Mrs. Claren in her 50s was new to the practice. After a careful review, Britany, the DH completed a comprehensive PDL examination. The PDs were generally 3-4 mm with localized 5mm measurements. Brittany noted BOP in posterior areas with moderate subgingival calculus. When Brittany finished the examination, & sat the patient upright to discuss the findings, the patient said "You aren’t cleaning my teeth?" What is it you are doing? Brittany realized the patient might never have had a periodontal exam and was unaware of her localized moderate periodontitis.