Periodontal Indices Flashcards
What are the 5 characteristics that are assessed regarding inflammation?
color texture bleeding exudate plaque
There is always _______ in the gingival sulcus, but when it becomes _______ it indicates an underlying problem.
transudate
exudate
_________ + __________ = Identification of Disease
Assessment of Inflammation
Loss of Periodontal Tissue Support
What three characteristics are evaluated when studying periodontal tissue support?
Probing Depths
Clinical Attachment Levels
Radiographic Evaluation
Following initial treatment, a patient will be instructed to come back for one of three things based on the assessment of periodontium. What are these three circumstances?
- Recall
- Periodontal Maintenance
- Referral to Periodontist
The Plaque Index assesses the amount of plaque at the _____ _____, examining the same anatomical units as the GI.
Gingival Margin
Using the plaque index, a probe can be used to decipher between ____ and _____; however, visible plaque is scored a _____ or ______.
0, 1
2, 3
The Plaque index can be applied to a ____, ______, or _____.
tooth
subject
population
True or False: the Turesky Modified Plaque Index uses disclosing dye to examine facial and lingual surfaces.
True
True or False: The Turesky Modified Plaque Index is the most frequently used index in clinical trials and the Volpe-Manhold is the most used calculus index used in longitudinal studies.
True
*The O’Leary Plaque Index provides a ______ of tooth surfaces ______ for plaque.
percentage
positive
*The NIDR Calculus Index ranks calculus from ____ to ____. Describe the difference between levels.
0 to 2
0 = calculus absent
1 = supragingival calculus only, no subgingival
2 = supra and subgingival calculus
*Using the Gingival Index (GI) [aka: Loe & Sillness], inflammation is assessed in ____ distinct gingival areas. What are these areas?
4 distofacial papilla facial margin mesiofacial papilla lingual gingival margin (basically....the margin around the tooth)
How is the GI scored?
Inflammation is scored 0 to 3 in the four areas:
normal = 0
1 = no bleeding, inflamed, red
2= moderate inflammation, redness, BoP
3= spontaneous bleeding upon brushing, eating, or sleeping
_____ is the tendency to bleed 15 seconds following retraction of a probe from the periodontal pocket.
BoP
Bleeding on probing is score as either ___ which indicates presence of blood, or _____ which indicates absence.
1 if present
0 if absent
BoP is a valid indicator of periodontal _____ but it is a poor indicator of periodontal ______.
stability
breakdown
Which probe do we typically use for Periodontal Screening?
the “Michigan-O” with Williams Markings
Attachment level = ______ mm + ______ mm
probing depth + recession
recession is written as a positive number, inflammation as a negative
For periodontal probing, how many surfaces are examined per tooth? What type of force is used? Correct _____ is important.
6 surfaces
light force
correct angulation
What is the correct angulation for interproximal probing (after reaching the contact point with parallel probe, you angulate this much)?
15 degrees
The ESI is a _______ index that relates disease to two characteristics: ______ and ______.
Periodontal index
extent and severity
What is the difference between extent and severity?
Extent = proportion of tooth sites showing destruction Severity = amount of attachment loss at the sites (avg.)
Using the PDI system, how many areas of the tooth are examined and how are they examined?
4 areas using a perio probe
