Your patient hasn’t been to the dentist in 5 years and has 3…
Your patient hasn’t been to the dentist in 5 years and has 3-6mm probe depths and a localized 8mm probe depth at an implant. On the full mouth series of radiographs, you see generalized radiographic calculus and 2 implants, one with significant bone loss. The dental hygiene diagnosis is moderate periodontal disease,  ADA III with a .3 level of calculus, and through a periodontal consult with the periodontist at the last appointment the patient is recommended to have 4 quadrants of scaling and root planing and a consultation in the graduate periodontal clinic regarding the implant.  You and a senior student are paired to begin their first appointment of SPR treatment today.  The senior student checks out a variety of ultrasonic inserts and instruments and you are helping to set up.  Use this information to answer the following questions. QUESTION: What insert and power level should be used first for this patient?