examination, diagnosis & treatment planning

Question 1

What must you have before formulating a treatment plan?

Answer 1

diagnosis

Question 2

if a patient has some gingival issues but no crestal bone loss….. do they have periodontits or gingivitis?

Answer 2

no bone loss = gingivitis

Question 3

how to tell healthy tissue vs gingivitis?

Answer 3

gingivitis= no bone loss but BOP

Question 4

How are pseudopockets treated?

Answer 4

by regular cleanings

Question 5

Requirements to start treatment for gingivitis

Answer 5

healthy crestal bone levels with healthy probing depths

6 month maintenance

Question 6

if bone levesl are healthy but psuedopockets are present, what might you consider for treatment?

Answer 6

prophylaxis with anesthesia

Question 7

what classification system does dr. yoon like for diagnosing periodontology?

Answer 7

American academy of periodontology. ( ADA system is complex)

Question 8

what are the diagnostic criteria for perio disease?

Answer 8

localized/generalized
chronic/aggressive
mild-moderate-severe

Question 9

If disease effects less than 30% of sites it is….

Answer 9

localized
more than 30% is generalized
remember there are 6 sites per tooth

Question 10

chronic and aggressive is all based off of what?

Answer 10

time,
chronic is more than 1 year
aggressive is less than 1 year

Question 11

mild-moderate-severe is all based off what?

Answer 11

CAL
1-2mm of loss is mild
3-4 mm of loss is moderate
5+ mm is severe

Question 12

2 things to remember to be considered periodontitis it must have…

Answer 12

radiographic bone loss

inflammation

Question 13

what if there is attachment loss but no etiologic factors?

Answer 13

its not periodontitis, consider the following mucogingival deformities, trauma, or periodontal healht after a surgery

Question 14

treatment planning phases

Answer 14

phase 1- disease control

phase 2- surgery

Question 15

phase 1 includes….

Answer 15

oral hygiene instructions
prophylaxis
6 month maintenance
SRP based on probing depths
extraction of hopeless teeth
restoring carious lesions

Question 16

after phase 1 how long must you wait to re-evaluate the tissue condition

Answer 16

4-6 weeks if pockets are still present move on to phase 2

Question 17

phase 2 includes….

Answer 17

surgical phase, recalcitrant probing depths. 5mm with bleeding or 6+ need to see a periodontist

Question 18

SRP includes….

Answer 18

removing calculus, bacterial toxins, and etiological agents that cause inflammation

Question 19

goal of SRP

Answer 19

eliminate the problem without having to have surgery

Question 20

SRP should only be done on teeth that exhibit…..

Answer 20

bone loss( CAL)

Question 21

whats the critical probing depth for surgery? SRP?

Answer 21

4mm -surgery

3mm SRP

Question 22

if a pt has no bone loss ( less than 2mm) you can move onto what

Answer 22

maintenance

if bone loss you must diagnose a periodontal condition

Question 23

Final numbers

if probing depth is greater than 4.2 you should do what?

Answer 23

scale and rooth plane

Question 24

if probing depth is 2.9 or lower you should do what?

Answer 24

scale

Question 25

in conclusion clinical diagnosis is based on…..

treatment is based on …..

Answer 25

attachment levels

probing depths