periodontal patient assessment perio 6

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What is the effect of stress on the mouth
stress reduces immune function. stress reduces saliva flow. stress increases salivary viscosity, acidity, glycoprotein content.
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What probe is used for BPE and simple periodontal review
WHO-BPE.... simple periodontal review-CP12
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What is measured in a simple periodontal review
mobility, bleeding, furcation, LOA, pocket depth
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what is a periodontal pocket
A pocket develops between the tooth & the gingiva as a result of plaque biofilm gingival swelling & tissue damage
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what is true pocket and where can it be found
found in periodontitis. loss of bone, CEJ cane seen. destruction of the supporting periodontal tissues
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what is a false pocket and where can it be found
found in gingivitis. papilla inflamed with oedema. formed by the gingiva enlargement. sulcus is deepened because of increased bulk of gingiva
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what is LOA
is when the base of the pocket is apical/below the Amelocemental Junction (ACJ) i.e. on the root surface.
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where Is the base of the gingival pocket be found in health
at or coronal (above) the Amelocemental Junction (ACJ).
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what are the degrees of mobility
Degree 0 = Horizontal movement up to and including 0.2mm • Degree 1 = Horizontal movement of >0.2mm but <1mm • Degree 2 = Horizontal movement of >1mm • Degree 3 = Movement in both horizontal and vertical planes
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what are the causes of mobility
1. Periodontal Disease leading to loss of support 2. Peri-radicular Disease 3. Occlusal Trauma
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what are the degrees of furcations
• Degree 0 = no involvement • Degree I = involvement < 1/3 width of the tooth • Degree II = involvement > 1/3 width of the tooth • Degree III = through and through (Probe can be passed right through)
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the susceptibility for an individual patient can be gauged by what
patient's age. level of oral hygiene. severity of disease
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what is the gingival margin level. from where to where is it measured
GingivalMarginLevel=Distance(mm)fromtheACJtoGingivalMargin.
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what are some of the over estimation of pocket depth due to
Excessiveprobingforce • Idealprobingforce=20to25g(0.2to0.25N) • Periodontalprobetoosharp • Incorrectangulation • Pocketinflammatio
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what are some of the under estimation of pocket depth due to
Toolittleprobingforce. • Obstructions:- • Calculus • Overhangs • Rootmorphology • Periodontalprobetoothick(especiallyinnarrowpocket) • Patienttolerance/anxiety • Somepatients cannot tolerate pocket probing • Incorrect angulation(extreme).
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how is LOA calculated
calculatedfromthegingivalmarginandpocketscores (generally add them together). If there is a +ve gingival margin score subtract this measurement from the pocket depth score, otherwise the numbers are added together
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where is the gingival margin and pocket depth recorded on the tooth. where is the probe stuck
mesio/mid/disto bucally/ lingually
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Card 2

Front

What probe is used for BPE and simple periodontal review

Back

WHO-BPE.... simple periodontal review-CP12

Card 3

Front

What is measured in a simple periodontal review

Back

Preview of the front of card 3

Card 4

Front

what is a periodontal pocket

Back

Preview of the front of card 4

Card 5

Front

what is true pocket and where can it be found

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