The Comprehensive Periodontal Assessment

Comprehensive periodontal evaluation of intensive clinical periodontal evaluation used to collect information about periodontal. This section describes the clinical features that should be noted and documented in a comprehensive periodontal evaluation. It is important to note that special precautions are necessary when considering dental implants. These survey methods, which are not discussed in this Chapter, because they are presented in Chapter 33.

Comprehensive periodontal evaluation usually involves clinical features, such as the sounding depth measurement, bleeding on probing, the presence of exudate, the level of free gingival and mucogingival junction, tooth mobility, fork participation, presence of Tartar and plaque biofilm, gingivitis, radiological data, loss of alveolar bone, and the presence of local factors.

1. The components of comprehensive assessment of parodont

A. The Sounding Depth Measurement. Depth range measuring from free gingival margin based pocket.

1. Probing the depths recorded to the nearest whole millimeter. All of the measurements from the next largest integer (e.g., read 3.5mm written as 4 mm 5.5 mm reading, and recognized as 6mm).

2. The sounding depth measurement are recorded in the six specific sites on each tooth: (i) distofacial, (ii) the average person, (iii) mesiofacial, (iv) distolingual, (v) the middle languages, and (vi) mesiolingual.

B. bleeding on probing

1. Bleeding on gentle probing is bleeding from soft tissue wall periodontal pocket, where the walls of his pocket ulcer (i.e., areas where the epithelium, were destroyed; Fig. 19-1).

2. The bleeding may occur immediately after the site is registered or, may be slightly delayed in onset. Warning doctor will monitor each site for a few seconds before moving on to the next site.

3. Excessive sensing power can cause bleeding. Sensing the pressure must be between 10 and 20 g of pressure. Sensitive scales, available from scientific supply companies, can be used to calibrate the pressure sensing.

C. the presence of exudate

1. Exudate, sometimes called suppuration, is pus that may be expressed with periodontal pocket. Pus consists mainly of dead white blood cells and can occur at any infection, including periodontal disease.

2. Exudate can be recognized as a pale yellow material seeping from the hole in his pocket. It is usually easier to determine when the gums to manipulate a certain way. For example, with a slight touch of the gums usually identified exudate at present (Fig. 19-2). Fig. 19-3 shows how to use a finger in the glove to discover the exudate by expression of periodontal pocket.

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