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26 Cards in this Set

  • Front
  • Back
In what order do you perform the tasks involved in the Dental Hygiene Process of Care Patient Assessment?
•Health History Interview and Vital Signs
•Dental History Interview
•Extraoral Exam
•Intraoral Exam
•Radiographs
•Gingival Description
•Periodontal Exam
•Dental Exam and Occlusion
•Treatment Planning
What does the Patient Screening Process involve at the CBC DH Clinic?
•HHx and Vital Signs—can they be seen at CBC?
•Chief Concern of patient—why are they here?
•EO and IO—anything to report or refer?
•Gingival assessment including biofilm levels
•Periodontal assessment—AAP classification
•Calculus level assessment—CBC classification
•Immediate restorative needs that can be seen clinically—what we can and can't treat at CBC
•Cost and Time Estimate for DH Therapy only
What does the Patient Intake Process involve at the CBC DH Clinic?
• HHx, VS, Dental Hx, CC –full interview and documentation
• EO, IO—exams and documentation
• Radiographs
• GD—documentation of appearance of health or disease
• Periodontal Assessment-full documentation of existing conditions
• Dental Assessment—full documentation of existing conditions, restorations, pathology
• Doctor Exam—diagnosis of existing pathology
• Treatment Plan
The Gingival Description is the first step in the ________________________________ and forms a baseline for contrast in the _____________________________________________.
•First step in the Periodontal Assessment
•Forming a baseline for contrast in the recognition of inflammation
What are the eight components of the Gingival Description?
• Color
• Size
• Position of margin
• Shape/Contour of margin
• Shape of the papilla
• Texture
• Consistency
• Presence or absence of bleeding or exudate
What colors characterize health?
• Light coral pink to medium pink
• Pigmented pink
What colors characterize disease?
• Dark pink to red
• Dark red to cyanotic
• Blanched to pale pink
• Erythematous
What factors affect COLOR?
• Vascular supply
• Thickness of epithelium
• Degree of keratinization
• Physiologic pigmentation
• Changes in disease
– Chronic inflammation
– Acute inflammation
– Extent of inflammation

* May be localized or generalized *
What size characterizes health?
• Fits snugly around the tooth
What size characterizes disease?
• Enlarged

* May be localized or generalized *
* Col deepens as papillae increase in size *
What position of margin characterizes health?
• Near the CEJ
• 1-2 mm coronal to the CEJ

* Marginal recession from previous periodontal infection may currently be healthy *
What position of margin characterizes disease?
• More than 2 mm coronal to the CEJ
• Apical to the CEJ

* May be localized or generalized *
What shape of margin characterizes health?
• Tapered or slightly rounded edge
• Knife-edged
• Fits snugly around the tooth
What shape of margin characterizes disease?
• Thickened edge
• Rolled edge
• Irregular edge
• Clefted edge
• Collared or festooned edge
• Recession
• Loss of height


* May be localized or generalized *
* Inflammation can extend into attached gingiva which is known as diffuse *
What shape of papilla characterizes health?
• Flat, pointed papilla
• Fills embrasure space

* A diastema will cause the papilla to be flat or saddle shaped *
* Loss of papillary height from previous periodontal infection may currently be healthy *
What shape of papilla characterizes disease?
• Bulbous papilla
• Edematous papilla
• Blunted papilla
• Cratered papilla
• Missing papilla
• Loss of papillary height

* May be localized or generalized *
* Col deepens as papillae increase in size *
* Edematous response includes inflammatory fluid, cellular exudate, vascular engorgement, and hemorrhage *
What texture characterizes health?
• Normal
• Presence of stippling
What texture characterizes disease?
• Smooth and shiny
• Loss of stippling
• Fibrotic / Nodular

* May be localized or generalized *
What consistency characterizes health?
• Firm
• Resilient
What consistency characterizes disease?
• Soft / flaccid
• Spongy / puffy
• Friable
• Hypertrophic
• Leathery / not resilient

* May be localized or generalized *
What bleeding / exudate characterizes health?
• No bleeding
• No exudate
What bleeding / exudate characterizes disease?
• Spontaneous bleeding
• Bleeding on probing
• Presence of exudate

* May be localized or generalized *
What is generalized?
• Gingival tissues in more than half the mouth are healthy or show signs of inflammation
• Gingival tissues in more than half the arch are healthy or show signs of inflammation
What is localized?
• Gingival tissues around less than half the teeth in the sextant, quadrant, or arch show signs of inflammation
• Can be acute in a generally inflamed mouth
What are the 4 classifications for degree?
• Slight, moderate, severe, or acute.
What should you do BEFORE you write your gingival description?
• Pick up your explorer and explore around the areas most likely to have plaque retention, BEFORE you assume you are looking at generally healthy tissues.

*** If biofilm is building up on the instrument tip as you explore and/or the tissue is bleeding as you explore, YOU DO NOT HAVE HEALTHY TISSUE!!! ***