Treatment Planning of Gingival and Periodontal Disease Flashcards
what is the appearance of healthy gingiva?
pink health stippled gingivae with good tone and absence of bleeding on brushing or probing
what is the appearance of gingivitis?
plaque-induced inflammation of the gingivae characterised by red, swollen tissues which bleed on brushing or probing
what is plaque-induced gingivitis
an inflammatory response of the gingival tissues resulting from bacterial plaque accumulation located at and below the gingival margin
what are the clinical signs of plaque-induced gingvitis?
bleeding on probing, high plaque score, high bleeding score, gingival swelling and redness
what does the patient notice with plaque-induced gingivitis?
blood in saliva, bleeding with toothbrushing and interdental cleaning, bad breath (halitosis)
what are the key points of plaque-induced gingivitis?
reversible inflammation of the gingival tissues, swelling and bleeding at the gingival margins, risk factor for periodontitis, probing depths <3mm, no attachment loss, no radiographic loss
what is the appearance of periodontitis?
inflammation of the supporting structures of the teeth, loss of attachment, recession, bleeding on brushing and bone loss
what is periodontitis?
an inflammatory disease initiated by bacteria which, in susceptible people, cause severe inflammation and loss of bone around the teeth
what are the clinical signs of periodontitis?
bleeding on probing, radiographic bone loss, gingival recession, probing depths >4mm (clinical attachment loss)
what does the patient notice in periodontitis?
blood in saliva, bleeding with toothbrushing and interdental cleaning, halitosis, black triangles, tooth movement
what are the key points of periodontitis?
inflammation of the supporting structures of the teeth, bleeding on probing in active disease, probing depths >4mm, radiographic bone loss, susceptible patients most at risk for tooth loss, can be modified by systemic disease
what is the BPE?
screening tool for periodontal disease
what is the mouth divided into for the BPE?
sextants
what do you do in the BPE?
walk the probe around the gingival margin of the teeth
what does the BPE indicate?
what further assessment and periodontal treatment the patient requires
what does the ball on the end of the probe do?
catch the calculus
what does the black band on the probe do?
marks gingival and periodontal disease
what are the sextants that the mouth is divided into for the BPE?
17-14, 13-23, 24-27, 47-44, 43-33, 34-37
where does the probe go in the BPE?
into the gingival crevice
what is the effect of healthy gingivae on the probe?
the healthy gingivae would stop the probe getting into the crevice
what is the effect of periodontitis on probing?
the probe can go into the crevice and touch the surface of the root
what does BPE 0 diagnose as?
health
what is the treatment for BPE 0?
none
what is the probing depth of BPE 0?
black band completely visible
