periodontal screening and recording ppt

periodontal probing aids in

the diagnosis of gingival and periodontal diseases

what type of probe do we have

UNC

ideal probe

slender, blunt end- we use to examine depth and topography of gingival sulcus

materials probes can be made of

stainless steel or plastic

types of working end shapes for a probe

tapered, straight, curved, round, flat or rectangular

what probe is good for furcations

nabers probe

thinner probe means

more accurate reading

novatech probe

right angled probe for posterior teeth

what do you measure with probe

sulcus, pocket, recession, width of attached gingiva, size of lesions

diseases sulcus depth

4mm or greater

what are you looking for when using probe (not measuring)

consistency of gingival tissues, evaluate bleeding, post-treatment evaluation

WHO probe

screening probe

size of ball on end of WHO probe

.5 mm

for WHO probe from end of instrument to the beginning of black band is how many mm

.5-3.5 mm

for WHO probe end of black band to next marking is how many mm

5.5 to 8.5 mm

last markings on WHO probe is how many mm

8.5-11.5 mm

UNC 12 probe

used for a complete/comprehensive periodontal examination

for UNC 12 probe, how many mm are the larger black bands signifying

4-5, and 9-10 mm

length of probe is positioned…

as parallel as possible to the long axis of the tooth, and slightly angled under contact to access col

how to move probe

walking/bobbing stroke in 1mm steps

proper probing pressure

10-20 grams

how many sites on tooth do you measure and record

6

what does JE feel like when healthy

firm and resilient

parallelism (probing technique)

position probe as parallel as possible to long axis of tooth, must be parallel in proximal and smooth surface dimension

probing interproximally (probing technique)

postition probe parallel to proximal surface until touching contact area, then slant probe slightly to reach under contact area

adaptation (probing technique)

tip of probe should be kept in contact with tooth surface

walking stroke (probing technique)

cover entire circumference of base of sulcus pocket, keep probe against tooth surface whole time

how many areas is a tooth divided into

6

what is area one and 6 of tooth division

distofacial to midline of distal surface= 1, mesiolingual line angle to midline of mesial surface = 6

PSR

system for detecting PDZ and streamlining recordkeeping, screening technique

how to record probing depths

only deepest depth per sextant of tooth is recorded

example of PSR score

when to do PSR

initial visit for every new patient, and once a year for recall patients

Code 0

colored area of probe completely visible

Code 1

colored area of probe completely visible, BOP

Code 2

colored area of probe completely visible, supra/ subgingival calculus or defective margins detected

Code 3

colored area of probe partially visible, pockets depths between 3.5 to 5.5 mm

code 4

colored area of probe completely disappears, probing depths >5.5

when to add asterisk (*) to a PSR score

furcation, mobility, recession, mucogingival involvement

what to do when asterisk is added to sextant of 0,1, or 2

should make specific notation and/or treatment for condition as needed

what should you do when asterisk for code 3 or 4

comprehensive periodontal examination and charting are necessary to determine appropriate care plan

in a PSR score of 312/223 what would the first 2 on the second half indicate

mandibular right buccal

when to perform PSR

after dental charting