Quiz 4. Probing Flashcards
Purpose of the Perio probe
Classification of patient’s disease status
Extent of inflammation
Shape and dimensions of sulcus or pocket
Attachment level of mucogingival junction
Root surface irregularities and calculus location
Width of attached gingiva
Gingival recession
Use of the periodontal probe
Intraoral Lesions BOP Recession of gingival margin Amount of attached gingiva Probing depth Clinical attachment level Distance between teeth Furcation involvement
General Design Characteristics
Calibrated
Blunt/rounded, rod-shaped working end
Maybe circular or rod shaped/flat in cross section
Accurate Probe readings
Want to measure from gingival margin to base of sulcus
Recording measurements
6 measurements per tooth
Record the deepest #
Need to keep what to the long axis?
Parallel
Probe stroke
Keep parallel
Enter at distal line angle, walk probe distally into into contact area.
Reenter at distal line angle and walk probe mesially and entering the col at mesialcontact.
Bobbing at 1-2 mm until done
Probe-diseased sulcus
Probe touches epithelium located at the root somewhere below CEJ
Depth is greater than 3 mm
Bone loss may have occurred
Probing for posterior teeth
Insert at distobuccal angle, walk into contact area
Tilt until you slip into the col
Reinsert at distobuccal line angle and move toward mesial contact
Anterior Sequence
Completed from front position
from L to R across anteriors of mandibular teeth
Measuring gingival recession
Measured in mm from gingival margin to CEJ
Mucogingival Exam
Absence of attached gingiva the probe will pass through the mucogingival junction into the alveolar mucosa
Measuring attached gingiva
Subtracting the probing depth from the total width of the gingiva
CAL (calculated attachment level/loss)
Calculated measurements made from a fixed point (CEJ) that doesn’t change so it provides a reliable indication of the extent of bone loss
Class 1 Furcation
Just above furcation entrance
Probe can’t enter furcation area