26 hours ago Patient periodontal report. Patient periodontal report J Can Dent Assoc. 1987 Apr;53(4):291-2. Author M L Arlin. PMID: 2436729 No abstract available. MeSH terms Audiovisual Aids Humans Patient Education as Topic* ... >> Go To The Portal
A recent CDC report 1 provides the following data related to prevalence of periodontitis
A serious gum infection that damages the soft tissue and bone supporting the tooth.
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Periodontal disease is mostly seen in adults. Periodontal disease and tooth decay are the two biggest threats to dental health. A recent CDC report1 provides the following data related to prevalence of periodontitis in the U.S.: 47.2% of adults aged 30 years and older have some form of periodontal disease.
INTRODUCTION Chronic periodontitis is a multifactorial infectious disease occurs as a result of challenge between the host response and specific periodontal pathogens characterized by the manifestation of a slow irreversible damage of periodontal supporting tissue loss in a period of time.[1]
In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or even fall out. Periodontal disease is mostly seen in adults.
The aim of the periodontal treatment is to provide healthy and functional dentition all through a lifetime. In this report, periodontal treatment of a 42-year-old male patient with generalized severe chronic periodontitis is presented. He received initial periodontal treatment together with adjunctive antimicrobials.
A full periodontal examination involves the charting of recession, probing depths, bleeding on probing and mobility for every tooth and is recorded in the patient's clinical notes.
Using specific examples from the patient's measurements, you can explain that a depth of 1-3mm generally indicates healthy gum tissue, 4mm or so generally indicates inflammation (gingivitis), and deeper depths generally indicates tissue destruction (periodontitis).
The following are warning signs of periodontal disease:Bad breath or bad taste that won't go away.Red or swollen gums.Tender or bleeding gums.Painful chewing.Loose teeth.Sensitive teeth.Gums that have pulled away from your teeth.Any change in the way your teeth fit together when you bite.More items...
A Periodontal Chart is also referred to as a gum chart. It is a graphic chart dental professionals use for organizing the information about your gums. Periodontal charting is the best way to uncover the difference between patients that are periodontally healthy and those with periodontal disease.
Periodontal disease is diagnosed by your dentist or dental hygienist during a periodontal examination. This type of exam should always be part of your regular dental check-up. A periodontal probe (small dental instrument) is gently used to measure the sulcus (pocket or space) between the tooth and the gums.
Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden.
Gingivitis: It's an Infection Many patients don't think of bleeding gums as an infection, but an analogy sometimes helps to explain it to them: If patients had cut their arm and noticed redness and bleeding around the wound, they might deduce it's infected and see a physician.
The Meanings of the Measurements0-3mm without bleeding: Perfect! ... 1-3mm with bleeding: Early signs of gingivitis. ... 3-5mm with no bleeding: This is an indication that there is a potential for gum disease. ... 3-5mm with bleeding: This is an early stage of gum disease or the beginning of periodontitis.More items...•
TreatmentGood oral hygiene. Good oral hygiene can help reduce the risk of periodontitis. ... Scaling and cleaning. Removing plaque and calculus can help restore periodontal health. ... Medications. A number of medicated mouthwashes and other treatments are available.Surgery.
Periodontitis Stage 1: Initial. Periodontitis Stage 2: Moderate. Periodontitis Stage 3: Severe with potential for tooth loss. Periodontitis Stage 4: Severe with potential for loss of all the teeth.
1:029:44Charting Sequence and Periodontal Charting - YouTubeYouTubeStart of suggested clipEnd of suggested clipWe begin at the upper right and proceed in numerical. Order if the patient is missing all of theirMoreWe begin at the upper right and proceed in numerical. Order if the patient is missing all of their maxillary molars we begin with tooth number four begin with whichever tooth is first in numerical.
Patients with BPE codes of 3, 4 and * require detailed periodontal charting. Six-point pocket charts should record probing depth and bleeding on probing (as well as recession, mobility and furcation involvement), at a minimum of all sites ≥4mm and bleeding on probing.
0:000:22Explaining Probe Depths to Patients - YouTubeYouTubeStart of suggested clipEnd of suggested clipA four would indicate that you've got a little bit of inflammation. And a five and a buck wouldMoreA four would indicate that you've got a little bit of inflammation. And a five and a buck would indicate a disease process and we'll want to take a closer look.
A periodontal examination should include a periodontal probing, a radiographic analysis, a gingival index, mobility charting, and an evaluation of the amount of attached gingiva. These clinical exercises require simple instrumentation and a minimal amount of clinical calibration on the part of the examiner.
Interpreting BPE scoring codes2BPE codeGuidance2As for Code 1, plus removal of plaque-retentive factors, including all supra- and subgingival calculus3As for Code 2 with root surface debridement (RSD) if required4OHI, RSD. Assess the need for more complex treatment; referral to a specialist may be indicated3 more rows
X-rays in Periodontal Evaluation Since the bone is what keeps your teeth secure, bone loss is an indication of periodontitis, which is a serious oral infection. By utilizing x-rays, your dentist can spot bone loss early and refer you to a periodontist who can diagnose your stage of gum disease.
