Do you have Gum Disease? | A Brown Girl, RDH

Do you have Gum Disease? | A Brown Girl, RDH



they don't have a history a recent history of going to the dentist's itself what am i can'tbreathe probably won't be smelling the way it does hey y'all it should go jazzy and today I'm back with another video in today's video will be about how I present treatment plans to the patient so first off of course I'm a hygienist so typically on an everyday basis treatment plants that I've really present present to the patient that to really explain to them in order for them to accept the treatment sometimes I do is play the restorative side what like the doctor usually completes like crowns or bridges or extractions things like that but for the most part the young ladies in the front office they typically explain the treatment plans more in detail for the doctor because they're usually discussing on you know the financial portion as well but sometimes I tend to kind of go ahead and pre explain it to them just so when once they get to the front they'll be hearing it for a second time and then you know the more you sort of hear the same thing then maybe the more you know register and something important that they really should get done or that they really should consider for the most part the treatment plans that I present as a hygienist are usually the procedures that I would do for instance like psyllids or scaling and root planing aka a deep cleaning or sometimes some people say para dar therapy ok y'all so we'll jump right into it so like I said today this video and B about treatment planning and how I present treatment plans to patient for this video I'll you just call it a deep cleaning because that's what most people call it especially those who are not in the dental field so what if the patient comes in even pretty much at check-in if they're talking sometimes I just so happen will be at the front desk since the patients are talking those who do have like uncontrolled gum disease or periodontal disease you can actually smell it like it's a certain smell that it has so I pretty much already know what it will be and especially they're a new patient more than likely they're not like a they don't have a history in history of going to the dinners and so what are locking their breath probably won't be smelling the way it does so it is that strong to where you can stand six feet away from them and still smell it so anywho I'll go ahead and take them to the bag and we'll start with x-rays once I take their x-rays on that first initial image that comes on that populates on the screen I pretty much used it as a guide tool you know I pretty much go ahead and Amelia sense like there a bone level i amelia senses they have any build-up underneath their gums any decay present anything like that so and also to as I'm taking the x-rays I'm asking them to open their mouth to place the sensor in their mouth I'm checking out the help of their gum tissue you know how their teeth look visibly to the naked eye how much build-up they may have everything so I just I know I usually don't say much as I'm going around other they're like open closed bite down here things like that but I go ahead and take all of my images once I take all of my images at that point what I usually do is whenever I see in the x-ray I usually go ahead and take at least like three four five minutes to explain to the patient what I see so that they have you know a lot of decay present if they have a lot of bone loss and let me put this in for people too as hydrogen is we're not legally able to actually say a patient has a cavity that's up to the doctor but I usually tell them hey you do have you have a lot of cavities that's going on and if they do or you have a lot of decay present but when dr. so-and-so comes in to complete his or her exam they will let you know for sure which areas they will say need to be fixed if they find any broken teeth the certain number of cavities that you may or may not have anything they will let you know for sure but I kind of go ahead and give them a pretense of of what's what and plus when the doctor does come in and basically reiterate everything I just said saves time because if you spent all that time with the patient and then a doctor comes in and then that's the patient's first time hearing it they're just like what they had like a thousand questions to ask which there's no problem but you couldn't just you know answer all those questions before the doctor came come it comes in and then everything just kind of goes smoother but anywho so for this video purpose we'll just add this if the patient that I'm seeing has a lot of bone loss and a lot of buildup so after I take the x-rays I say okay what I see so far is that you do have a lot of bone loss present I say hey has it been like awhile since you went to the dentist if they say yes then I say okay and I'll jump right in to explain to them the importance of bone and reasons the bone loss may have occurred if I said well no I usually see the dentist every three months or four months and I just wanted to try out a new dentist I'm saying well okay well the bone loss has already happened in the past but I'm assuming since you see a dentist every three months you're maintaining it at this level so we will pick up from here and each time you come in we'll continue to you know check your bone level to make sure it's maintaining so for that patient okay