There are multiple tools that should be utilized when assessing the periodontium for evidence of disease.
Part 1. What methods/tools are you using to make your "dental hygiene diagnosis"?
After reviewing the medical and dental history, I ask patient if he or she has any chief complaints, pain or sensitivity regarding the oral tissue and teeth. I also check previous notes if the patient is a returning customer. I normally check patient’s blood pressure and pulse before beginning the oral examination. I check the extra-oral and intra-oral soft and hard tissue for any abnormalities and note any changes. If there is any pathology, I take intra-oral images for comparison. Radiographic images are taken (4 vertical BWXs and 2 Pas) in every 12 months and FMX in every 3-5 years to identify pathology and bone loss. Periodontal evaluation performed with UNC-12 probe in every 13 months on prophylactic patients, every six months on periodontal maintenance patients. Gingival recession, bleeding points, suppuration, mobility, furcation are also recorded. Calculus detection with anterior explorer and 11/12 explorer is also a part of my periodontal assessment. …show more content…
What are the limitations of conventional periodontal diagnostic tools?
The conventional diagnostic tool used in dental offices such as Radiographic images are two dimensional, so there is a limitation to what can be seen on them.
Using metal periodontal probes can be difficult around certain restorations such as bulky crowns. Also, the probing pressure might be inconsistent that compromises the