Radiographic Interpretation of periodontal health Flashcards
What are the factors that are important to observe in a radiograph of periodontium?
Degree of bone loss
Pattern of bone loss
Healthy bone position
Progression of bone loss
Root morphology
Furcation defects
Widened periodontal ligament space
Calculus
Overhanging restorations
Apical pathology
Retained roots
What features of the periodontal ligament space should be observed?
Thickness
Continuity
Missing
Hypercementosis
Widening
What occurs in the fundamental phase of the treatment plan?
Patient education (inform and motivate patient, awareness of PDs, modifiable risk factors)
Training in personal oral hygiene
Counselling on control of risk factors oral hygieve instructions
Removal of defective restorations, overhangs, and or any predisposing factors
Scaling and root debridement of teeth
What occurs during the re-assessment phase of treatment?
Comparison of pre and post treatment clinical parameters to assess healing responses and determine the stability or need for further treatment
Review and reinforcement of personal daily oral hygieve when appropriate.
Update anamnesis
Review initial prognosis
If periodontal case, review disease grade
Referral for periodontal specialist treatment to be considered.
How long is needed before reassessment is needed?
Approximately 6 to 8 weeks following fundamental phase completion. Since time is needed for tissue response and maturation.
120 days for grade C and systematically modified subtypes.
When is reassessment needed?
Should be done regularly following treatment. It is mandatory for checking result of treatment efficacy.
What are the subgingival parameters assessed during reassessment?
PD reduction:
Oedema reduction
Possibly recession
Long JE formation
PD increase:
Persistent inflammation and swelling
BOP assessment. Loss of BOP indicates stability and no attachment loss. BOP presence doesn’t necessarily mean there is attachment loss.
CAL gain is seen in health (Long JE formation)
CAL loss is seen in disease (Apical migration of JE and loss of connective tissue and bone)
What are the possible results that can arise from reassessing treatment?
Less PD and no BOP = stable
Less PD but still BOP = remission favourable but maintenance needed
Same PD and BOP with or without CAL = instability
What are possible results of treatment?
Grade
Systematic modifiers
Type teeth / furcations
Type of bone defects
Subgingival calculus
Other root conditions
What are the types of treatment?
Antibiotics (age/severity, and systemic involvement)
Surgical flap access for debridement (Deep and tortuous pockets, type of teeth/furcations, type of bone defects, subgingival calculus, other root conditions)