The aim of the periodontal treatment is to provide healthy and functional dentition all through a lifetime. In this report, periodontal treatment of a 42-year-old male patient with generalized severe chronic periodontitis is presented. He received initial periodontal treatment together with adjunctive antimicrobials. The devital teeth were endodontically treated, and free gingival grafts were placed at the inadequate keratinized tissue zones before regenerative surgery. Following the surgical treatment using enamel matrix derivatives and xenogenic bone graft combination, the patient was put on a strict recall program. After 12 months, favorable clinical and radiographical improvements were obtained. The 7-year maintenance of the present case with several initially hopeless teeth has been shown and discussed in this report. It can be concluded that optimum oral hygiene level as well as the positive cooperation of the patient enhanced the success of periodontal treatment results even in extremely severe periodontal destruction.
Patient cooperation and his/her health belief and oral hygiene level are of critical importance to provide a healthy/functional dentition and to enhance the success of periodontal treatment in the long-term.
Clinical and radiographic view 84 months after the operations
Chronic periodontitis is a multifactorial infectious disease occurs as a result of challenge between the host response and specific periodontal pathogens characterized by the manifestation of a slow irreversible damage of periodontal supporting tissue loss in a period of time.[1] It has been shown that deep periodontal pockets as a result of alveolar bone destruction have been associated with the increase in the number of tooth loss.[2] It is difficult to define precise prognosis for each individual tooth as well as the overall dentition, however, the key for the success in predicting the prognosis is generally based on knowledge of the literature, accurate compilation of clinical and radiographic parameters, past clinical and surgical experiences and consideration of patient's values and compliance.[3] The aim of this report is to present the 7-year clinical and radiographic follow-up results of periodontal treatment of a patient with generalized severe chronic periodontitis.
Recently, continuous multilevel risk assessment-based prognostication systems were proposed.[5,6] In the light of these evidences, it seems possible to retain a tooth with negative prognosis in a well-maintained cooperative patient .[7] In this case, all teeth were treated periodontally and retained with multidisciplinary perio-endo treatment, and favorable clinical improvements were obtained to change their prognosis at 1-year from “hopeless” to “maintainable” condition. Only one premolar tooth was extracted at the end of the 7thyear due to the increasing mobility and tooth number 36 revealed periapical radiolucency on the radiograph without any clinical symptoms.
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Based on existing evidence, the American Academy of Periodontology suggested several indications for gingival augmentation procedures.[8] We placed FGG onto the insufficient keratinized tissue zones after IPT before flap surgeries.
By assessing your oral health on an annual basis, you and your periodontist will know how healthy your mouth is, and will be better able to notice any conditions , such as periodontal disease, that may need additional treatment.
A Comprehensive Periodontal Evaluation, or CPE, is a way to assess your periodontal health by examining:
What gets monitored, gets managed. It is as simple as that. The only way to monitor what gets done is with daily stats especially for your weak areas. For example, one employee should be specifically responsible for calls to patients who are unscheduled, overdue for re-care or need reactivation.
What most practice owners are lack in knowledge is not how to book an appointment, but rather how to be an effective leader. The best systems in the world are useless if the staff do not comply. Good leaders know how to get staff to willingly follow through and comply.
Do you and/or your staff have to travel or does the consultant come to you?
A diagnosis of periodontal abscess should be made after on overall evalution and interpretation of the patient’s chief complaint, medical-dental history, and clinical and radiographic examinations. Periodontal abscess can be treated with draining, scaling-root planing, curettage and giving antibiotics, and routine surgical technics [5,8-12], as was showed in this case. In conclusion, diagnosis and treatment of periodontal abscess are mainly based an empiricism, since evidence-based data are
tissues were swollen (Figure 1). Periodontal pocket was measuremed as 9mm in facial of mandibulary right central and lateral incisors (Figure 2). A occlusal radiograph showed localized alveolar bone resorption with localized angular defects on the right anterior
The periodontal abscess, which is a localized purulent infection of the periodontal tissues adjacent to a periodontal
formation in the periodontium is a relatively rare occurrence [3].
Herpesvirus and Candida species can also be recovered from periodontal abscesses [6,7]. The periodontal abscess is the third most prevalent emergency infection (%6-7), after acute dento-alveoler abscess (%14-25), and pericoronitis (%10-11) [9,10].
When gingivitis is not treated, it can advance to “periodontitis” (which means “inflammation around the tooth”). In periodontitis, gums pull away from the teeth and form spaces (called “pockets”) that become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.
The dentist, periodontist, or dental hygienist removes the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease. In some cases a laser may be used to remove plaque and tartar. This procedure can result in less bleeding, swelling, and discomfort compared to traditional deep cleaning methods.
The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called “gingivitis.” In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.
If you have been told you have periodontal (gum) disease, you’re not alone. Many adults in the U.S. currently have some form of the disease. Periodontal diseases range from simple gum inflammation to serious disease that results in major damage to the soft tissue and bone that support the teeth. In the worst cases, teeth are lost.