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101- probing
SCC- Minter
35
Dentistry
Professional
09/22/2015

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Cards

Term
What is the primary function of the periodontal probe?
Definition
detect periodontal pockets to determine health of periodontium
Term
What are 6 other functions of the periodontal probe OTHER than detecting periodontal pockets? (7)
Definition
1. measure clinical attachment loss
2. Measure recession
3. Measure width of attached gingiva
4. Measure size of intraoral lesions
5. Assess bleeding on probing
6. Determine mucogingival relationships
7. Monitor longitudinal response of periodontium treatment.
Term
What is the name of the most common probe we use in the clinic?
Definition
Marquis probe
Term
in a healthy tooth, where does the junctional epithelium attach to the tooth?
Definition
enamel of the crown near the CEJ
Term
Are probing depths usually deeper on the M/D or Li/La?
Definition
M/D
Term
Are probing depths deeper on the Li or La
Definition
lingual
Term
Periodontitis is the infection of all parts of the periodontium. What parts are these?
Definition
gingiva
periodontal ligament
alveolar bone
cementum
Term
What causes increased probing depth of the gingival pocket (2)?
Definition
1. detachment of the coronal portion of the JE from the tooth
2. increased tissue size due to inflammation
Term
What anatomical changes cause the formation of a periodontal pocket?
Definition
1. apical migration of the JE
2. destruction of the periodontal ligament fibers and alveolar bone
Term
How many areas are probed on each tooth?
Definition
6
Term
For probe measurements, do you round up or down to the nearest whole number?
Definition
up
Term
What are 3 limitations to probe readings?
Definition
1. position of the gingiva- if above/below CEJ, reading doesn't reflect health accurately.
2. Reading errors d/t natural states (calculus, crown contour, restorations)
3. Reading error d/t technique and equip (incorrect angles, manufacturing errors)
Term
What orientation should the working end of the probe be kept once in the periodontal pocket?
Definition
working end parallel to the root surface
Term
How many grams of pressure should be exerted by the probe tip on the junctional epithelium?
Definition
10-20 grams
Term
What are some modifiable factors associated with periodontal breakdown? (8)
Definition
1. smoking
2. diabetes
3. poor oral hygiene
4. bacterial pathogens
5. osteoporosis
6. immune deficiency
7. stress
8. meds
Term
What are some non-modifiable factors associated with periodontal breakdown? (5)
Definition
1. history of perio
2. age
3. gender
4. race
5. genetic disorders
Term
What are the most significant indicators for periodontal breakdown? (4)
Definition
1. smoking
2. genetics
3. diabetes
4. poor oral hygiene
Term
Is gingivitis reversible?
Definition
yes
Term
What is a diseased gingival sulcus
Definition
pocket
Term
What is an early indicator of inflammation and precedes color change or enlargement?.
Definition
Bleeding on probe
Term
What it is called when you have gingival enlargement above the CEJ?
Definition
pseudopocket
Term
What is a 5-6 mm pocket where the junctional epithelium is coronal to the crest of the alveolar bone?
Definition
suprabony
Term
What is a >6mm pocket where the JE is apical to the crest of the alveolar bone?
Definition
infrabony
Term
What does CAL stand for?
Definition
clinical attachment level
Term
What is the position of the periodontal pocket attached tissues at the base of the sulcus called?
Definition
clinical attachment level
Term
If the gingival margin is BELOW the CEJ (apical), how do you calculate the clinical attachment loss?
Definition
probe depth + recession
Term
If the gingival margin is ABOVE the CEJ (coronal), how do you calculate the clinical attachment loss?
Definition
probe depth - gingival margin level (amount of tissue ABOVE the CEJ)
Term
What points are you measuring between for the clinical attachment loss?
Definition
CEJ to JE
Term
What points are you measuring between for the amount of attached gingiva (width)
Definition
mucogingival junction to the CEJ MINUS the sulcus
Term
What are the names of two probes OTHER THAN the marquis?
Definition
WREB (University of NC)
NABERS (curved for furcations)
Novatech (D of last molar- part of our marquis)
Term
Most common operator positioning error
Definition
patient too high
Term
What type of bone loss is associated with a suprabony perio pocket?
Definition
horizontal
Term
what type of bone loss is associated with an infrabony period pocket?
Definition
vertical
Term
What factor differentiates a sulcus from a pocket?
Definition
presence of inflammation
Term
What factor differentiates a gingival pocket from a period pocket?
Definition
level of attachment
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