Guidelines for the Management of Patients with Periodontal Diseases Correlation of PreViser Scores with AAP Guidelines

Treatment Guidelines Premises Most patients are referred when disease is severe resulting in more tooth loss and treatment that is complex and expensive Most patients are referred when disease is severe resulting in more tooth loss and treatment that is complex and expensive When treatment is initiated during the early stages of disease, success is more likely, treatment is more conservative, and fewer teeth are lost When treatment is initiated during the early stages of disease, success is more likely, treatment is more conservative, and fewer teeth are lost Risk predicts the future severity of disease Risk predicts the future severity of disease Treatment including the need for referral to a periodontist should be based on Risk and Disease Treatment including the need for referral to a periodontist should be based on Risk and Disease Courtesy PreViser Corporation, all rights reserved

Initial Disease State and Risk Level Very low risk Low risk Moderate risk High risk Very high risk Severe Periodontitis Moderate Periodontitis Beginning Periodontitis GingivitisHealth Each patient will occupy precisely one cell in the grid Courtesy PreViser Corporation, all rights reserved

AAP Guidelines and PreViser Initial Scores Very low risk Low risk Risk = 2 Disease = Risk = 2 Disease = 4-10 Risk = 3 Disease = 4-10 Risk = 3 Disease = 2-3 Risk = 1 Disease = 4-10 Risk = 1 Disease = 2-3 Risk = 1 Disease = 1 Risk = 2 Disease = 2-3 Risk = 2 Disease = 1 Risk = 3 Disease = 1 Moderate risk High risk Risk = 3 Disease = Risk = 3 Disease = Risk = 4 Disease = Risk = 4 Disease = Risk = 4 Disease = 4-10 Risk = 5 Disease = Risk = 5 Disease = Risk = 5 Disease = 4-10 Very high risk Severe Periodontitis Moderate Periodontitis Mild Periodontitis GingivitisHealth Risk = 1 Disease = Risk = 2 Disease = Risk = 4 Disease = 2-3 Risk = 4 Disease = 1 Patients who would likely benefit from co-management by the referring dentist and the periodontist Patients whose needs can best be provided by the general dentist Patients who should be treated by a periodontist Patients who may benefit from co-management by the referring dentist and the periodontist Risk = 1 Disease = Risk = 5 Disease = 2-3 Risk = 5 Disease = 1 Courtesy PreViser Corporation, all rights reserved

AAP Guidelines and PreViser Risk Change Very low risk Low risk 2 to 2 3 to 33 to 4 1 to 31 to 41 to 5 2 to 42 to 5 3 to 5 Moderate risk High risk 3 to 1 3 to 2 4 to 1 4 to 2 4 to 3 5 to 1 5 to 2 5 to 3 Very high risk Very Low Risk Low Risk Moderate Risk High Risk Very High Risk 1 to 2 2 to 1 4 to 44 to 5 Patients who would likely benefit from co-management by the referring dentist and the periodontist Patients whose needs can best be provided by the general dentist Patients who should be treated by a periodontist Patients who may benefit from co-management by the referring dentist and the periodontist 1 to 1 5 to 4 5 to 5 2 to 3 Previous Risk Current Risk Courtesy PreViser Corporation, all rights reserved

AAP Guidelines and PreViser Disease Change* Health Gingivitis Mild Periodontitis Moderate Periodontitis Severe Periodontitis HealthGingivitis Mild Periodontitis Moderate Periodontitis Severe Periodontitis Patients who would likely benefit from co-management by the referring dentist and the periodontist Patients whose needs can best be provided by the general dentist Patients who should be treated by a periodontist Patients who may benefit from co-management by the referring dentist and the periodontist Previous Disease Current Disease * This graphic is approximate, as AAP- PreViser guidelines expand 5 categories of disease to 9 Courtesy PreViser Corporation, all rights reserved