Lecture 7 - Periodontal Diagnosis, Prognosis, Treatment Planning Flashcards
CODE 0/PSR 0
PD
CODE 1/ PSR 1
PD
CODE 2/ PSR 2
PD
CODE 3/ PSR 3
PD 3.5-5.5
TXT: comprehensive periodontal exam in that sextant,
CODE 4/ PSR 4
PD >5.5
TXT: comprehensive perio exam, referral
Probe more than __ times on each tooth.
6
Bleeding on probing is an
objective indication of inflammation.
When gingival margin is apical to CEJ it is known as
Recession
pseudo-pocket
deep pocket but no loss of attachment
PD is relative to the gingival margin does not show
how much periodontal support has been lost on tooth.
___ shows the total loss of support on tooth and is more important in determining diagnosis and prognosis of the periodontal condition.
Attachment Loss (AL)
AL if PD= 6 and GM= -2
AL=4
AL if PD= 6 and GM= +2
AL= 8
PD + GM=
CAL
Miller’s Motility Index 1
1st distinguishable sign of movement greater than normal
Miller’s Motility Index 2
movement of the crown by up to 1 mm in any direction
Miller’s Motility Index 3
movement of the crown more than 1 mm in any direction and/or vertical depression or rotation
M and D furcation must see from the
palatal aspect–meaning but insert probe from palatal aspect NOT buccal aspect.
Glickman’s Furcation I
pocket formation into the flute but intact interradicular bone
Glickman’s Furcation II
loss of interradicular bone and pocket formation of varying depths into the furcation
Glickman’s Furcation III
Through-and-through lesion
Glickman’s Furcation IV
Same as Grade III, with gingival recession, rendering the furca clearly visible to clinical examination.
Chance of saving a class III is maybe like 5%. If there is a class III mobility - your treatment plan should be
extraction
Mn 1st Molar concavity of the furcal aspect was found ___ of mesial (M) roots and ___ of distal (D) roots. Deeper concavity was found in the?
100%; 99%; mesial roots (mean concavity; 0.7 mm)
The width of attached gingiva is
the distance from the bottom of the pocket to the mucogingival junction (MGJ)
With attached gingiva, patients may feel
uncomfortable brushing in the gingival area, and plaque will accumulate in that area.
Fermitus
movement of tooth when in function
No bone loss
The distance from the CEJ to the alveolar crest is 2 mm or less.
Slight bone loss
bone loss up to 25% of the root length that is supposed to be in the bone.
Moderate bone loss
bone loss from 25-50%
Severe bone loss
Bone loss of more than 50%
Note that severe bone loss on the incisors
Angular Bone Loss
Bone loss on one’s root surface is greater than on the other.
Hopeless Prognosis
Inadequate attachment to maintain health, comfort, and function, class 3 mobility.