Frequently Asked Questions
How long does Visual-SRP take?
Experienced clinicians can typically provide therapy in the same timeframe as traditional SRP. Many experienced clinicians using an endoscope report being more efficient because they know when the calculus has been removed, and so they are not guessing.
What is V-SRP?
Visual Scaling and Root Planing (V-SRP), also known as dental endoscopy, is a procedure that uses a micro-endoscope with high definition video and magnification technology that enables clinicians to diagnose and treat areas below the gumline non-surgically.
What are the advantages of a dental endoscope during treatment?
A dental endoscope, like the DeVA-1®, allows clinicians to see sub-gingivally in the most minimally invasive way possible to provide accurate diagnosis and non-surgical treatment of the periodontal patient. Previously, diagnosis and treatment non-surgically was just a tactile process. Visualization ensures there is no over instrumentation of the root structure and that calculus is actually removed, not just burnished (smoothed over).
Is the DeVA-1® right for your dental practice?
If you have patients with one or more pockets >5mm deep, then you have candidates for Visual-SRP™ using the DeVA-1®. V-SRPTM allows the dental clinician to SEE the tooth roots after debridement so they know the root is exceptionally clean, allowing for the gums and other surrounding tissues to become healthier and for the patient to heal faster.
Can patients avoid surgery with use of the DeVA-1®?
Most dental clinicians using dental endoscopes have virtually eliminated the need for flap surgery treatment of periodontal disease. The DeVA-1Ò micro-endoscope provides the option to treat patients comfortably and effectively without apprehensiveness and discomfort of surgery. Plus, sometimes patients with complex or complicated medical conditions cannot be treated surgically, and DeVA-1® provides an option for treating their periodontitis without surgery or opioids.
How does the dental endoscope work?
A fiberscope, about 1mm in diameter, is placed in a retracting XplorerTM and inserted gently below the gumline. The images are displayed in real time on a high definition color display, chair side and/or on any HDMI display. The clinician can see the field and anatomy to diagnose and treat. The micro-endoscope provides magnification up to 100 times, allowing the clinician to see minute details under the gumline that were previously never seen non-surgically.
Is Visual-SRP expensive for the patient?
V-SRP is typically about 30% to 50% less expensive than surgery and without the stress and pain of surgical recovery. It is a more cost effective treatment over time as well, since because the clinician can visually confirm complete debridement, the need for recurrent treatment is less likely.
Does it hurt?
Visual Scaling and Root Planing is conducted under local anesthesia to ensure patient comfort. Clinicians have reported that patients find it more comfortable that traditional SRP, perhaps because of less repetitive motion.
What can patients expect?
In most cases deep pockets improve significantly. Published studies indicate that within 24 months, pockets as deep as 10mm have been reduced to 4mm or less without BOP.
What is the benefit to a practice to incorporate a DeVA-1?
For a Periodontist, the periodontal patient can be moved to the Hygiene department where treatment is more cost effective. For the General Practitioner, it means not referring out those patients with very deep pockets for flap surgery, retaining the patient. A number of practices with DeVA-1 systems also incorporate LANAP for even better results. For example, in a recent article from RDH Magazine, the combination of these two procedures have been shown to have very positive results, as seen in the table below.
If you would like more information on how to incorporate a DeVA-1® micro-endoscope system into your practice and learn how V-SRPTM can improve the productivity of your hygiene chair while improving patient outcomes, we’d love to show you how!
CDT ADA codes?
Our dental practices advise that these codes are typically submitted when using the DeVA-1
D0350 – 2D oral/facial photographic image obtained intra-orally or extra-orally
D4341/D4342 - Scaling and Root Planing in a Quadrant
D4999 - Non-Specified periodontal procedure (patient out of pocket)
D6081 - For a single implant exhibiting peri-implant mucositis or peri-implantitis is the only code that can be used in conjuction with the new D4346 code
* Both codes are specifically-related to the inflammation and mucositis
that can be damaging to the long-term health of the patient