Indices Flashcards
an expression of clinical observation in numeric values; describes status of an individual/group with respect to a condition being measured
index
each index measures ___ _____
one variable
true/false, indices are helpful for both patient care and research
true
different indices categories (3)
- plaque
- gingival bleeding
- gingival/periodontal disease classifications
index that assesses gingival inflammation based on color, consistency, and BOP
Loe and Silness
Loe and Silness measures these 4 areas of the tooth, scoring 0-3, then ___ together and divide by __ to get the index
M, D, B, Li; add, four
Loe and Silness
score 0 =
normal gingiva
Loe and Silness
score 1 =
- mild inflammation
- slight change in color
- slight edema
- no bleeding
Loe and Silness
score 2 =
- moderate inflammation
- slight change in color
- slight edema
- bleeding on probing
Loe and Silness
score 4 =
- severe inflammation
- marked redness/edema
- ulceration
- tendency to bleeding spontaneously
Sulcular bleeding index does/does not probe to the base of the pocket
does
Loe and Silness does/does not probe to the base of the pocket
does not
Sulcular Bleeding index
score 0 =
- gingiva normal texture/color
- no bleeding
Sulcular Bleeding index
score 1 =
- gingiva apparently normal
- BOP
Sulcular Bleeding index
score 2 =
- BOP
- change in color
- no edema
Sulcular Bleeding index
score 3 =
- BOP
- change in color
- slight edema
Sulcular Bleeding index
score 4 =
EITHER
A) BOP, change in color, obvious edema
B) BOP, obvious edema
Sulcular Bleeding index
score 5 =
- BOP
- spontaneous bleeding
- change in color
- marked edema
periodontal index by Russell AND Ramfjord is used in many ______ studies
epidemiological
Russell score 0 =
negative, no inflammation/loss of function
Russell score 1 =
- mild gingivitis
- inflammation in free gingiva, but not circumscribing the tooth
Russell score 2 =
- gingivitis with inflammation circumscribing tooth
- normal probing depths
Russell score 6 =
- gingivitis w/ deepening sulcus
- normal function
- no drifting
Russell score 8 =
-advanced destruction
-loss of masticatory function
-tooth may be loose
-tooth may sound dull on percussion
and depressible in socket
Ramfjord assess
- gingivitis
- sulcus depth
- calculus
- plaque
- occlusal/incisal attrition
- mobility
- loss of contact
Ramfjord measures the ___ of _____
extent, periodontal disease
a screening procedure to determine necessity of a comprehensive perio evaluation
periodontal screening and recording (PSR)
does the PSR replace a full mouth probe?
No, it does not
assessment that is quick, cost effective, and time effective
periodontal screening and recording
PSR probe details
- ball-tipped end
- one black band extending from 3.5-5.5mm
PSR records the ____ area in each ____
worst, sextant
in PSR, any score above _____ requires full mouth probe
3 or 4
- in PSR means…
other clinical observation such as furcation or mobility
X in PSR means…
no tooth in that sextant
CDT code _____ = ___ in the presence of ____
D4346, scaling, gingivitis
key to CDT code D4346
absence of periodontitis
code D4346 cannot be used in conjunction with…
- prophylaxis
- SRP
- debridement`
