Monitoring and periodontal indices Flashcards

1
Q

Whats the definition of screening

A

To find cases with disease within a population

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2
Q

Whats the definition of monitoring

A

To follow up a patients disease progression after treatment

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3
Q

What is periodontal indices

A
  • A form of periodontal monitoring
  • Screens for disease & helps grade the level to reach a diagnosis
  • Used to monitor response to treatment
  • Research tool in clinical trials, public health and epidemiology
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4
Q

When do we assess the extent of the disease

A
  • Before treatment baseline
  • After completion of treatment
  • At review visits
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5
Q

What is plaque the key factor in

A
  1. The aetiology of gingivitis
  2. The aetiology of periodontitis
  3. The success or failure of periodontal treatment
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6
Q

What does a plaque index do

A
  • Gives overall % of plaque in the mouth
  • Allows you to show the patient where the plaque is
  • Allows tailored oral health information
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7
Q

Describe the 6 point pocket chart

A
  • Apply jelly on a cotton wool roll to patient’s lips
  • Ask patient to chew on disclosing tablet
  • Swish tablet around for 30 seconds
  • Spit out and rinse gently once
  • Record presence of plaque on plaque chart
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8
Q

What does a plaque score give

A
  • A low mark for clean teeth
  • A high mark for plaque covered teeth
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9
Q

What does a plaque free score give

A
  • A high mark for clean teeth
  • A low mark for plaque covered teeth
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10
Q

How do you do a marginal bleeding index

A
  • Insert PCP 10 probe into gingival sulcus mid-buccally
  • Run the probe towards the mesial papilla
  • Insert the probe mid-buccally again
  • Run the probe towards the distal papilla
  • Run the probe similarly on the palatal/lingual surface
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11
Q

What does periodontal indices include

A
  • Bleeding on probing + probing pocket depths
  • Attachment levels
  • Mobility index
  • Furcation indices
  • Supprication
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12
Q

When is a site positive for BOP

A

If bleeding occurs with or shortly after probing

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13
Q

Describe the probing pocket depth chart

A
  • Insert PCP 10 probe to full pocket depth
  • Read off pocket depths in mms
  • Record on pocket depth chart
  • 6 sites per tooth
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14
Q

Describe the attachment levels

A
  • Measure from CEJ to the base of the pocket
  • Detection of subgingival reference point
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15
Q

Where is recession measured from and to

A
  • Measurement from gingival margin to CEJ, where gingival margin is apical to the CEJ
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16
Q

Describe the different grades of the furcation involvement

A
  • Grade 1 - horizontal bone loss of less 1/3rd width of tooth
  • Grade 2 - horizontal bone loss of greater than 1/3rd width of tooth
  • Grade 3 - horizontal through and through involvement
17
Q

How is mobility graded

A
  • Grade 1 - 1mm horizontal movement
  • Grade 2 - Over 1mm horizontal movement
  • Grade 3 - Vertical movement