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Perio II > Perio Examination > Flashcards

Perio Examination Flashcards

1
Q

What is the overall appraisal of the patient?

A
  • consideration of patient’s mental and emotional status, temperament, attitude, and physiologic age
    - should happen from the first meeting
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2
Q

What is involved in the chief complaint of the patient?

A
  • identifying problem
  • severity/duration
  • pain assessment
  • urgency
  • past treatment for problem
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3
Q

What is the order of events in periodontal exam?

A
  • first, overall appraisal of the patient
  • chief complaint
  • medical hx
  • dental hx
  • radiographs
  • examination of teeth
  • examination of periodontist
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4
Q

Why is medical hx necessary for periodontal examination?

A

many reasons but importantly to asses factors to periodontal disease

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5
Q

What must be completed before starting a periodontal examination?

A

hard and soft tissue examination

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6
Q

T/F: you must record gingiva margin even if there isn’t recession.

A

False!
- only record gingival margin if recession is present

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7
Q

How is gingival margin measured?

A
  • take probe and place in center of gingival sulcus gently
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8
Q

What are gingival margin measurements for gingivitis and periodontitis?

A
  • 1-3mm
  • > 3mm
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9
Q

What is the 1st area of tooth in regards to perio?

A

distofacial line angle to midline of distal surface

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10
Q

What is the 2nd area of tooth in regards to perio?

A

facial surface

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11
Q

What is the 3rd area of tooth in regards to perio?

A

mesiofacial line angle to midline of mesial surface

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12
Q

What is the 4th area of tooth in regards to perio?

A

distolingual line angle to midline of distal surface

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13
Q

What is the 5th area of tooth in regards to perio?

A

lingual surface

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14
Q

What is the 6th area of tooth in regards to perio?

A

mesiolingual line angle to midline of mesial surface

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15
Q

What’s the importance of “walking the probe”?

A
  • if there’s a deeper area in one section of the gingiva, then we could miss that if we just stuck it in one section
  • allows you to find and record deepest depth
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16
Q

How is the probe positioned when measuring depth?

A

parallel to line angle

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17
Q

How are proximal surface depths taken?

A
  • go in at an angle and then alter to make it parallel
    (never angle it greater than 10 degrees)
18
Q

How do you read the measurement of probing depth?

A
  • measurement is made from gingival margin (top) to attached periodontal tissue (bottom)
  • use the higher mark for final reading
19
Q

What are some examples of the health of the gingival tissue affecting the depth of penetration of probe tip?

A
  • with very tight tissue or calculus present, probe might not penetrate to the base of pocket (give shorter depth)
  • with inflammation, the tip can penetrate into the connective tissue
20
Q

T/F: You can sometimes feel calculus when probing.

A

True!

21
Q

T/F: BOP is not a marker of disease.

A

False!
It is a marker for disease and should be noted in the chart

22
Q

How is mucogingival examination performed?

A
  • read from the gingival margin to the mucogingival junction
  • subtract the probing depth from this to get the attached gingiva
23
Q

What is the range of gingival width?

A

1-10 mm

23
Q

Where is the more narrow gingiva in the mouth?

A

mandibular premolar region

24
Q

What is a periodontal pocket?

A
  • formed due to disease/degeneration that cause junctional epithelium to migrate apically
  • tooth wall is cementum/partially enamel
  • can be suprabony or intrabony
24
Q

What is a gingival pocket?

A
  • formed by gingival enlargement without apical migration of junctional epithelium
  • all gingival pockets are suprabony
  • NO bone loss
  • margin of gingiva has moved toward incisor/occlusal without deeper perio structures becoming involved
  • tooth wall is enamel
25
Q

What is probing depth vs attachment loss?

A
  • probing depth is distance between the base of the pocket and gingival margin
  • attachment loss is distance between base of pocket and the CEJ
26
Q

When the gingival margin is located on the anatomic crown…

A

it coincides with the CEJ but usually located apically to the CEJ

27
Q

In presence of gingival recession, how is the clinical attachment level measured?

A
  • directly from CEJ to attached tissue
28
Q

When gingival margin covers the CEJ, how is clinical attachment level measured?

A
  • first CEJ is located and then distance to CEJ is measured and subtracted from probing depth
29
Q

When does the clinical attachment level equal the probing depth?

A

when gingival margin is at level of CEJ

30
Q

What is Miller’s classification of gingival recession 1?

A

midfacial/midlingual recession that is not extended to mucogingival junction

31
Q

What is Miller’s classification of gingival recession 2?

A

midfacial/midlingual recession that has extended to mucogingival junction

32
Q

What is Miller’s classification of gingival recession 3?

A

midfacial/midlingual recession that has extended to mucogingival junction with interproximal bone loss

33
Q

What is Miller’s classification of gingival recession 4?

A

midfacial/midlingual recession that has extended to mucogingival junction with severe interproximal bone loss

34
Q

What is disclosing solution used for?

A

plaque
- good indicator

35
Q

What are the stages of mobility in teeth movement?

A
  • grade 1: buccal/lingually <1 mm
  • grade 2: buccal/lingually >1mm
  • grade 3: depressible (incisal/apical or corona/apical)
36
Q

What is fremitus?

A
  • functional mobility
  • can be felt before signs of mobility
  • due to parafunctional habits or bone loss
36
Q

How is fremitus checked?

A
  • index finger on labial surface of tooth/teeth and patient is asked to grind/tap/protrude
  • any movements felt= fremitus
37
Q

What is the Naber’s probe?

A
  • furcation probe
  • used to detect furcation area
  • curved and blunt
  • non calibrated or calibrated
38
Q

What are the 4 classifications of furcation involvements?

A
  • grade 1: incipient, depression that just catches the probe
  • grade 2: partial penetration of probe, cul-de-sac
  • grade 3: interradicular bone is completely absent, probing through and through
  • grade 4: gingiva recessed so furcation is clinically visible
39
Q
A

Perio II (2 decks)

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