The normal protocol is a brief clinical examination of the patient in order to identify potential disease sites. Plaque is then taken and examined by phase contrast microscopy. The clinical and microbiological parameters are recorded and also entered into a computer, using a programme I developed during 1983-1984. This gives a numerical readout together with a bar graph. It reflects my judgement of their periodontal state of health.
Extra emphasis is placed on potential for disease.
After initial diagnosis appropriate medication and ancilliary steps are prescribed. The patient is then seen at a suitable interval to assess progress, make any necessary alterations in therapy and co-ordinate the most advantageous timing of routine office care. Patient consultations, of sufficient duration to enable persons to adequately understand their problems, together with instructions relative to medication and home care, are integral to successful treatment. My office also maintains liason with each person on an ad hoc basis to permit dealing with any questions patients may have in relation to treatment or complications. The following brief case reports, selected at random, serve to illustrate the sort of results that may be expected.