Periodontal disease and caries are opportunistic biofilm infections with implications for systemic health. Periodontal disease has come with an expectation of recidivism. In other words, we expect bleeding and continued inflammation for recalls to come. We wait for and expect disease, and after it is established, then jump to procedures often just treating the "lucky pocket." Patients don’t need to come back with inflammation or disease. It’s time to change expectations with updated protocols and well-honed clinical skills that seek a healthy result. Learn to be the authority on what matters most to your patients' health.