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These numbers, often referred to as probe measurements, can be assigned to the depth of the gingival sulcus, the location and depth of root furcations, the size and length of oral pathology, the loss of periodontal fiber, the clinical attachment loss (CAL), alveolar bone loss, and help in assessing and determining a periodontal disease ...
Consequently, a new classification was developed at the International Workshop for a Classification of Periodontal Diseases and Conditions in 1999. This covered in much more detail the full range of periodontal diseases. "Adult periodontitis" was reclassified "chronic periodontitis" and "early-onset periodontitis" to "aggressive periodontitis". [1]
Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations 3: Shallow periodontal pockets (i.e. first band on probe partially visible) 4: Deep periodontal pockets > 5.5 mm (first band on probe disappears) * (star added to the score, e.g. 4*)
Classification of Periodontal Diseases 2018. In 2018, a new classification system for Periodontal diseases was released. It has 3 main parts: Periodontal health, gingival diseases and conditions; Periodontitis; Other conditions affecting the periodontium. In periodontal health, gingival diseases and conditions, there are 3 sub-types: [5]
In dentistry, a periodontal probe is a dental instrument which is usually long, thin, and blunted at the end. Its main function is to evaluate the depth of the pockets surrounding a tooth in order to determine the periodontium's overall health. For accuracy and readability, the instrument's head has markings written on it.
1: Total loss of attachment (clinical attachment loss, CAL) is the sum of 2: Gingival recession, and 3: Probing depth. Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1]
Both the type of periodontal therapy and homecare instructions given to patients by dental professionals and restorative care are based on the clinical conditions of the tissue. [2] A diagram of the periodontium. The crown of the tooth is covered by enamel (A). Dentin (B). The root of the tooth is covered by cementum. C, alveolar bone.
Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction. In response to endotoxin derived from periodontal pathogens, several osteoclast-related mediators target the destruction of alveolar bone and supporting connective tissue such as the periodontal ligament.