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Short notes on Periodontology

2 BPE- 19 August 2016


Scoring Codes
Cod
Measureme
es
nt
0
No pockets
<3.5mm

Calculus
No calculus/
overhangs

No pockets
<3.5mm

No calculus/
overhangs

No pockets
<3.5mm

3.5- 5.5mm

Supra- or
subgingival
calculus/
overhangs

Bleeding
No bleeding
after
probing
Bleeding
after
probing

Black Band
Completely visible
Completely visible
Completely visible

Partially visible, indicate


4- 5mm pockets
> 5.5mm

Black band entirely


within the pocket,
indicate 6mm or more
pockets
Furcation involvement, mobility, mucogingival involvement and recession

Guidance on interpretation of BPE scores


0
No need for periodontal treatment
1
Oral hygiene instruction (OHI)
2
OHI, removal of plaque retentive factors, including all supra- and subgingival
calculus
3
OHI, root surface debridement (RSD)
4
OHI, RSD. Assess the need for more complex treatment; referral to a specialist may
be indicated
*
OHI, RSD. Assess the need for more complex treatment; referral to a specialist may
be indicated

Short notes on Periodontology


4 Scaling and Polishing- 26 August 2016
Scaling: removes plaque and calculus
Polishing: removes stain and remaining plaque while smoothening and shining teeth
so that dental plaque cannot attach easily to tooth surface
Instrument Activation
Adaptation
Angulation
Lateral pressure
Stroke (Exploratory, Scaling, Root planning)
Instruments
Characteris
tics

Types

Sickle Scaler
Have a flat
surface
Triangular in cross
section
Double cutting
edges
Pointed tip
Anterior scaler
*Straight
shank

Periodontal Curette
Rounded back
Rounded toe
Semicircular cross section

Gracey curette
Use in specific area
Sharp cutting edges only in
one side
Curve in two planes
Offset blade
1/2, 3/4
5/6

Posterior
scaler

7/8, 9/10

*Angled shank

Scaling Techniques
Supragingival Scaling
Technique
Less tenacious
Less calcified

11/12,
15/16
13/14,
17/18

Anterior
Anterior &
premolars
Buccal & lingual
(posterior)
Mesial
(posterior)
Distal (posterior)

Subgingival Scaling
Technique
Harder
Locked into root irregularities
More tenacious

Universal curette
Use in any area
Sharp edges on both
sides
Curve in one plane
Face of blade at 90 to
shank
Anterior

Posterior

Short notes on Periodontology


5 Scaling and Polishing- 29 August 2016
Classification
1) Periodontal Probes
2) Explorers
3) Scaling, root-planning and curettage instruments
Sickle scaler
Curettes
Hoe, chisel and file scaler
Ultrasonic and sonic instruments
4) Cleansing & polishing instruments
Rubber cups
Periodontal Instrumentation
1) Accessibility
2) Visibility, illumination & retraction
3) Condition and sharpness of instrument
4) Maintaining a clean field
5) Instrument stabilization
Instrument Grasp
Finger Rest
Standard pen grasp
Conventional
Standard pen grasp
Cross arch
Palm and thumb grasp
Opposite arch
Finger on finger
6) Instrument activation

Extra Fulcrum
Palms up
Palms down

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