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21 Cards in this Set
- Front
- Back
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Oral examination of periodontium? (10)
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1. Gingival appearance
2. PPD 3. Clinical attachment level (CAL) 4. Furcation involvement 5. Bleeding on probing (BOP) 6. Gingival recession 7. Alveolar bone loss 8. Suppuration 9. Fistulation 10. Abscess formation |
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Etiologic factors to examine? (4)
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1. Presence & absence of plaque
2. Filling overhangs--localized defects 3. Misaligned teeth-- localized defects 4. Misaligned teeth as result of recent migration-- severe destruction of perio tissues |
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What are the signs of inflammation in gingiva? (4)
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1. Color
2. Swelling 3. Loss of stippling 4. Bleeding |
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What is pocket probing depth?
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Distance from gingival margin to depth of pocket
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Reproducibility of PPD should be within?
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1mm
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PPD should be taken? (3)
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1. Initial exam
2. Re-evaluation 3. Every maintenance visit |
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Why is re-evaluation of PPD important? (4)
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1. Indicator for treatment success
2. Inducator for further treatment needs 3. Indicator for long term prognosis 4. Help decide frequency of maintenance |
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What is clinical attachment level?
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Distance from CEJ to depth of pocket
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What is the best indicator for previous perio destruction?
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Clinical attachment level
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What is the best indicator for stability of periodontal situation?
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Clincial attachment level
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Recession is distance of?
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CEJ to gingival margin
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Recession + PPD =
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Clinical attachment level
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Recession can result from? (3)
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1. Periodontal disease
2. Mechanical irritants 3. Localized inflammation |
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Relevance of gingival recession? (3)
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1. Increased risk for root caries & abrasion
2. Tooth sensitivity 3. Esthetics |
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If PPD, CAL or recession measurements are in between 2 marks?
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Round up to next mm
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Most important factor in mucogingival defects?
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Small band or absence of keratinized tissue
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Clinical relevance of mucogingival defects?
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Difficult for patient to brush--> prone to inflammation
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What is furcation involvement?
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Distance a probe can enter into a furcation
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How is furcation involvement measured?
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Nabers probe
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How is furcation involvement classified?
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Class I: < 3mm
Class II: > 3 mm but not through & through Class III: Through & through |
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Relevance of furcation involvement?
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1. Difficult to maintain (plaque trap)
2. Root caries 3. Early detection --> successful surgical treatment |
