For very heavy calc, I will first use a regular universal tip, but I usually do most of my treatment with the slimline perio tips. I generally use these as explorers, not actually planing, but just getting calc off that didn't come off with the ultrasonic. I like to do it this way, as using instruments with different shapes allows me to really feel every area. Then I irrigate with Peridex using the Water Pik Perio Irrigator. On the last appt.
All new patients see the dentist for a new patient exam first.
He spends an hour of his time with them, does a very thorough exam, including perio charting. He also sees most of the patients who have not been in to the office for 3 years or more, unless the appt. If they need to have a lot of dentistry done, they will come back for a consultation appt. If they only need treatment for gum disease, he will usually explain it to them at the new pat. Appt, and the financial coordinator will make financial arrangements and schedule appts that day.