Important Flashcards
clinical signs of inflammation
red (erythema)
enlarged tissues (edema)
spongy
IDP bulbous
Probing depths 1-3mm
BOP
key points if diagnosis is gingivitis
no apical migration of the JE
reversible
good patient self-care
gingival pocket
due to gingival enlargement
NO attachment loss
NO apical migration of JE
periodontal pocket
sulcus over 3 mm in depth
apical migration of JE
loss of periodontal tissues/bone
code 3 PSR exception
if 2 or more sextants score code 3: a comprehensive full mouth periodontal assessment is required
code 0
no bleeding/calculus/defective margins
code 1
BOP
no calc/defective margins, remove biofilm
code 2
calculus and/or defective margins present
biofilm removal
cal removal
defective margins corrected
code 3
probing depths 4-5.5mm
calc/defective margin/BOP may or may not be present
a comprehensive perio assessment required for affected sextant
CAL
a clinical measurement of the true perio support around the tooth
margin at normal level
probing depth and CAL are the same
margin significantly above CEJ
subtract gingival margin level from probing depth
gingival margin receded
gingival margin is added to probing depth
calculate attached gingiva
total width - probing depth = level of attached gingiva
a local contributing factor can
increase plaque biofilm
increase plaque biofilm pathogenicity
can cause direct damage to the periodontium
why do we scale
pathogenic potential
irregular surface covered in bacteria
difficult to control disease
alters contours of teeth
supracrestal tissue attachment
zone of soft tissue coronal to alveolar crest
biologic width
violated if margin of restoration encroaches upon this zone: body will create room and result in bone resorption and gingival recession
faulty removable prosthetics and appliances
patient education
remove daily for cleaning
can promote biofilm and trigger perio inflammation
direct damage from patient habits
improper use of plaque biofilm control aids
tongue thrusting
mouth breathing
traumatic tooth brushing
oral jewelry
traumatic tooth brushing concerns
gingival recession may lead to associated labial bone loss known as dehiscence
primary trauma from occlusion
injury to healthy periodontium due to excessive occlusal forces
from high restoration, ill-fitting bridge/partial denture
manifestations: wider PDL space, tooth mobility, tooth or jaw pain
secondary trauma from occlusion
injury from normal or excessive occlusal forces applied to previously damaged periodontium by periodontitis
concern: rapid bone loss
tip teeth laterally
periodontitis as a manifestation of systemic disease
when systemic condition is the major predisposing factor and the bacterial infection is secondary
systemic diseases/conditions affecting the periodontal supporting tissues
increases the individual’s susceptibility to periodontal infection by modifying the host response to the bacterial infection
biologic equilibrium
state of balance in body between bacterial plaque and host
risk assessment involves identifying elements that either
predispose a patient to developing perio disease or influence the progression of disease that already exists
