Seminar notes Flashcards
Keratinisation of the epithelium that covers the sulcus is
Non keratinised
Reevaluation after hygienic phase takes place
6 weeks to 6 months after
Periodontal status includes
-Mobility
-Implant
-Furcation involvement
-Probing depth
-Gingival margin level
Periodontal status is done after
Scaling
Four main phases of periodontal treatment
-Systemic
-Hygienic
-Corrective
-Supportive(maintenance)
Re-evaluation can occur after
Hygienic and corrective phase
Periodontal chart is part of the
Hygienic phase
Grade 1 mobility
1mm horizontal mobility
Grade 2 mobility
over 1mm horizontally
Grade 3 mobility
Vertical and horizontal mobility
Gingival margin definition
Distance measured in mm with a periodontal probe from the gingival margin to the CEJ
Probing depth
Distance measured in mm with a periodontal probe from the gingival margin to the bottom of the sulus/pocket
Value that cant be 0
Probing depth
Value that can be 0. negative or positive
Gingival margin
Histological probing depth smaller than clinical probing depth because
Probe can be inserted into epithelial junction
Pseudopocket
-Probing depth more than 3mm
-No attachment or bone loss
Probing depth more than 4 but less than 6 is
Paradontitis superficialis
Probing depth greater than 6mm w/ attachement and bone loss that can be horizontal or vertical. Furcation involvement
Paradontitis profunda
Clinical attachment level
Distance from CEJ to bottom of sulcus
If distance between CEJ and bottom of gingival sulcus increases
Clinical attachment loss
If the distance between CEJ and bottom of pocket decreases
Clinical attachment gain
Prognosis types
-Good
-Doubtful
-Irrational to treat
Criteria for doubtful prognosis
-Periodontal origin
-Dental origin
-Endodontic origin
Criteria for irrational to treat
-Periodontal origin
-Dental origin
-Functional origin
-Endodontic origin
Systemic phase
Find systemic diseases or medications that may lead to periodontal disease
Modifying factors for periodontitis
Pregnancy
Puberty
Menopause
Hygenic phase
-Oral cavity cleared of infection by removing biofilm and plaque retentive factors
-Plaque control motivation
-Root debridement
Plaque retentive factor types
Natural
Iatrogenic
Corrective phase
Orthodontic treatment
Definitive prosthetic treatment
Instrumentation for disruption of and removal of biofilms
Debridement
Instrumentation for removal of mineralised deposits(calculus)
Scaling
Instrumentation to remove infected cementum and dentine
Root planing
Sickle characteristics
-Curved or straight blade
-Triangular in cross section
-Two cutting egdes
Sickle use
-Debridement and scaling supragingivally
Curette
-Spoon shaped blade
-Two cutting egdes
-Double ended
Curette use
Supra and subgingivally
Angle of curette to tooth surface
80 degrees