Unit 6 - Clinical Periodontal Assessment - The Comprehensive Assessment Flashcards

1
Q

What is the comprehensive periodontal assessment?

A

An intensive clinical periodontal assessment used to gather information about the periodontium

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2
Q

What is the collection of baseline data?

A

Clinical information gathered from this periodontal assessment aids to identify the periodontal health status of the client, prior to periodontal therapy

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3
Q

What data is collected at subsequent appointments?

A

Data is used as a comparasion to determine improvements, stability or deline of the periodontal health over a period of time

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4
Q

What is a Class I mobility?

A

Up to 1mm of horiztonal displacement in a facial-lingual direction

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5
Q

What is a Class II mobility?

A

Greater than 1mm but less than 2mm of horizontal displacemen in a facial-lingual direction

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6
Q

What is a Class III mobility?

A

Greater than 2mm displacement in a facial-lingual direction or bouncing in the socket

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7
Q

What is it called when there is a palpable or visible movement of a tooth when in function?

A

Fremitus

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8
Q

How can a femitus be assessed?

A

By gently placing a gloved index finger against the facial aspect of the tooth as the patient either taps the teeth together or stimulates chewing movements

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9
Q

What does furcation involvement typically signify?

A

The need for periodontal surgery

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10
Q

What is Class I fucation involvement?

A

Curvature of cancavity can be felt with the probe tip; the probe penetrates no more than 1mm

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11
Q

What is a Class II furcation involvement?

A

The probe tip penetrates into the furcation greater than 1mm but does not pass through.

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12
Q

What is Class III fucation?

A

The probe passes completely through the furcation

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13
Q

What is Class IV fucation involvment?

A

Same as class III except entrance to the furcation is clinically visible because of recession of the gingival margin

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14
Q

What is the lamina dura?

A

Thin layer of dense bone that lines a normal tooth socket that appears as a continuous white line around the tooth root

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15
Q

What does a widening of PDL space on a radiograph indicate?

A

Tooth mobility

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16
Q

When are supplemental tests used?

A

For patients who fail to respond to conventional periodontal therapy

17
Q

What are the supplemental test related to bacteria?

A

Phase contrast microscopy study
Culture and sensitivity
DNA probe analysis

18
Q

What are the supplemental tests that analyze gingival crevivular fluid content measuring?

A

Flow in slight in health and increases in disease
Originates in connective tissue and flows into the pocket
Believed that crevicular fluid contains markers for periodontal disease progression

19
Q

What are the supplemental tests for genetic susceptibilty?

A

Interleukin-1 is an inflammatory mediator produced in response to the presence of periodontal pathogens

20
Q

What does higher levels of interleukin-1 indicate?

A

May predispose patients to more inflammation

21
Q

When is there not enough attached gingiva?

A

Less than 1mm and the visual movement of the gingiva