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Periodontics > Lecture 5 > Flashcards

Lecture 5 Flashcards

Periodontal Assessment

1
Q

DH process of care

A

Assessment
Diagnosis
Planning
Implementation
Evaluation

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2
Q

clinical periodontal assessment

A

a fact gathering process designed to provide a comprehensive picture of the patient’s periodontal health status

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3
Q

why is a comprehensive periodontal assessment important

A

there is a legal obligation to perform and document findings of a periodontal assessment for every patient

forms the basis for periodontal diagnosis and individualized treatment plan

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4
Q

objectives of the periodontal assessment

A

detect: clinical signs of inflammation in the periodontium
identify: damage to the periodontium already caused by disease
provide: the dental team with the information used to assign a periodontal diagnosis
document: features of the periodontium to serve as a baseline data for long-term patient monitoring

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5
Q

documentation

A

assessment is not complete until all of the information gathered has been accurately recorded in the patient’s record
accuracy is important
baseline data is used to evaluate the success or failure of perio therapy and for long term monitoring

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6
Q

standard of care

A

for dentists and DH to complete an accurate and thorough periodontal assessment on every patient

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7
Q

two types of periodontal assessment

A

periodontal screening examination
comprehensive periodontal assessment

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8
Q

periodontal screening examination

A

may be used as one of the first steps in a patient’s periodontal assessment
a quick information gathering process to determine signs of health, gingivitis, periodontitis

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9
Q

PSR technique

A

special probe: world health organization (WHO) probe
mouth is divided into sextants, each receiving a code (0, 1, 2, 3, 4)

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10
Q

documenting the PSR

A

codes 0, 1, 2 colored band is completely visible

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11
Q

code 0

A

no bleeding/calculus/defective margins
appropriate preventative care

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12
Q

code 1

A

bleeding on probing
no calculus/defective margins
appropriate preventative care
appropriate biofilm removal

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13
Q

code 2

A

calculus and/or defective margins present
appropriate therapy/PT education
biofilm removal
calculus removal
defective margins corrected

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14
Q

code 3

A

probing depths 4mm-5.5mm
calculus/defective margin/BOP may or may not be present
a comprehensive periodontal assessment is required for affected sextant
if 2 or more sextants score code 3: a comprehensive full mouth periodontal assessment is required

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15
Q

code 4

A

PD >5.5mm
a comprehensive full mouth periodontal assessment is necessary to determine an appropriate treatment plan

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16
Q

code *

A

a * is added to a sextant when a clinical abnormality is found
furcation
mobility
mucogingival problem
recession 3.5mm or greater

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17
Q

comprehensive periodontal assessment includes

A

probing depth measurements
BOP
presence of exudate
location of free gingival margin
gingival width/attached gingiva
mobility
furcation involvement
presence of calculus/biofilms
gingival inflammation
radiographic evidence of bone loss
presence of local contributing factors

18
Q

gingival margin coronal to CEJ is recorded as a _____ number in axium

A

negative

19
Q

gingival margin apical to CEJ is recorded as a _____ number in axium

A

positive

20
Q

gingival pocket

A

due to gingival enlargement
no attachment loss
no apical migration of JE

21
Q

periodontal pocket

A

sulcus over 3 mm in depth
apical migration of JE
loss of periodontal tissues/bone

22
Q

clinical attachment level

A

a clinical measurement of the true periodontal support around the tooth

23
Q

CAL accurately monitors change over time because it

A

is calculated from a fixed point on the tooth’s surface; the CEJ

24
Q

gingival margin at normal level

A

the probing depth and the CAL are the same

25
Q

gingival margin receded

A

the gingival margin level reading is added to the probing depth reading

26
Q

gingival margin significantly above CEJ

A

subtract gingival margin level reading from the probing depth reading

27
Q

gingival width

A

measure the total width of the gingiva from the gingival margin to the mucogingival junction

28
Q

attached gingiva

A

the part of the gingiva that is tightly connected to the cementum on the cervical third of the root and to the connective tissue cover of the alveolar bone

29
Q

width of attached gingiva on facial max and mand

A

widest on incisors and molars
narrowest on canine and biscuspids

30
Q

width of attached gingiva on lingual on mand

A

widest on molars
narrowest on incisors

31
Q

exudate

A

referred to as suppuration
may be revealed using light finger pressure
axium recordings: B (bleeding), N (no bleeding), S (suppuration)

32
Q

pus

A

composed of mainly dead WBC which can occur in response to infection such as periodontal disease

33
Q

mobility

A

horizontal: movement in facial/lingual direction
vertical: depressible

34
Q

class 1 mobility

A

up to 1 mm horizontal

35
Q

class 2 mobility

A

1-2 mm horizontal

36
Q

class 3 mobility

A

> 2 mm
horizontal/depressible

37
Q

furcations and classes

A

maxillary molars are tri-furcated
mandibular molars are bi-furcated

class I: probe penetrates <1mm
class II: probe penetrates >1mm
class III: probe passes through
class IV: probe passes through and clinically visible

38
Q

presence of biofilm and calculus

A

can be identified using such instruments as the periodontal probe or an explorer
disclosing solution
calculate a plaque score

39
Q

never disclose before having what checked by your instructor

A

gingival description

40
Q

detecting calculus

A

use direct visual examination with mouth mirror
use compressed air to assist in identification of supragingival depositis
tactile examination using explorer
radiographs

41
Q

occlusion: signs and symptoms or trauma

A

tooth mobility
fremitus
tooth migration
wear facets
pain (TMJ and/or musculature)

42
Q

radiographic signs of trauma from occlusion

A

widening of PDL
increased thickness of lamina dura
vertical bone loss
root resorption

Periodontics (11 decks)

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