodontist
Patients who would likely benefit from co-management by the referring
dentist and the periodontist
Patients who may benefit from co-management by the referring dentist and
the periodontist
Patients whose needs can best be provided by the general dentist
Courtesy PreViser Corporation, all rights reserved
AAP Guidelines and PreViser
Risk Change
Previous Risk
Current Risk
Very High
Risk
High Risk
Moderate
Risk
Low Risk
Very Low
Risk
Very high risk
5 to 5
5 to 4
5 to 3
5 to 2
5 to 1
High risk
4 to 5
4 to 4
4 to 3
4 to 2
4 to 1
Moderate risk
3 to 5
3 to 4
3 to 3
3 to 2
3 to 1
Low risk
2 to 5
2 to 4
2 to 3
2 to 2
2 to 1
Very low risk
1 to 5
1 to 4
1 to 3
1 to 2
1 to 1
Patients who should be treated by a periodontist
Patients who would likely benefit from co-management by the referring
dentist and the periodontist
Patients who may benefit from co-management by the referring dentist and
the periodontist
Patients whose needs can best be provided by the general dentist
Courtesy PreViser Corporation, all rights reserved
AAP Guidelines and PreViser
Disease Change*
Previous Disease
* This graphic is
approximate, as AAPPreViser guidelines
expand 5 categories of
disease to 9
Current Disease
Severe
Periodontitis
Moderate
Periodontitis
Mild
Periodontitis
Gingivitis
Health
Severe
Periodontitis
Moderate
Periodontitis
Mild
Periodontitis
Gingivitis
Health
Patients who should be treated by a periodontist
Patients who would likely benefit from co-management by the referring
dentist and the periodontist
Patients who may benefit from co-management by the referring dentist and
the periodontist
Patients whose needs can best be provided by the general dentist
Courtesy PreViser Corporation, all rights reserved