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Periodontal Probing and Charting. Using a periodontal probe, the clinician measures the gingival sulcus or periodontal pocket depth around each tooth. The probe is gently inserted into the space between the tooth and gingiva at six specific sites: mesiobuccal, distobuccal, mesiolingual, distolingual, mid-buccal, and mid-lingual.
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.
A periodontal pocket can become an infected space and may result in an abscess formation with a papule on the gingival surface. Incision and drainage of the abscess may be necessary, as well as systemic antibiotics; placement of local antimicrobial delivery systems within the periodontal pocket to reduce localized infections may also be considered.
Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations Oral hygiene instruction, remove plaque retentive factors (e.g. replace ledged restoration with correct use of matrix band, remove calculus with professional tooth cleaning)
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 ...
In the presence of periodontal disease, the gingival sulcus becomes a periodontal pocket and the oxidation reduction potential will decrease to low levels as the site is very anaerobic. At the same time, the gingival crevicular fluid would have increased by 147% when gingivitis is present and would have increased by up to 30-fold where ...
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[2] on at least two permanent teeth (one which is a first molar) and no involvement of more than two teeth other than the first molars and incisors, [2] [33] lack of inflammation and evidence of deep periodontal pocket with advanced bone loss. [2] There is also a relatively fast progression of periodontal tissue loss. [33]
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