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Periodontics
Client assessment, diagnosis, and tx planning for the periodontal patient
| Question | Answer |
|---|---|
| What is the 1st stage in dental hygiene process of care? | Assessments |
| Assessments provide the foundation for? | Subsequent diagnosis, planning, implementation, and evaluation |
| Information gathered during clinical periodontal assessment forms the basis for? | Individualized tx plan |
| Assessments must be accompanied by? | Documentation (reference tool, historical record & may serve as an important medico-legal function) |
| Clinical periodontal assessments is essentially? | A fact gathering process designed to provide a comprehensive picture of the patient's periodontal health status |
| Two types of clinical periodontal assessments include? | *Periodontal screening examination *Comprehensive periodontal assessment |
| Objectives of clinical periodontal assessments include? | *Look for signs of inflammation & damage to the periodontium *Determine if the pt periodontium is healthy or diseased * Document all findings to serve as a baseline data for long term monitoring of periodontal disease activity when evaluating succes of pe |
| Periodontal assessment is used to? | *Determine periodontal health status of the pt. *Identify pt needing a comprehensive periodontal assessment. |
| Periodontal screening examination and recording (PSR) is used too? | *Determine periodontal health status of a pt *identify pt's needing a more comprehensive periodontal assessment. *Essentially an easy to use screening system for detection of periodontal disease |
| What probe is used for the PSR examination? | World health organization probe that is color coded. At each site probed the reference mark will be completely visible, partially visible, or not visible. |
| PSR code? | *one code per sextant (the code should be assigned to the deepest reading of any tooth in that sextant) |
| Code 0 | *Color coded mark completely visible *No calculus or defective margins are present *Gingival tissue is healthy w/ no bleeding evident |
| Code 1 | *Color code (Black) is completely visible in deepest sulcus *No calculus, defective restorations are present, BOP |
| Code 2 | *Color code (black) is completely visible in deepest sulcus * Supra-gingival & sub-gingival calculus and/or defective margins are present, BOP |
| Code 3 | *Color code (Black) partially visible *Indicates 3.5-5.5mm *Patient's w/ code 3 need periodontal assessment |
| Code 4 | Color code is not visible *Indicates probing depths >5.5mm |
| A star symbol * is added to the code of any sextant exhibiting any of the following. | *Furcations *Mobility *Mucogingival problems *Recession extending into the coronal areaof the probe (e.g 4*) |
| Define comprehensive periodontal assessment | Intensive clinical periodontal assessment used to gather information needed to make a periodontal diagnosis. |
| Components of periodontal assessment include: | *Probing depth measurements *BOP (can be immediate or delayed; probing pressure 10-20g) *presence of exudate "pus" *CAL *Tooth mobility (vertical or horizontal) *Fremitus *Furcation involvement *Pathologic tooth migration |
| Scale of mobility | *CLass I: 1mm of horizontal dislacement *Class II >1mm, but less than 2mm horizontal displacement *Class III >2mm (tooth depressable in socket) |
| Furcation involvement indicates? | Sign of disease |
| Scale of rating furcation involvement | *Class I-Can be felt w/ probe but cannot be penetrated more than 1mm *Class II-Probe penetrates furcation, but cannot pass completely through *Class III-Through and through *Note: Probe will hit palatal root of max. molars. *Class IV: Clinically vis. |
| Clinical attachment loss is? | *The most important measurement of all periodontal assessments because it is calculated from a fixed point that does not change (CEJ). |
| Inflammation w/ no attachment loss is an indication of? | Gingivitis |
| Inflammation w/ attachment loss is an indication of? | Periodontitis |
| How do you calculate CAL when the gingival margin is coronal to the CEJ (inflammation is present) | Calculated by subtracting the gingival margin level from the probing depth. |
| How do you calculate CAL in the presence of gingival recession? | Calculated by adding the probing depth to the gingival margin level. |
| Master tx plan is a? | Outline of the essential measures & procedures to be provided by the dental health care team for the pt to eliminate disease & restore the oral cavity to health and function |
| The treatment plan comes after? | Assessment of all clinical data, and reflects diagnosis & prognosis of the patient. |
| Treatment plan defines? | The modes & sequence of delivering treatment. |
| Goals of tx plan are? | *Elimination and/or control ethiologic & predisposing factors of disease *Restore health * Prevent recurrence of disease |
| The Treatment plan is divided into four phases which phases are a hygienist involved primarly in? | Phase I (non-surgical therapy); Phase IV (Periodontal maintenance) |
| 90% of the dental hygienist responsibility is what phase of care? | Phase IV |
| What is the goal of phase IV? | To prevent the recurrence of periodontal disease |
| Once a client has NSPT they must remain on what for their lifetime? | Periodontal maintenance |
Created by:
brookeelmore
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