everything is pretty much good they're placed on you know pareo maintenance recall so but we'll use for this video purpose a patient there a new patient haven't been to the dentist in ten years and this is what I see on the x-ray I'll say okay you have a lot of bonus present and you have a lot of buildup now we're gonna really need to get this under control by what we call it deep cleaning when you hear sometimes we call it scaling and root planing from our perspective but you may hear people in layman's terms say a deep cleaning it says that same thing we just call it something different on paper and they'll say usually well what exactly is a deep cleaning so I say okay first off every tooth is held inside your mouth by bone just like a tree is stuck inside the ground a tree has roots that anchors to treat underneath the ground and keeps the tree from falling over same with your teeth every tooth has roots on it there or a root that anchors the tooth it keeps it embedded inside the bone now just like a tree just because the tree has roots on it if you wants to remove all repeat all the ground all the dirt away from a tree whether it has roots or not the tree will still just collapse over fall over because there's nothing that's holding the tree in place it does say yeah I get it okay your teeth are the same way your teeth are only held in your mouth and there are only reason they are stable is because they're stuck inside of bone the more bone logs you have the more loose or the more wiggle room or the less support that your teeth will have to at some point some patients come in and they have so much bone loss their teacher just like wiggling it's just like waving in the wind I you can just wing it like a baby tooth like it's about to fall out I said no that's in a very bad case depending on what their case is I'm usually very upfront honest I would say you're just kind of similar or your does not that bad but that's the end of the story if we don't get on top of it and get it under control so at this point how you say when patients have any degree of bone loss we categorize them or determine them to have what we call periodontal disease Lehman's people say gum disease but it's all the same thing but we just called it periodontal disease it that is is where there there's always good and bad bacteria present in your mouth now when you brush and floss at home and use mouthwash all of those are things you do actions you take to kind of help prevent the bank the bad bacteria for building up to a good amount you always want to keep it at low levels the bacteria is always present it's just that when it builds up to large levels it tends to get out of control and bad things can start to happen so I tell them that basically when the bacteria the bad bacteria builds up in your mouth it starts to eat away at your bone to your teeth it causes cavities but to your bone it starts to eat away at your bone and causes your bone to break down to your gum tissue it makes your gum tissue swell some people's turn really red some people's bleed a lot when they even brush or eat foods some people's even hurt really bad like it's really sore that's what we call a gingivitis but a controlled gingivitis leads into gum disease and then I usually give them a sample of like diabetes when you go to the doctor the doctor kind of sees your sugar levels are high they may say oh you're borderline diabetic or you're a pre-diabetic but if you go ahead and dress it now it won't turn into a full-blown diabetes but if you don't it will now once it turns into diabetes is really not reversible at that point whether you you're a severe diabetic or not a severe diabetic you're still a diabetic and you're treated as such now once you have diabetes you're either controlled or uncontrolled to get it under control you can exercise change your lifestyle change your diet you can eat right take your medicine and everything's for the most part it's pretty good or if you don't eat right don't exercise don't take your medicine don't usually follow the recommendations that the doctors say it's going to be uncontrolled and when things remain uncontrolled for long periods of time where sometimes even short periods of time bad things can start to happen and when bad things happen there's no coming back from it same thing with your teeth you can address it and jump on top of it with the gingivitis and get your gums back in shape whip them back in shape and everything is pretty good or if you let it continue to get out of control it will eventually evolve into periodontal disease once you have a periodontal disease you can get it under control by having a deep cleaning getting your teeth cleaned at that moment staying on track always coming to the dentist every three to four months or if you don't it will continue to progress and progress in the end of the story at some point you'll notice your teeth will starting to get loose because the bone is losing and sometimes no matter you have perfect teeth if you have a lot of bone loss and all the support is gone their teeth Majors have to come out or they will fall out by themselves now the important thing to know about the bone you're in your mouth is that once it's lost is pretty much lost it's never able to just drastically you know be lost and then drastically regrow again so a cleaning is not a way to make it come back it's not a way to make it magically perfect but it's a way