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ICS - PERIODONTOLOGY > 4: Double Periodontal Pocket Charts > Flashcards

4: Double Periodontal Pocket Charts Flashcards

1
Q

2 types of periodontal probes?

A
  • WHO/CPITN probe

- CP12 probe

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2
Q

CP12 probe: how many bands? how long is each band?

A
  • 4: 2 silver, 2 black bands

- each band is 3mm long

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3
Q

CP12 probe:

used for measuring? used to carry out which periodontal examinations?

A
  • pocket depths
    gingival margin levels
    loss of attachment
  • 5 point exam, double periodontal charts
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4
Q

WHO/CPITN probes: used for which periodontal examination?

A

only for the basic periodontal examination (BPE)

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5
Q

name 2 other pressure sensitive periodontal probes

A
  • TPS probe

- florida probe

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6
Q

name and describe the basic periodontal pocket types

A
  • false pockets: base of pocket at/coronal to ACJ (no LOA)

- true pockets: base of pocket is apical/below ACJ (LOA present)

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7
Q

when are plaque & bleeding + double periodontal charts recorded?

A

after an initial BPE or 5 point exam that indicates significant active periodontal disease is present, which requires more complex management

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8
Q

at which points of treatment are double periodontal pocket charts recorded? what does each recording determine?

A

pre-treatment: initial charts recorded to determine periodontal diagnosis and treatment plan

post-treatment: reassessment charts to determine treatment outcome. comparison with pre-treatment chart shows show perio measurements have changed during treatment

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9
Q

double periodontal pocket charts: what are the 4 periodontal landmarks?

A
  • ACJ
  • gingival margin
  • base of pocket
  • LOA
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10
Q

what are the 2 measurements in double periodontal pocket charts? how is each one measured?

A
  • gingival margin levels: gingival margin to ACJ

- pocket depths: gingival margin to base of pocket

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11
Q

if gingival margin is apical to ACJ, how is the measurement recorded?

A

recorded as just a number, e.g. 6mm

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12
Q

if gingival margin is covering/coronal to ACJ, how is the measurement recorded?

A

recorded as +6mm

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13
Q

angulation of probing: how should probe be positioned for accurate pocket measurements?

A

probe should be parallel with root surface

- consider 3D anatomy of root

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14
Q

gingival margin and pocket depths are recorded at which six points per tooth?

A

buccally:
mesial buccal
mid buccal
distal buccal

lingually:
mesial lingual
mid lingual
distal lingual

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15
Q

double periodontal pocket charts: upper half of chart represents?

A

upper and lower buccal surfaces

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16
Q

double periodontal pocket charts: lower half of the chart represents?

A

upper and lower palatal/lingual surfaces

17
Q

double periodontal pocket charts: thick black line represents? thin black line represents?

A
  • ACJ

- 2mm increments apical from the ACJ

18
Q

double periodontal pocket chart recording: gingival margin levels - recorded in what colour ink?

A
  • red
19
Q

double periodontal pocket chart recording: periodontal pocket depths - recorded in what colour ink?

A

blue

20
Q

what are the 5 clinical indicators of periodontal disease?

A
  • pocket depths
  • BOP
  • mobility
  • furcation involvement
  • LOA
21
Q

famous 5: pocket depths

pockets =/>4mm, what to record?

A
  • which teeth
  • how deep
  • which surfaces
22
Q

famous 5: BOP

how is BOP recorded?

A

record:
which teeth
which sites (surfaces)

23
Q

famous 5: mobility

recorded with which index? recorded as?

A
  • miller’s index
  • recorded as:
    which teeth, how mobile (miller’s degree)
24
Q

famous 5: furcation

how is furcation recorded?

A

which teeth
which site
which grade

25
Q

famous 5: LOA

how is LOA recorded?

A

which teeth
which surface
severity (mm)

26
Q

what leads to overestimation in periodontal pocket depth?

A
  • excessive probing force
  • periodontal probe too sharp
  • incorrect angulation
  • pocket inflammation (collagen loss, reduced resistance to probing)
27
Q

what leads to underestimation of periodontal pocket depth?

A
  • insufficient probing force
  • obstructions: calculus, overhangs
  • root morphology
  • periodontal probe too thick
  • patient tolerance
  • incorrect angulation (extreme)

ICS - PERIODONTOLOGY (10 decks)

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