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    HAL 49 Critical Decision in Periodontology

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    Untuk Tugas
    The document discusses techniques for probing and recording findings during a periodontal examination. Key points include: - Probing depth and recession measurements added together determine loss of attachment (LOA). - If probing depth is up to 3mm with no bleeding or LOA, the gingiva is likely healthy; bleeding with minimal probing depths indicates inadequate hygiene. - For probing depths over 3mm, plaque control should be evaluated and patients may need education; noncompliance requires referral for management or treatment. Bleeding with adequate hygiene means the disease is not controlled.

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    HAL 49 Critical Decision in Periodontology

    Uploaded by

    Untuk Tugas
    16 views1 page
    The document discusses techniques for probing and recording findings during a periodontal examination. Key points include: - Probing depth and recession measurements added together determine loss of attachment (LOA). - If probing depth is up to 3mm with no bleeding or LOA, the gingiva is likely healthy; bleeding with minimal probing depths indicates inadequate hygiene. - For probing depths over 3mm, plaque control should be evaluated and patients may need education; noncompliance requires referral for management or treatment. Bleeding with adequate hygiene means the disease is not controlled.

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    The document discusses techniques for probing and recording findings during a periodontal examination. Key points include: - Probing depth and recession measurements added together determine loss of attachment (LOA). - If probing depth is up to 3mm with no bleeding or LOA, the gingiva is likely healthy; bleeding with minimal probing depths indicates inadequate hygiene. - For probing depths over 3mm, plaque control should be evaluated and patients may need education; noncompliance requires referral for management or treatment. Bleeding with adequate hygiene means the disease is not controlled.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views1 page

    HAL 49 Critical Decision in Periodontology

    Uploaded by

    Untuk Tugas
    The document discusses techniques for probing and recording findings during a periodontal examination. Key points include: - Probing depth and recession measurements added together determine loss of attachment (LOA). - If probing depth is up to 3mm with no bleeding or LOA, the gingiva is likely healthy; bleeding with minimal probing depths indicates inadequate hygiene. - For probing depths over 3mm, plaque control should be evaluated and patients may need education; noncompliance requires referral for management or treatment. Bleeding with adequate hygiene means the disease is not controlled.

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    © All Rights Reserved
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    of 1

    PART 5 Detecting and Recording Findings

    13 Probing
    Donald F. Adams

    Periodontitis is characterized clinically by loss of attachment occurred. If LOA is 5 mm or more, refer the patient to a
    (LOA) and the formation of pockets and osseous defects. The periodontist for evaluation. When probe depths reach the
    documentation of LOA is essential in establishing baseline data, mucogingival junction (MGJ) or beyond, the dentist should
    monitoring treatment results, and determining periodontal sta- determine the adequacy of the band of keratinized and
    bility. Probes vary in design by length, thickness, and millimeter attached tissue remaining to maintain the health of the
    markings. Characteristics of a good periodontal probe include a periodontium and to resist trauma from brushing and/or
    thin shaft with a rounded tip, durable markings that are easily restorative procedures.
    read, and ease of sterilization. Commonly, six measurements are
    recorded per tooth, with each root of the molars treated as a B If the probing depth is up to 3 mm with no LOA, and no
    single tooth. Therefore six facial and six lingual recordings are bleeding is observed after gentle probing, presume that the
    made for each mandibular molar, whereas there are six facial gingiva is healthy and continue regular periodontic mainte-
    and three palatal recordings for each maxillary molar. The probe nance. Bleeding on probing with minimal crevice depths
    is inserted gently into the gingival sulcus and stepped around and no LOA usually means inadequate hygiene by the
    the tooth at about 1 mm increments (Figure 13-1). The probe patient. Review dental hygiene techniques, scale and polish
    should be kept as close as possible to the axial direction of the the teeth, and place the patient on regular maintenance.
    tooth while the tip remains in contact with the root surface.
    Measurements are made from the gingival margin for pocket C For patients with pockets that are deeper than 3 mm, eval-
    depth and from the cementoenamel junction (CEJ), or a similar uate the quality of their plaque control. Evidence of inade-
    fixed point, to the gingival margin for recession. quate dental hygiene requires renewed efforts in patient
    education. Continued noncompliance or lack of patient
    A The probing depth and recession measurements added skills may require referral for management and certainly is
    together determine the LOA. Factors such as the health of a contraindication to more definitive therapy. Bleeding in
    the surrounding gingiva, probing force applied by the oper- the presence of adequate hygiene indicates that the disease
    ator, and discomfort tolerance of the patient can make a dif- process is not being controlled despite the efforts of the
    ference of 1 to 2 mm in probe readings. Bleeding on prob- patient. Because a principal goal of periodontal therapy is
    ing of minimal pockets accompanied by LOA usually is to create a manageable environment for the patient, the
    managed similarly to situations in which no LOA has dentist can treat the affected area or refer the patient to a

    Figure 13-1 Technique and charting to record periodontal probings. Reproduced with permission
    from Hall WB, Roberts WE, Labarre EE. Decision making in dental treatment planning. St Louis:
    Mosby; 1994.

    26

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