Periodontal Emergency Protocol Template

Initial Assessment

Patient Triage

• Assess pain level (1-10 scale)
• Evaluate bleeding severity
• Check for swelling and infection signs
• Document chief complaint
• Review medical history

Emergency Categories and Protocols

1. Acute Periodontal Abscess

• Immediate drainage if indicated
• Local anesthesia administration
• Gentle debridement
• Antibiotic prescription if necessary
• Schedule follow-up within 24-48 hours

2. Severe Bleeding

• Apply direct pressure with gauze (15-20 minutes)
• Check for contributing medications
• Consider hemostatic agents
• Suture if necessary
• Document clotting time

3. Acute Necrotizing Ulcerative Gingivitis (ANUG)

• Oral debridement
• Hydrogen peroxide rinse
• Antibiotic therapy if indicated
• Pain management
• Follow-up schedule

4. Post-Operative Complications

• Assess surgical site
• Remove compromised sutures
• Irrigate area
• Adjust/replace dressing if needed
• Document intervention

Required Documentation

Patient Information

• Time and date of emergency
• Vital signs
• Clinical findings
• Treatment provided
• Medications prescribed
• Follow-up instructions

Emergency Kit Requirements

Essential Items

• Hemostatic agents
• Emergency suture kit
• Local anesthetic
• Temporary dressing materials
• Antibiotics samples
• Emergency contact numbers

Follow-up Procedures

Next Business Day

• Contact patient
• Schedule evaluation
• Review treatment plan
• Document outcomes
• Update medical record