The Periodontal Assessment Flashcards
Exam 2
The American Academy of Periodontology AAP recommends an ____ comprehensive periodontal evaluation to assess a patients periodontal health and identify conditions such as periodontal disease
annual
What is the eye of the clinician beneath the gingival margin
Periodontal assessment
Periodontal assessments cannot be completed without what
Current complete and diagnostic set of radiographs
Basic Probing Technique
- Modified pen
- NECESSARY to split fingers *
- LIGHT Pressure as you are pushing toward junctional epithelium
- equal to assessment stroke
**A fulcrum must __ as you travel across arch
move
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
Wrist or Digital
Gingival margin means the same thing as
free gingival margin
Probe tip follows __/___ anatomy and surface irregularities
crown/root
Steps for the Periodontal Assessment
- Refer to radiographs (Bone level/lamina dura)
- Probe depths
- BOP
- Suppuration (pus)
- Refer back to radiographs
- Assess Position of the Free Gingival Margin
Steps for the Periodontal Assessment
- Refer to radiographs (Bone level/lamina dura)
- Probe depths
- BOP
- Suppuration (pus)
- Refer back to radiographs
- Assess Position of the Free Gingival Margin
- Measuring Mucogingival Junction to determine adequate amount of attached gingiva
- Classifying Mobility
- Classifying Furcations
- Explorer Assessment
Distance from cementoenamel junction to junctional epithelium
CAL
Calculating CAL requires 2 measurements:
Probe depth
FGM
4 reasons we have a Mucogingival Junction
- Supports margins
- Withstands frictional stress of mastication and TB
- Base for mucosa to move lips, cheeks, and tongue
- Barrier to passage of inflammation
What do you do with your probe when testing prescence of MGJ
roll test
How to calculate attached gingiva
Measure total width of gingiva (outside gingiva)
subtract probing depth
When should we need to measure MGJ
- recession is present
- frenum pull
We only need to use vertical mobility test when
there is horizontal mobility
Slight mobility, up to 1 mm of horizontal displacement
Class 1
Greater than 1 mm of horizontal displacement
Class 2
Tooth is vertically depressible
Class 3
is the loss of alveolar bone and periodontal ligament fibers in the space between the roots of a multirooted tooth
Furcation Involvement
Concavity felt with explorer/probe in furcation flute only
interradicular bone is still intact
Class I furcation
Instrument enters furcation up to halfway
Feel roof or floor of furcation
Loss of interradicular bone into furcation that is not through and through
Class II furcation
- Loss of interradicular bone equaling a through and through defect
- Furcation covered by gingival tissue
- Instrument passes through furcation
Class III
Furcation is through and through, bone loss with furca is visible due to recession
Class IV
**The mesial furcation of the ___ first molar has to be examined from a palatal approach because of root anatomy
maxillary first molar
Before you start taking probe depths in Axium you should
chart all missing teeth
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
closest
farthest
do we round down or up in probing
round up
You will manually compute FMG and record in axium only when __ or an abnormal probe depth is present
recession
For MGJ do I manually put into axium or will it automatically input
Manually
MGJ is recorded facially and lingually or just one?
Just facial
