Test 2: Chapter 20 Flashcards
_______ is a quick process to determine if a more comprehensive assessment is needed
Periodontal Screening Examination
_______ is an intensive and in-depth information-gathering process
Comprehensive Periodontal Assessment
What are the components of a periodontal assessment?
we do this with every adult clinical patient
- Gingival description
- Probing depth measurements
- Bleeding on probing
- Tooth mobility
- Furcation involvement
- Presence of calculus deposits on the teeth
- Presence of dental plaque biofilm
An evaluation of the gingiva includes tissue color, contour, consistency and ________.
texture
The _______ is between the keratinized gingiva and the nonkeratinized mucosa. It is usually easy to detect because of color definition.
________tissue is pale pink and _______ is more thin and vascular
MGJ; keratinized; nonkeratinized
________, also called suppuration or pus
represents dead white blood cells. It can only occur in infection and is easiest to detect by tissue manipulation.
Exudate
_______ tooth mobility is the movement of a tooth in the facial to lingual direction.
Horizontal
_______tooth mobility is the movement of a tooth up and down in the socket.
Vertical
Which mobility class is up to 1 mm horizontal displacement in a facial–lingual direction?
Class I
Which mobility class is greater than 1 mm but less than 2 mm of horizontal displacement in a facial–lingual direction?
Class II
Which mobility class is greater than 2 mm displacement in a facial–lingual direction or bouncing in the socket?
Class III
________ is a palpable or visible movement of a tooth when in function
Fremitus
What type of involvement frequently signals need for periodontal surgery?
Furcation involvement
Curvature of concavity can be felt with the probe tip; the probe penetrates no more than 1 mm and is indicative of a _____ furcation involvement?
Class I
If the probe tip penetrates into the furcation greater than 1 mm but does not pass through it would be classified as a ______ furcation involvement.
Class II
It the probe passes completely through the furcation it would be classified as a _____ furcation involvement.
Class III
This furcation involvement is the same as class III, except entrance to furcation is clinically visible because of recession of the gingival margin.
Class IV
What are assessment components requiring calculations?
Width of attached gingiva, mucogingival defects and
CAL
What is the function of the attached gingiva?
Keeps the free gingiva from being pulled away from the tooth
What is the formula for calculating the width of the attached gingiva?
- Measure from the gingival margin to the mucogingival junction to obtain total width of the attached gingiva.
- Measure the pocket depth.
- Subtract the pocket depth from the total width of the AG
To determine the ____, estimate of the periodontal support around the tooth as measured with a periodontal probe
Clinical Attachment Level
________ is measured from the gingival margin to the base of the sulcus or periodontal pocket; whereas, the
______ is measured from a fixed point—usually the CEJ—to the base of the sulcus or periodontal pocket
Probing depths; CAL
For ______ the position of the gingival margin may change with tissue swelling or recession.
probing depths
What is the significance of the CAL?
- It is a more accurate indicator of the periodontal support around a tooth than probing depth measurement.
- It provides an accurate means to monitor changes in periodontal support over time
______ is a critical factor in distinguishing between gingivitis and periodontitis.
Loss of attachment (LOA)
_______ recession is isolated to the facial surface and the interdental papillae. This type of recession does not extend to the mucogingival line.
Miller Class I Defect
_______ recession is isolated to the facial surface and the papillae remain intact and fill the interdental spaces. This type of recession extends to or beyond the mucogingival line into the mucosa
Miller Calss II Defect
______ recession is quite broad with the interdental papilliae missing due to damage from disease. This type of recession extends beyond the MG line into the mucosa.
Miller Class III Defect
______ recession extends to or beyond the MGJ with severe loss of interproximal alveolar bone resulting in open interdental areas.
Miller Class IV Defect
When are probing depth measurements are completed?
With the comprehensive dental exam. It is completed annually on ALL patients.
It is completed at every visit for periodontal maintenance patients
At SPC, all new patient exams are completed _____.
annually
What does Code 0 for a PSR examination indicate?
A. Colored areas completely visible; No calculus…..
B. Colored area completely visible; Calculus
C. Black band completely hidden; CPC indicated
D. Colored area completely visible with BOP; No calc…..
A. Colored areas completely visible; No calculus…..
What does Code 1 for a PSR examination indicate?
A. Colored areas completely visible; No calc…..
B. Colored area completely visible; Calculus
C. Black band on probe partially hidden; CPC indicated
D. Colored area completely visible with BOP; No calc…..
D. Colored area completely visible with BOP; No calc…..
What does Code 2 for a PSR examination indicate?
A. Colored areas completely visible; No calc…..
B. Colored area completely visible; Calculus
C. Black band on probe partially hidden; CPC indicated
D. Colored area completely visible with BOP; No calc…..
C. Colored area completely visible; Calculus
What does Code 3 for a PSR examination indicate?
A. Colored areas completely visible; No calc…..
B. Colored area completely visible; Calculus
C. Black band on probe partially hidden; CPC indicated
D. Colored area completely visible with BOP; No calc…..
C. Black band on probe partially hidden; CPC indicated
What does Code 4 for a PSR examination indicate?
A. Colored areas completely visible; No calc…..
B. Colored area completely visible; Calculus
C. Black band completely hidden; CPC indicated.
D. Colored area completely visible with BOP; No calc…..
C. Black band completely hidden; CPC indicated
On the PSR probe, the bands are located at ______ mm to ______ mm.
3.5 to 5.5
What are the three types of supplemental diagnostic tests for patients that have refractory forms of periodontitis?
- tests related to bacteria
- tests that analyze GCF
- tests for genetic susceptibility for periodontal disease.