to get it under control and to maintain it from that moment on that's why it's important to once you have the deep cleaning done to always come back to the dentist you know will place you on a certain recall whether three months four months or whatever it may be to always come back forever and ever or you know I throw in a little joke sometimes like or just as long as you however long you want to have your teeth you know it's just important you always come back and we'll put a pin in it right there usually once I give them the tree example I kind of explained to them about like how I was similar to like been a diabetic ninety percent of times they all get it and they're all just like okay Wow thank you for explaining to me what do I need to do now tell me and I'm doing it because I don't want to lose my teeth so at that point I'm like but just to be sure I'm gonna lean you back and we'll take a few more measurements which is what we call periodontal probing dips but it's basically just like taking a ruler and I kind of show them the probe and measuring your bone because I placed this probe which is like a ruler underneath your gums because each tooth is stuck inside a bone just like a tree is stuck inside the ground once it hits your bone it will stop it won't be able to drop any further and I usually tell them just like a ruler it has markings and one-through-three is what we consider healthy perfectly fine no reason to really worry before and you know something started to go on you know maybe you just need to floss a little more your gums are a little inflamed when patient starts to have five and sixes in even greater numbers you're starting to have some that indicates you're starting to have some bone loss in that specific area of course the farther the ruler drops or the probe drops the higher the number patients who have you know four five and six is you know moderate ball nose or six seven and eight pretty or even higher you know sometimes it drops so far you can't even measure it with the probe advanced gum disease periodontal disease and those people probably have some mobility to some degree I usually don't really explain sit in a different fate like categories of gum disease or the different categories of mobility like the classifications because they don't really know I just give them like a general gist of it so they can understand enough to feel comfortable with the decision that they're making so at that point once I explained the probe in-depth I'll complete the probing and once I complete the probing I lift them up and at that point I'll show them the numbers that I have if there's any you know fours or greater I'll explain to them these are the areas these are the areas people focus on I need to show them how it may even coincide with the x-rays and with a tartar buildup or how it may coincide with the areas of their mouth that they say bleed a lot things like that not every patient that has gum disease or periodontal disease may not believe sometimes smokers tend to bleed a lot less than non-smokers and everyone is different but for the most part that's actually usually pretty much how I explain patients will have periodontal disease I'm or what we may say gum disease and why deep cleanings may be needed sometimes if I feel like they're still not really taking me serious I'll even say you know the bacteria that causes can travel up and down your body it can spread to other parts and put you at risk for you know other medical conditions but for the most part I never really have to take it that far because once you give I give that example of like a diabetic and of the tree example they pretty much get it at that point from that moment on I then proceeded to tell them okay what exactly what happened during a deep cleaning we use you divide your mouth into four sections are you say just like this you have one two three or four and we call them quadrants but it's basically just a section and we usually clean one section at a time typically we won't do it the same day we'll schedule to come back because we usually get pre authorizations from the insurance company for all pretty much major treatment for our offices our protocol but based on the quadrant you will have to be numb some cases I can get away with like oral kids or just a topical anesthetic like cedar cane or things like that for the most part some deal have to be done which it requires a shot because sometimes they don't know that when we say oh you need anesthesia that means they have to get a shot so I tell me you know you will have to get a shot your mouth will be temporarily numb um it's not a long recovery process you know like you had a tooth pulled or something like that but once sometimes you may you know have a little soreness once the anesthesia wears off but for the most part you will still you can still go to work you can still talk you can still eat we just ask you to be careful when you eat so that you won't chew on your lip or chew your tongue and not be able to tell because it's numb and then cause damage but for the most part you'll be just like you are now it's not like you have to lay at home I get a tooth pool take pain medicine in your mouth and swollen it's not like that but it's just to allow me to be able to really clean to do a good job in a timely manner there how come we numb you and then you say oh okay well no problem at that point I usually bring in my doctor and he'll