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43 Cards in this Set
- Front
- Back
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Clinical periodontal assessment |
a fact-gathering process designed to provide a comprehensive picture of the patient's periodontal health status |
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What is one of the most important duties performed by the dental team? |
periodontal assessment |
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Should new patients be periodontally assessed? |
yes |
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List the objectives of periodontal assessment |
1) detect clinical signs of inflammation in the periodontium 2) identify damage to the periodontium already caused by disease or trauma 3) provide the dental team with data used to assign a periodontal diagnosis 4) document features of the periodontium to serve as baseline data for the long-term patient monitoring |
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What are the 2 types of periodontal assessment? |
1) periodontal screening 2) comprehensive periodontal assessment |
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Periodontal screening |
a rapid and efficient information-gathering process used to determine if a patient has periodontal health, gingivitis, or periodontitis |
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Comprehensive periodontal assessment |
an intensive information-gathering process used to gather detailed data needed to make a periodontal diagnosis and to document the periodontal health status to allow for long term monitoring of the patient |
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T/F Dentists & DH's have a legal responsibility to complete an accurate and thorough periodontal assessment on every patient |
true |
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T/F The failure to diagnose and properly treat periodontal disease may be one of the leading causes of dental malpractice |
true |
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What is baseline data? |
clinical information gathered prior to periodontal therapy that can be used for comparison to clinical information gathered at subsequent appointments |
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Periodontal screening and recording (PSR) |
an efficient, easy to use screening system for the detection of periodontal disease |
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T/F Each sextant is treated as a separate unit during the PSR screening |
true |
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T/F There are three PSR codes recorded for each sextant in the mouth |
FALSE ONLY ONE!!! |
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T/F The code assigned to a sextant should represent the most advanced periodontal finding on any tooth in that sextant |
true |
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If a patient has a PSR code of 0, 1, or 2, will a comprehensive periodontal assessment be needed? |
no |
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If a patient has a PSR code or 3 or 4 what should be done? |
a comprehensive periodontal examination |
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How much pressure should be used when probing? |
between 10 and 20 g of pressure |
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If you are probing a patient and a pale yellow material starts oozing from the sulcus, what could it be? |
exudate |
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Horizontal tooth mobility |
movement of the tooth in a facial to lingual direction |
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Vertical tooth mobility |
the ability to depress the tooth in its socket |
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Fremitus |
a palpable or visible movement of a tooth when in function |
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Class I tooth mobility |
slight mobility up to 1 mm of horizontal displacement in a facial-lingual direction |
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Class II tooth mobility |
moderate mobility >1mm but <2mm of horizontal displacement in a facial-lingual direction |
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Class III tooth mobility |
severe mobility >2 mm of displacement in a facial-lingual direction or vertical displacement |
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T/F Furcation probes are curved, blunt-tipped instruments that allow easy access to the furcation areas |
true |
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Does furcation involvement signal the need for periodontal surgery? |
yes |
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What is a local contributing factor in both gingivitis and periodontitis? |
calculus |
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What are the overt signs of inflammation? |
erythema (redness) edema (swelling) |
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Radiographic evidence of alveolar bone loss |
plays an important role in arriving at the periodontal diagnosis and in developing an appropriate plan for nonsurgical periodontal therapy (NSPT) |
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List the 3 general types of supplemental diagnostic tests |
1) tests related to bacteria 2) tests that analyze gingival crevicular fluid content 3) tests for genetic susceptibility to periodontal disease |
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PGE2 is associated with _____________ _______ that is involved with inflammatory reactions such as those seen in ______________ _____________ |
arachidonic acid periodontal disease |
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T/F The attached gingiva does not include any portion of the gingiva that is separated from the tooth by a crevice, sulcus, or periodontal pocket |
true |
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T/F The CAL is an estimate of the true periodontal support around the tooth as measured with a periodontal probe |
true |
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How often do we document and record a full periodontal assessment? |
new patients-- always
recall patients-- once a year more often for periodontal disease patients |
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What is the purpose of periodontal screening exams? |
to identify which patients need a comprehensive periodontal assessment |
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On the PSR probe, what measurement is the black mark? |
3.5 mm to 5.5 mm |
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For PSR, a * indicates what? |
- furcation involvement - mobility - mucogingival problems - recession |
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When the entrance to the furcation is visible clinically due to tissue recession, what classification is this? |
Class IV |
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When the probe passes completely through the furcation, what classification is this? |
Class III
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If the probe tip can partially enter the furcation but is not able to pass completely through, what classification is this? |
Class II |
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When the concavity can be felt with a probe, but the probe tip cannot enter the furcation area, what classification is this? |
Class I |
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T/F Most furcation involvement is hidden from view by the gingival tissues and must be located with a probe |
true
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There are specific furcation probes that you can use to evaluate the furcation areas of multirooted teeth. What other instrument can you use to evaluate the furcation area? |
universal curet |
