Dh101: Preclinical Sciences Part 2

Probe Depth: Manual Probes:
Can be made of what?
What shape is working end?

Paired furcation probes have a smooth, rounded end for investigation of the topography and anatomy around ________________.

Ex of probe used __________

Probe depth: Periodontal Pocket:

Tooth is surrounded by a sulcus: The distance from the __________ margin to the coronal-most part of the ___________ epithelium.

Probe depth: Periodontal Pocket

Healthy sulcus is generally accepted: ___-___ mm.

Pocket Characteristics:

Measured from _________(top of the attached periodontal tissue) to the ________.

Pocket Characteristics:

Measurement: over ___mm = not considered health or normal.

Pocket Characteristics:

__________: where periodontal infections begin frequently. Probe needs to be placed in the ____ region for accurate measurement.

Pocket Characteristics:

Anatomic features influence: ____(4)____

Probing Depth Measurement:
Which 6 areas per tooth?
One reading per area-if depths vary, which one do you take?
MM measurements; do we round UP or DOWN?

The distance in mm from the gingival margin to the base of the sulcus or periodontal pocket as measured with a calibrated probe is defined as _________.

Measurement areas for 6 areas per tooth

Once a probe is inserted into a perio pocket, the working-end is kept _________.

Should you use pressure with a probing stroke?

Probe insertion:
_______ slide the probe under the gingival margin.

Healthy or firm fibrotic tissue makes insertion more difficult because gingival fibers are _______.

Insertion easy when the gingival margin is loose and flabby due to __________.

______ can be expected.

Circumferential Probing: Walking stroke:
Is it necessary to remove probe and reinsert to make readings?

Circumferential Probing: Walking stroke:

Slide probe up about ____mm and back down again to base of attachment.

Circumferential Probing: Walking stroke:

Should cover how much of the circumference of the sulcus or pocket base?

Circumferential Probing: Walking stroke:

Is the junctional epithelium at a uniform depth from the gingival margin?

________ are a series of bobbing strokes made within the sulcus or pocket.

Recession & Hyperplasia

Normal gingiva position: at the level of, or slightly below, the ________ or prominence of the _________ of a tooth.

Recession & Hyperplasia-Changes in Disease

Enlargement: gingival margin may be _________.

Recession & Hyperplasia-Changes in Disease

Recession: _____.
Measured from ____.

Space apical to root trunk between 2+ roots is called _________.

Area of multi-rooted tooth from CEJ to entrance of the furcation is termed ________

Entrance to a furcation may be as little as ___-___ mm apical to the CEJ.

Health furcation cannot be felt or detected because it is _____________.

Furcation anatomic features:
Teeth with 2 roots are labeled ________
Teeth with 3 roots are labeled ________

Furcation involvement:
Loss of ______ and ______ fibers in the space between the roots of a multi-rooted tooth.

Furcation involvement:
May be hidden _______.
May be visible if _______ is present.
Use of furcation probe (_________): to examine furcation's.

Mandibular molars:
How many roots?
Where are the furcations?

Maxillary first premolars:
Ones that are bifurcated have a ___ and ____ root.
When bifurcated, the roots separate many mm apical to the ______.

Maxillary Molars:
How many roots?
Which roots?

Maxillary molars:
On the mesial surface, the furcation is located more toward the ______ surface.
On the distal surface, the furcation is located near ________.

Furcation Probes:

N2 is used for assessment of ______ and ______ furcation areas.

Furcation Probes:

N1 is used for assessment of ____ and ______ furcation areas.

CAL (clinical attachment level):

What position does the CAL refer to?

CAL (clinical attachment level):

Why is this a useful tool?

CAL (clinical attachment level):

Probing depth is measured from a ________ point (the crest of the free gingiva) to the ______.

CAL (clinical attachment level):

Provides an estimate of a tooth's _____ and the loss of _______.

CAL (clinical attachment level):

When recession of the gingival margin is present, the CAL is calculated by ________ the probing depth to the gingival margin level.

CAL (clinical attachment level):

When the gingival margin is excessive to the CEJ, the CAL is calculated by ________ the gingival margin level from the probing depth.

CAL (clinical attachment level):
When the gingival margin is slightly coronal to the CEJ, no calculations are needed since the probing depth and the clinical attachment level are ______.

Bleeding:

Signs of health: _____
Changes in disease: _____

Exudate:
Signs of health: ______
Changes in disease: (2)

Mobility:
Because of the function of the PDL, teeth have a slight _______ mobility.

Mobility:
Can be considered abnormal or pathologic when it ________ normal.

Mobility:
Increased mobility can mean (2)

Mobility Examination:

What can interfere with eval of true tooth movement?

What fixes this?

Mobility Examination:

What type of instruments do you use?
What are not recommended? Why?

Mobility Examination:

_________ prevent slipping of the instruments or finger.

Mobility Examination:

How do we test horizontal mobility?

Mobility Examination:

How do we test vertical mobility? (depression of a tooth into its socket)

Mobility Examination: Record degree of movement

Normal, physiologic

Mobility Examination: Record degree of movement

slight mobility, greater than normal

Mobility Examination: Record degree of movement

moderate mobility, greater than 1 mm displacement

Mobility Examination: Record degree of movement

severe mobility, may move in all directions (vert and horiz)

Radiographic findings (5)

You can ID causative factors of perio disease on an x-ray such as (2)

Limitations of radiographic assessment when ID'ing perio disease factors.

(3)

PA and Vertical BWs are better at seeing _______.

Periodontal Classification:

Case Type I:

Periodontal Classification:

Class Type II:

Periodontal Classification:

Class Type III

Periodontal Classification:

Class Type IV

Periodontal Classification:

Case Type V

true or false
relation bt crest of alveolar bone and JE is always maintained