you know pretty much say reiterate you know what I have just told them as well I kind of also inform him what we have discussed up until that point so if there's anything he disagrees with you know he can say so at that time and he'll complete his exam if you know he'll call out whatever treatment he thinks they should have you know and if not then we will you know begin to lift up and we'll dismiss and head up front if he does call out something I usually kind of explained to them once he leaves the room exactly what the treatment is and things like that and then we'll dismiss and head up front so once how usually take them up front and they speak to where it's actually our office manager who does the treatment plan and the financial portion of all of the services or treatment that we recommend I found that the more the patient hear it the more they see it as important or the more their receptive of the treatment so they've pretty much heard it in the back the doctor comes in and pretty much reiterates what I say and then they hear it up front again they're just like okay well man I everybody's telling me the same thing I pretty much need to get it done so that's pretty much just a quick gist of how I present the case patient presentation like for periodontal disease or for scaling and root planing or for a deep cleaning I've had pretty much good acceptance with my treatment plans I think the biggest reason why many patients are still my recommendations as far as like deep cleanings and stuff because I've worked in some offices where some of the hodgins have a their patients tend to never return for the deep cleaning I think it's because I just pretty much put it in a way where they pretty much understand and that I actually take the time to explain it to them I thought there's pretty much normal what most Hodges hygienists or clinicians or providers would do but a lot of them actually say like you're the first dinner's on office I went to a long time you she stood here and actually explained it to me I actually took the time they they used are very appreciative they used to say like thank you thank you you know for doing that and it means a lot so I think that's one reason the biggest reason I think is because I just say it in a way where they understand because I feel like you know I don't understand the point all the time and using big words and speaking to patients who especially don't have a dental background because I'm like they have no idea what these words mean and I always say well how would I have wanted someone to explain to me before I went to hygiene school before I knew you know what it was actually called so I just think of a way how I would have wanted someone to explain to me so that I could understand it before I went into a hygiene school before I was exposed to like the actual name of stuff which I still tell them we'll call it a deep cleaning but you may hear us call it blah blah blah it's the same thing you may say gum disease and we may say para donald these verses is that the same thing so for me that has been really really beneficial in getting the patients to itself the treatment for the deep cleaning okay y'all so that's pretty much I'm a quick version in like 10 to 15 minutes to squish it down and two of the basic way that I explain treatment to patient as far as scaling and root planing or a deep cleaning whatever you may call it but yes so I'm pretty much gonna make a few more videos like this – because someone actually comment on one of the other videos and that's why I pretty much do whatever people comment on the other videos I pretty much make videos to answer their questions because I feel like if they ask it there's probably other people who's wondering or want to ask the same question or who would like to know the same thing that they ask so that's pretty much it for this video if you have any questions like always feel free to comment down below don't forget to subscribe if you haven't already everything will be down below in the description box I'm jasmine Dodd Adriana on Instagram and Twitter is where I actually just joined Twitter I was never really on Twitter but my boss actually told me it's the best this is favorite like social media things I said well I'll create one too so I just did is it jazz man I think maybe it's jazzy Jesus see I don't even really get on there so I really don't even know but I'll be sure to post a link down below but yeah so comment down below and let me know what you guys think if you have any more questions or if you would like me to go in more detail about how I present treatment planning or things like that to the patient as far as the topic today which was periodontal disease a deep cleaning also – one thing I did forget to mention was there sometimes – I will tend to instead of just saying bacteria I would say like a flesh-eating bacteria because that's kind of what it is and using terms like that will just make them pay more attention because we've been well even though it really is bad no one likes to hear flesh-eating bacteria is inside of there like nobody would unless you know you're probably crazy or something but nobody would really like that so I forgot to mention that during the video but sometimes I'd just say bacteria but sometimes I will say like a flesh-eating bacteria something like that but yeah so see y'all next time and don't forget subscribe below and give this video a thumbs up


