834: Hygiene Exam Essentials Part 2: AAP Staging & Grading – Katrina Sanders

Over half of your patients have some form of periodontitis — and they don't even know it! How many are you letting walk out of your doors? It’s time to empower patients by helping them to understand and treat their disease. In this final part of her Master Class, Katrina Sanders, The Dental WINEgenist, shares key tools and resources to help you build confidence in diagnosing, treating, and improving the clinical outcomes of your perio patients. To get patients closer to 100% health, listen to Episode 834 of The Best Practices Show!

Learn More About Katrina:

• Send Katrina an email: info@katrinasanders.com 
• Join Katrina on Facebook: https://www.facebook.com/TheDentalWINEgenist
• Follow Katrina on Instagram: https://www.instagram.com/thedentalwinegenist
• Learn more on Katrina’s website: https://katrinasanders.com

More Helpful Links for a Better Practice & a Better Life:

• Subscribe to The Best Practices Show: https://the-best-practices-show.captivate.fm/listen
• Join The Best Practices Association: https://www.actdental.com/bpa
• Join ACT’s To The Top Study Club: https://www.actdental.com/ttt
• See the ACT Dental/BPA Live Event Schedule: https://www.actdental.com/event
• Get The Best Practices Magazine for free: https://www.actdental.com/magazine
• Please leave us a review on the podcast: https://podcasts.apple.com/us/podcast/the-best-practices-show-with-kirk-behrendt/id1223838218

Episode Resources:

• Watch the video version of Episode 834: https://www.youtube.com/@actdental/videos
• Try PDT’s hygiene kits: https://pdtdental.com/collections/hygiene-kits
• Try PDT’s gingival inflammation kit: https://pdtdental.com/products/gingival-inflammation-kit
• Try PDT’s debridement kit: https://pdtdental.com/products/gross-debridement-kit
• Try the BioGaia Prodentis probiotics: https://www.biogaia.com/collections/all/Dental-health

Main Takeaways:

• Incorporate the learnings from Part 1 of this lecture!
• Stop waiting to recommend treatment until later stages of disease.
• Periodontal disease can present differently from one patient to another.
• Understand AAP’s staging and grading system to accurately diagnose patients.
• Learn how to effectively communicate the urgency of your patients’ level of disease.  
• Empower patients to improve home care by recommending innovative oral health tools.

Snippets:

0:00 Introduction.

4:53 The prevalence of periodontitis.

15:33 Don't wait to tell patients about their level of disease.

25:25 Katrina’s background and objectives.

26:42 Staging and grading is not an exact science.

29:14 The framework for staging and grading.

40:06 The spectrum of clinical health.

43:58 Case example: Intact periodontium.

45:43 Case example: Reduced periodontium.

50:13 Case example: Reduced periodontium (non-periodontitis).

51:16 Case example: Reduced periodontium (successfully treated periodontitis).

52:43 Case example: Intact periodontium (incipient gingivitis).

56:10 Case example: Stable patient on reduced periodontium (non-periodontitis).

59:50 Case example: Stable patient on reduced periodontium (successfully treated perio).

1:03:11 Case example: Gingivitis on a reduced periodontium (successfully treated perio).

1:06:25 Effectively select the appropriate instruments.

1:07:48 PDT kit for hygiene.

1:11:39 Dental biofilm-induced gingivitis.

1:12:25 Non-dental biofilm-induced gingivitis.

1:14:29 Gingivitis, defined.

1:16:39 Case example: Moderate to severe gingivitis (intact periodontium).

1:18:44 Case example: Gingivitis on reduced periodontium (non-periodontitis).

1:20:51 PDT kit for gingival inflammation.

1:22:36 Patient empowerment: Stannous Fluoride.

1:25:16 Patient empowerment: Oscillating rotating-motion toothbrush.

1:28:13 The AAP guidelines for staging patients.

1:36:15 PDT kit for debridement.

1:37:59 The AAP guidelines for staging patients, continued.

1:39:37 The AAP guidelines for grading patients.

1:46:50 Patient empowerment: Dental-specific probiotics.

1:51:34 Katrina’s free webinar.

1:53:17 Q&A: How do we legally deal with patients who refuse periodontal treatment?

1:56:07 Q&A: How do you explain the cost difference of a prophy and perio maintenance?

1:59:08 Conclusion.

Katrina M. Sanders RDH, BSDH, M.Ed, RF Bio:

In the ever-changing world of dental science where research, technology, and techniques for patient care are constantly evolving, dental professionals look to continuing education to provide insight, deliver actionable steps, empower, and create a dramatic impact within their clinical practice.

With wit, charm, and a dash of humor, Katrina Sanders enchants dental professionals with her course deliverables, insightful content, and delightful inspiration. Her message of empowerment rings mighty throughout her lectures and stirs a deep sense of motivation amongst course participants.

Katrina is the Clinical Liaison for AZPerio, the country's largest periodontal practice. She performs clinically, working alongside Diplomates to the American Board of Periodontology in the surgical operatory. Katrina perfected techniques during L.A.N.A.P. surgery, suture placement, IV therapy, and blood draws. She instructs on collaborative professionalism and standard-of-care protocols while delivering education through hygiene boot camps and study clubs.