What should you do if a sextant codes 4 on PSR?

What should you do if a sextant codes 4 on PSR?

• A. Ignore it and continue with the exam.
• B. End the exam.
• C. Code it as Code 2.
• D. Record Code 4 and initiate or refer for full periodontal charting and treatment planning.

Answer: (D)

PSR is a quick screening tool used to gauge periodontal status in each sextant. A code of 4 means there are probing depths of 6 mm or more in that sextant, indicating significant periodontal involvement that needs a full evaluation. Because of this level of involvement, you should record Code 4 and initiate or refer for complete periodontal charting and treatment planning. This allows a full assessment of pocket depths, clinical attachment loss, furcation involvement, tooth mobility, and radiographic findings, leading to a properly tailored treatment plan. Ignoring the finding, ending the exam prematurely, or reclassifying it as a milder code would overlook a serious condition and delay necessary care.

PSR is a quick screening tool used to gauge periodontal status in each sextant. A code of 4 means there are probing depths of 6 mm or more in that sextant, indicating significant periodontal involvement that needs a full evaluation. Because of this level of involvement, you should record Code 4 and initiate or refer for complete periodontal charting and treatment planning. This allows a full assessment of pocket depths, clinical attachment loss, furcation involvement, tooth mobility, and radiographic findings, leading to a properly tailored treatment plan. Ignoring the finding, ending the exam prematurely, or reclassifying it as a milder code would overlook a serious condition and delay necessary care.