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Gingival Examination.
Probing Depth (PD).
Clinical Attachment Level (CAL).
Bleeding upon Probing (BOP).
Mobility Assessment/fremitus.
Furcation Assessment
Occlusal Assessment
Mucogingival Assessment
Radiographs
Tooth vitality
Etiologic factors
Objectives:
Consistency.
.
Contour.
Gingival Indices
Used for evaluation and quantitation of
gingivitis.
Gingival Index (GI) (Loe & Silness):
Periodontal Pocket
Gingival pocket, suprabony pocket, intrabony
pocket
Simple pocket
Compound pocket
Complex pocket
Attachment loss
Configuration of the pocket
Bone sounding/configuration of the bony
defects
Probing Depth:
- The distance from the soft tissue (gingiva or
alveolar mucosa) margin to the tip of the
periodontal probe during usual periodontal
diagnostic probing.
Bleeding on probing
Root deposits
Furcation involvement
Inflammation.
Presence of subgingival calculus.
Angulation of probe.
Probing force.
Definition:
The distance from CEJ to the tip of a
periodontal probe during usual
periodontal diagnostic probing. The
health of Attachment apparatus can
affect the measurement.
Distance from CEJ to gingival margin +
probing depth
Bleeding on Probing (BOP)
Includes:
Primary
Secondary → due to bone loss
Plaque Control Record
O’Leary et al. 1972
Horizontal
Vertical
Endodontic involvement
Root deposits
Root anatomy
Root length
Periodontal Prognosis
Prognosis is a prediction of
the probable course and outcome of a
disease. It is determined following
initial examination, and following
active therapy phase.
Importance:
For Clinician:
To determine which treatment
modalities will be most effective.
To develop restorative
recommendation and treatment plans.
For Patient:
To determine whether treatment
seems worthwhile.
Factors to consider when assigning a
prognosis
Overall Prognosis
Age – younger is worse → fast process
Medical Status – disease, risk etc
Rate of progression – chronic vs aggressive
Patient cooperation
Knowledge and ability of dentist.
Etiologic factors – root grooves
Oral habits – bruxism, damaging contacts
Should treatment be undertaken?
Is it likely to succeed?
Strategic value
Objectives
- Lack of information