Dr. Rees and Dr. Burkhart's Guidelines for Recall Appointments ·        Lichen planus patients should have professional cleanings every 2-3 months. Periodontal patients many need to be seen every two months depending upon the status of the patient and their periodontal health. ·        Careful scaling of all teeth should be performed with as little disruption of the tissue as possible.  When significant periodontal pocketing is present, multiple appointments with gentle scaling and debridement are preferable to conventional deep scaling and root planing. ·        All soft tissue areas should be evaluated. Findings should be described and recorded with any suspicious areas being reevaluated. Careful evaluation for candida is suggested; especially, for patients who are using topical corticosteroids. ·        The practitioner should note any areas which are in contact with sharp edges, crowns, restorative materials. The possibility of lichenoid type lesions caused by any of the above should be considered. Some medications may also cause lichenoid reactions (see our section on site). ·        Tissue areas that do not respond to treatment may need further evaluation and possibly future biopsy. ·        Ultrasonic scalers should not be used for extensive subgingival debridement to minimize irritation to the tissue. ·        Polishing paste that is gritty or coarse should not be used because of irritation to the tissue both above and below the gingival margin. ·        Mouthrinses containing alcohol should be avoided in order to prevent patient discomfort and tissue irritation. ·        Air polishers are too disruptive to the tissues and should not be used. ·        Any polishing of the teeth should be performed using a mild paste such as Biotene toothpaste and can be applied to the prophy cup. Simply brushing the teeth with the paste in the dental office will be of some benefit. ·        We recommend Biotene toothpaste or other bland products for home care and the use of a soft bristle brush. ·        Patients should be instructed to discontinue the use of chewing gum, candy, mints, toothpastes or mouthrinses that contain flavoring agents such as wintergreen, peppermint, spearmint and cinnamon. ·        Periodic photographs both initially and for follow up appointment are suggested. This allows better evaluation of treatment progress or lack of progress.