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Periodontology > Online Tutorial 1: Periodontal Assessment > Flashcards

Online Tutorial 1: Periodontal Assessment Flashcards

1
Q

What are the stages of asking questions when taking the history of a patient

A
  • Presenting complaint
  • History of Presenting Complaint
  • Medical History
  • Past Dental History: include oral hygiene regimen and diet
  • Social History
  • Family History
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2
Q

What is involved in the extra-oral examination of a patient

A
  • Symmetry
  • Lip Seal
  • TMJ
  • Lymph nodes
  • MoM
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3
Q

What is included in the soft tissue examination of a patient

A
  • Gingival appearance
  • Oral Hygiene
  • Complete the BPE
  • Check tongue, cheeks, FoM, hard and soft palate
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4
Q

What is the purpose of special investigations

A

To go from a differential to a definitive diagnosis

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5
Q

Name some things that are included in the special investigations

A
  • Radiographs: for caries and bone levels
  • 6PPC
  • Plaque and bleeding scores
  • Vitality testing
  • Impressions
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6
Q

How should you structure the definitive diagnosis notes

A
  • Start with notes about the gingival and soft tissues

- Then move to hard tissues

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7
Q

How do you structure the prognosis notes

A
  • Breakdown each definitive diagnosis by providing a prognosis for each one, mention whether the prognosis is good, bad, excellent etc and then mention that might be needed to ensure that the prognosis is met e.g. reduced sugar frequency, change in brushing technique
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8
Q

What questions should we ask when a patient complains of bleeding gums

A
  • Is there bleeding on brushing?
  • Does it happen spontaneously
  • When did you notice it?
  • Is it getting worse?
  • Have you noticed bad breath or a bad taste?
  • Any loose teeth?
  • Aware of any gum recession?
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9
Q

What questions should we ask when a patient complains of Gum Recession

A
  • When did it start?
  • Do you have any sensitivity?
  • Ever have orthodontic treatment?
  • Any gum bleeding?
  • Any teeth loose?
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10
Q

What questions should we ask when a patient complains of mobile teeth

A
  • when did you first notice the movement?
  • Is it getting worse?
  • bad taste or smell?
  • Pain or discomfort?
  • Prevent you from eating?
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11
Q

What drugs can cause drug-induced gingival hyperplasia

A
  • Calcium channel blockers e.g. amlodipine, nifedipine
  • Anticonvulsants (epilepsy): Phenytoin
  • Immunosuppressant: Cyclosporin
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12
Q

What are some risk factors for periodontal disease

A
  • Plaque
  • Smoking
  • Diabetes
  • Genetics
  • Age (cumulative effect)
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13
Q

Is a high sugar diet considered a risk factor for periodontitis

A

NO BOIIIIIII

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14
Q

Name some of the characteristics of the gingiva that should be assessed

A
  • Shape
  • Contour
  • Surface texture
  • Colour
  • Size
  • Position
  • Consistency
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15
Q

Damage to what structures in the periodontium cause loss of attachment

A
  • Relocation of the junctional epithelium (from crown to down the root)
  • Destruction of gingival fibres
  • Destruction of periodontal ligament
  • Loss of alveolar bone support
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16
Q

What should be done when the BPE has a score of 3

A
  • 6PPC is required in that sextant

- Supra and sub gingival debridement

17
Q

What should be done when the BPE has a score of 4/*

A

Requires full mouth 6PPC

18
Q

What are the things included in the 6PPC ting

A
  • Pocket depth
  • Bleeding on probing
  • Mobility
  • Furcation involvement
  • Recession
19
Q

Describe the grades of mobility

A

Grade I = up to 1mm in a horizontal direction
Grade II = greater than 1mm but less than 2mm in a horizontal direction
Grade III = greater than 2mm in a horizontal direction or vertical movement

20
Q

What probe is used to measure furcations

A

Naber’s probe

21
Q

What are the different grades of furcation involvement

A

Grade I = probe penetrates up to 3mm.
Grade 2 = probe penetrates greater than 3mm.
Grade 3 = through and through

22
Q

What symbols are used to represent the different grades of furcation involvement

A

Grade 1 - triangle without the base
Grade 2 - triangle, not shaded in
Grade 3 - triangle, shaded in

23
Q

How do we measure Clinical Attachment Loss

A

Probing depth + Recession

24
Q

What is the bleeding score a measurement of

A

Measurement of inflammation at the gingival margin

25
Q

What does bleeding on probing measure

A

BoP measures the presence of inflammatory lesions located at the base of the periodontal pocket

Periodontology (12 decks)

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