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Periodontal charting refers to a chart utilized by a dental care professional (periodontist, dentist, registered dental hygienist) to write and record gingival [1] and overall oral conditions relating to oral and periodontal health or disease.
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*)
The probe should be run around the gingival pockets and the highest score derived in each sextant derived should be recorded. Scoring codes range from 0 to 4. This can be accessed based on the flow table attached. A “*” is recorded when a furcation is involved. For patients with BPE scores of codes 3 and 4, more detailed charting is required.
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]
The depth of the periodontal pockets must be recorded in the patient record for proper monitoring of periodontal disease. Unlike in clinically healthy situations, parts of the sulcular epithelium can sometimes be seen in periodontally involved gingival tissue if air is blown into the periodontal pocket, exposing the newly denuded roots of the ...
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.
The monthly reevaluation of periodontal therapy should involve periodontal charting as a better indication of the success of treatment, and to see if other courses of treatment can be identified. Pocket depths of greater than 5–6 mm (0.20–0.24 in) which remain after initial therapy, with bleeding upon probing, indicate continued active ...
The presence of bleeding is one of the first clinical signs of active periodontal disease in uncomplicated cases and should be recorded per individual tooth and tooth surface in the patient record. However, in patients who smoke, the gingival tissue rarely bleeds because of unknown factors that do not seem related to dental biofilm and calculus ...