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Fundamentals > The Periodontal Assessment > Flashcards

The Periodontal Assessment Flashcards

Exam 2

1
Q

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

A

annual

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2
Q

What is the eye of the clinician beneath the gingival margin

A

Periodontal assessment

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3
Q

Periodontal assessments cannot be completed without what

A

Current complete and diagnostic set of radiographs

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4
Q

Basic Probing Technique

A
  • Modified pen
  • NECESSARY to split fingers *
  • LIGHT Pressure as you are pushing toward junctional epithelium
  • equal to assessment stroke
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5
Q

**A fulcrum must __ as you travel across arch

A

move

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6
Q

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
A

Wrist or Digital

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7
Q

Gingival margin means the same thing as

A

free gingival margin

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8
Q

Probe tip follows __/___ anatomy and surface irregularities

A

crown/root

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9
Q

Steps for the Periodontal Assessment

A
  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
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10
Q

Steps for the Periodontal Assessment

A
  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
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11
Q

Distance from cementoenamel junction to junctional epithelium

A

CAL

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12
Q

Calculating CAL requires 2 measurements:

A

Probe depth

FGM

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13
Q

4 reasons we have a Mucogingival Junction

A
  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
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14
Q

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

A

roll test

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15
Q

How to calculate attached gingiva

A

Measure total width of gingiva (outside gingiva)

subtract probing depth

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16
Q

When should we need to measure MGJ

A
  • recession is present

- frenum pull

17
Q

We only need to use vertical mobility test when

A

there is horizontal mobility

18
Q

Slight mobility, up to 1 mm of horizontal displacement

A

Class 1

19
Q

Greater than 1 mm of horizontal displacement

A

Class 2

20
Q

Tooth is vertically depressible

A

Class 3

21
Q

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

A

Furcation Involvement

22
Q

Concavity felt with explorer/probe in furcation flute only

interradicular bone is still intact

A

Class I furcation

23
Q

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

A

Class II furcation

24
Q
  • Loss of interradicular bone equaling a through and through defect
  • Furcation covered by gingival tissue
  • Instrument passes through furcation
A

Class III

25
Q

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

A

Class IV

26
Q

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

A

maxillary first molar

27
Q

Before you start taking probe depths in Axium you should

A

chart all missing teeth

28
Q

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

A

closest

farthest

29
Q

do we round down or up in probing

A

round up

30
Q

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

A

recession

31
Q

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

A

Manually

32
Q

MGJ is recorded facially and lingually or just one?

A

Just facial

Fundamentals (29 decks)

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