37 thoughts on “Do you have Gum Disease? | A Brown Girl, RDH

  1. Hi Jassy! I loved this video you explain things really well. I was just told I have some bone-loss, a few teeth are at a 4 & 5. Can you do a video on a good daily cleaning routine to stop bone loss? And what about using natural remedies to help kill bad bacteria? I heard coconut oil or turmeric oil can help. Are electric toothbrushes recommended, or are they too rough on gums? Thank for your help!

  2. My gums have bled for a long time and no matter how much i brush, floss and even after getting deep cleanings it honestly has stayed. Do you see this often?
    I'm at the point now where i want to do a smile makover and it seems I will need some extractions and such before doing so.

  3. Hey, have you ever completed a deep cleaning and still seen the disease advance/get worse or do you usually notice it stays under control.

    Also this is a good way to explain to people what periodontal disease is or what it can lead to.

  4. I'm new to this I have all my teeth but they just diagnosed me with periodontal disease and my dentist did not break it down to me the way you did thanks so much for this video . I have been stressing about death but I think I'm over thinking it to much I just need to get the deep cleaning done and keep going from this point on .

  5. I don’t have dental insurance but really need a deep clean. I will have to pay full out cash for probably every teeth. Can you give me an estimate on how much this will cost me?

  6. So frustersting..I was told I needed this done awhile ago, I had medicade, which covered the cost of the exam and xrays, but they said the procedure would cost 600 bucks. Fast forward three years later, I still need this done. Hopefully soon Ill be secure enough to get a deep cleaning done.. Sucks not being able to get the health care you need.

  7. Thank you very much for your superb detailed explanation, my hygienist only said a few words about this procedure, basically that I need this to be done. I have been ambivalent about it since I had to pay it out of my own pocket, but now I'm pretty convinced that I should go ahead with it.

  8. i was so embarrassed of my teeth i didn't want to go to the dentist..but i mustered up the courage and found out how bad it was getting! now i' m doing the deep clean..uppers today and lowers two weeks from now..my gums bleed a lot will it ever stop?

  9. You're really great at explaining things!! Thank you, im getting a deep cleaning next Monday and was a little nervous about it. But you explained everything phenomenally! I feel much better about it now. Thank you!! 🙂

  10. Hello Jazz, this is a very informative video, thank you! I have a question: I’ve just had a deep cleaning done to a facility, but my periodontist is not aware of that. He told me a year ago that I needed to have surgery done, although I only have 3-6min pocket. Do you think I should that invasive and expensive procedure done? Or should I just maintain regular dental visit? Sometimes I feel as though the recession in my lingual area keeps progressing, help please!

  11. Thanks for the information it helped me a lot! 😁

    Question: I know dentist usually break the deep cleaning into 4 appointments, but would it be possible for them to clean the whole mouth or at least one row (top or buttom) in one go? I would much perfer 1 or 2 apps to get this done with.

    Last question: I Have been looking all over to see how much it will cost to get the deep cleaning done and I've seen some crazy amounts. For someone who has gum disease on a scale of 1-10 (1 being no gum disease and 10 being your teeth are all about to fall out) I'm at about maybe a 5-6 I'm Not really sure but how much do you think the deeping cleaning will cost me? I'd like to spend less than a 1,000 if can be.

  12. I love the way you explained periodontal disease and the importance of taking care of it and the maibtanance…im currently going through this and will be getting my deep cleanings soon…its pretty costly..im on a fee schedule and its god sent ..helps so much.

  13. If i am a first time paitnent at a new dentist, can I request specific treatment to something that is bothering me? Also what are some topical alternatives to novicane? My last dentist let me have treatment without it and since moving i have not found a dentist that will work on what I want worked on, they want to push me into procedures on teeth that are not worrysome/bothersome or out of my price range when I only want 1 tooth looked at /worked on at the moment, and I also am finding it hard to find someone who will not use novicane or a novicane alternative

  14. Do u yourself have to have perfect teeth to wanna do this career ? Are you at a higher risk for diseases since u work in the mouth or is it fine as long as you’re doing the safety procedures? Would u recommend this career ? I’m very interested I’ve never wanted to do nursing but I feel I would like this career path, Makeup and Hair is my first passion but I want to have a great and secure backup also .

  15. soo quick question..im currently applying to quite a few Dental Hygiene programs in my state + while this absolutely is my passion in life..my backup plan if i dont get into any DH programs is to go to Dental Assisting school and work for a bit of time prior to applying for DH school again. Do you think its a bad idea to apply to the SAME SCHOOLS that have both DH + Dental Assisting programs? (W/ Assisting being my backup)
    Especially if its possible that the same people may review my application OR see that i’ve applied to both programs?

    I hope my question made sense lol
    thank u so much xo

  16. Thanks for video!! I have a few questions. How often do you perio probe your patients? Do you always have to do SRP at your office before pt becomes perio maintenance or can a pt go straight to perio maint. ? Also, if a patient has moderate bone loss, 4-5mm recession but no pockets do you still recommend SRP followed by Perio maint? I have seen people treat these pts as adult prophy due to no pockets?

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