The Periodontal Assessment

Question 1

The American Academy of Periodontology AAP recommends an ____ comprehensive periodontal evaluation to assess a patients periodontal health and identify conditions such as periodontal disease

Answer 1

annual

Question 2

What is the eye of the clinician beneath the gingival margin

Answer 2

Periodontal assessment

Question 3

Periodontal assessments cannot be completed without what

Answer 3

Current complete and diagnostic set of radiographs

Question 4

Basic Probing Technique

Answer 4

• Modified pen
• NECESSARY to split fingers *
• LIGHT Pressure as you are pushing toward junctional epithelium
• equal to assessment stroke

Question 5

**A fulcrum must __ as you travel across arch

Answer 5

move

Question 6

Stroke Activation

• Walking stroke
• Short up and down bobbing motion (1-2mm) made by moving the probe with your fingers
• Apply 10-20grams of pressure when you push
• Walk probe around tooth -use fingers
• Strokes are close together <1mm apart
• __ or ___ finger motion

Answer 6

Wrist or Digital

Question 7

Gingival margin means the same thing as

Answer 7

free gingival margin

Question 8

Probe tip follows __/___ anatomy and surface irregularities

Answer 8

crown/root

Question 9

Steps for the Periodontal Assessment

Answer 9

1. Refer to radiographs (Bone level/lamina dura)
2. Probe depths
3. BOP
4. Suppuration (pus)
5. Refer back to radiographs
6. Assess Position of the Free Gingival Margin

Question 10

Steps for the Periodontal Assessment

Answer 10

1. Refer to radiographs (Bone level/lamina dura)
2. Probe depths
3. BOP
4. Suppuration (pus)
5. Refer back to radiographs
6. Assess Position of the Free Gingival Margin
7. Measuring Mucogingival Junction to determine adequate amount of attached gingiva
8. Classifying Mobility
9. Classifying Furcations
10. Explorer Assessment

Question 11

Distance from cementoenamel junction to junctional epithelium

Answer 11

CAL

Question 12

Calculating CAL requires 2 measurements:

Answer 12

Probe depth

FGM

Question 13

4 reasons we have a Mucogingival Junction

Answer 13

1. Supports margins
2. Withstands frictional stress of mastication and TB
3. Base for mucosa to move lips, cheeks, and tongue
4. Barrier to passage of inflammation

Question 14

What do you do with your probe when testing prescence of MGJ

Answer 14

roll test

Question 15

How to calculate attached gingiva

Answer 15

Measure total width of gingiva (outside gingiva)

subtract probing depth

Question 16

When should we need to measure MGJ

Answer 16

• recession is present

- frenum pull

Question 17

We only need to use vertical mobility test when

Answer 17

there is horizontal mobility

Question 18

Slight mobility, up to 1 mm of horizontal displacement

Answer 18

Class 1

Question 19

Greater than 1 mm of horizontal displacement

Answer 19

Class 2

Question 20

Tooth is vertically depressible

Answer 20

Class 3

Question 21

is the loss of alveolar bone and periodontal ligament fibers in the space between the roots of a multirooted tooth

Answer 21

Furcation Involvement

Question 22

Concavity felt with explorer/probe in furcation flute only

interradicular bone is still intact

Answer 22

Class I furcation

Question 23

Instrument enters furcation up to halfway
Feel roof or floor of furcation
Loss of interradicular bone into furcation that is not through and through

Answer 23

Class II furcation

Question 24

• Loss of interradicular bone equaling a through and through defect
• Furcation covered by gingival tissue
• Instrument passes through furcation

Answer 24

Class III

Question 25

Furcation is through and through, bone loss with furca is visible due to recession

Answer 25

Class IV

Question 26

**The mesial furcation of the ___ first molar has to be examined from a palatal approach because of root anatomy

Answer 26

maxillary first molar

Question 27

Before you start taking probe depths in Axium you should

Answer 27

chart all missing teeth

Question 28

For axium: when you are working in the direction that your probe moves away from you, always start at the line angle ___ to you.

and when you are working in the direction that your probe moves toward you, always start at the line angle __ from you

Answer 28

closest

farthest

Question 29

do we round down or up in probing

Answer 29

round up

Question 30

You will manually compute FMG and record in axium only when __ or an abnormal probe depth is present

Answer 30

recession

Question 31

For MGJ do I manually put into axium or will it automatically input

Answer 31

Manually

Question 32

MGJ is recorded facially and lingually or just one?

Answer 32

Just facial