Periodontal Assessment

Question 1

define assessment

Answer 1

data gathering process

systematic survey of patient to collect information relevant to hi/her oral health

Question 2

Rationale

Answer 2

(purposes) for periodontal assessment

nine reasons for doing a thorough perio assessment include

Question 3

what are the nine reasons?

Answer 3

• **1. establish baseline data prior to treatment (benchmarking) determines success/failure of treatment and future home care planning
  2. determine diagnosis –Primary Diagnosis
  3. determine prognosis (forecast) of
• ***4. aid in treatment planning
  5. facilitate implementation of treatment plan
  6. provide reference for evaluation of treatment
• **7. provide legal evidence
  8. aid in forensic dentistry
• **9. establish rapport

Question 4

what composes a complete evaluation?

Answer 4

health survey: med/dent history updated at each visit
general dental survey -complete baseline dental charting
deposits survey–including plaque, stain, calculus
occlusal survey–occlusal analysis
radiographic survey–FMS, vertical and horizontal bitewings, panelipse
periodontal survey–probe depths, bleeding gingival conditions, mucogingival involvement, attachment levels, furcas, etc.
treatment record–of past, current, and potential future treatment

Question 5

Radiographic Survey

Answer 5

contents (that what)
why do we take radiographs? to show what you can not se in the mouth
when do we take them?

Question 6

periodontal survey

Answer 6

contents: (write these down)
1. gingival assessment (conditions)
2. clinical attachment loss (CAL) and mucogingival level
3. probe depth
4. sulcular bleeding (SBI)
5. furcation
6. mobility
7. exudates
8. local etiologic factors
9. calculus–Supra/Sub
10. location of plaque (PCR) —done after perio assess VERIFICATION!!!!

Question 7

periodontal survey

Answer 7

why do we do it?
when do we do it?
we will be reviewing/learning the how

Question 8

pocket (sulcus) depth

Answer 8

why do we probe?
what are the types of pockets? Pseudo & Real
Gingival: “pseudo or false”
Periodontal Pocket: “true pocket (bone loss)
when are number in RED? 5mm and above

Question 9

CAL/Mucogingival

Answer 9

an indicator of present disease “what is going on in their home care. if they have a lot of area of recession, then we need to look at their tooth brushing

Question 10

sulcular bleeding (SBI)

Answer 10

one of our indicators of inflammatory process
very useful for a pt. motivator
3. guideline for referral

Question 11

Gingival Conditions

Answer 11

use air and light look at the margin, papilla, color, contour and the consistency

Question 12

calculus

Answer 12

Supra

Sub

Question 13

Mobility

Answer 13

use mirror and mirror handle
helps determine the prognosis
Class I= 1mm
Class II=>1mm
Class III=>2mm in different directions press down on it, you will see it compressed
*severe mobile tooth (we would use extreme caution in scaling!)

Question 14

exudate

Answer 14

it helps show ACTIVE disease =necrotic DEAD tissue)

record direct surface example: DB or #30 or MF #30

Question 15

furcation

Answer 15

helps us guide our instrumentation
helps us guide to prognosis
tells us how much bone loss we do have
*it is only a furcation if we can hook the explorer in the area
max: 1-3; 14-16 (B) and PreMolar
mand: 17,18,19, 30, 31, 32 (B) (L) we turn it towards the (M/L) and (D/L) because that is where the root bifurcates
Class I: barley hooked
Class II: hooked and explorer tip get flush
Class III: through/through there is no bone left
Class IV: you can see it
record in dentrix (surface: I, II, III, IV)

Question 16

local etiologic factors

Answer 16

large frena attachment –causes a diastima
helps w/pt. ed. and referral
types: open contacts
abnormal frenums
overhangs
record in the “care plan” under etiologic factors”