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. 2020 May 24;6(5):e03954. doi: 10.1016/j.heliyon.2020.e03954

Table 5.

Professional maintenance protocol.

Category A (Low) Category B (Medium) Category C (High)
History and examination
  • Update medical history and dental history

  • Soft tissue examination (including oral cancer screening)

  • Periodontal charting

  • Dental charting

Radiographic assessment
  • 24 months bitewings

  • Selective PA

  • 18 months bitewings

  • Selective PA (for endo; every 6 months in the first-year post-operative, then every 12 months)

  • 6–12 months bitewings

  • Select PA (for endo; every 6 months in the first-year post-operative, then every 12 months)

Oral hygiene instructions Reinforcement
Periodontal therapy (scaling) Supragingival and polishing Supra and subgingival and polishing
Periodontal therapy (chemical irrigation) None Chlorhexidine irrigation
Fluoride therapy Optional Varnish application over susceptible areas
Prosthesis maintenance
  • When indicated, adjust, repair, replace or remake any or all parts of a prosthesis or prosthetic components

  • Prescription/construction of occlusal splints when indicated, to protect tooth-borne and implant-borne fixed prostheses

Special Considerations
  • Smoking cessation support for smokers

  • Consult with physician and/or dental specialist as needed

  • Obtain lab tests (e.g. CBC, urine) as indicated

BW: bitewing radiograph; PA: periapical radiograph; CBC: complete blood count.