I recently posted about a periodontal abscess,
www.dentistry-forums.com
Turns out endodontic involvement is not suspected right now. The periodontist measured a 9mm pocket. He said he strongly suggests doing LANAP versus just an SRP. Now I have a couple of questions that I would appreciate the forum's opinion on,
- Is it possible that part of the large 9mm measurement is due to the swollen and inflamed gums and the actual pocket is less deep were it not inflamed?
- Is there a chance that an SRP in conjunction with local antibiotic application like Arestin followed up by regular proximal Chlorhexidine brushing at night in the following months lead to a degree of healing that obviates LANAP or even lead to some bone regeneration?
- I have been calling a few periodontist offices and it seems like everywhere it's the hygienists that do the SRP. For such a sensitive procedure where the roots of the tooth are being reshaped, is there a benefit in trying to find a location where the periodontist does the SRP him/herself?
Thanks again in advance.

Is this a radiolucency?
Hello there Dentistry Forum community, I have had a periodontal abscess between teeth 18 and 19 for the past couple of months and today my dentist took a few bitewings and periapical X-rays to see what is going on. The good doctor wasn't able make a final determination and suggested a consult...
Turns out endodontic involvement is not suspected right now. The periodontist measured a 9mm pocket. He said he strongly suggests doing LANAP versus just an SRP. Now I have a couple of questions that I would appreciate the forum's opinion on,
- Is it possible that part of the large 9mm measurement is due to the swollen and inflamed gums and the actual pocket is less deep were it not inflamed?
- Is there a chance that an SRP in conjunction with local antibiotic application like Arestin followed up by regular proximal Chlorhexidine brushing at night in the following months lead to a degree of healing that obviates LANAP or even lead to some bone regeneration?
- I have been calling a few periodontist offices and it seems like everywhere it's the hygienists that do the SRP. For such a sensitive procedure where the roots of the tooth are being reshaped, is there a benefit in trying to find a location where the periodontist does the SRP him/herself?
Thanks again in advance.