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so a few thoughts for you this morning about uh periodontitis and periodontal disease um one of the discussions we frequently have with many of our patients is the difference between a basic cleaning and a pro prophylaxis basic cleaning and periodontitis and the periodontal maintenance visit we had a patient this morning who got up and left the office pretty frustrated despite best efforts to have a conversation relative to why a periodontal maintenance visit was needed versus a basic cleaning you know a couple of things to mention here number one we always try to cater our treatments to the needs at hand were not just going to recommend a basic cleaning because thats what youve had every day or every six months for your entire life from another dentist or from our office im assuming you were healthy at the time and then number two how do we address how do we have the conversation about what your benefits will cover versus what treatment you need so you know we oftentimes and i had