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Health History and Perio Notes

The document outlines the importance of health history in dentistry, detailing aspects such as X-rays, oral surgery, and premedication. It also covers periodontal charting, including definitions, measurements, and indicators of periodontal disease, as well as the progression and causes of such diseases. Key factors like gum appearance, bleeding, recession, and tooth mobility are emphasized as critical components in assessing periodontal health.

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Mona Ahmed
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6 views5 pages

Health History and Perio Notes

The document outlines the importance of health history in dentistry, detailing aspects such as X-rays, oral surgery, and premedication. It also covers periodontal charting, including definitions, measurements, and indicators of periodontal disease, as well as the progression and causes of such diseases. Key factors like gum appearance, bleeding, recession, and tooth mobility are emphasized as critical components in assessing periodontal health.

Uploaded by

Mona Ahmed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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#19

THE HEALTH HISTORY


How it relates to dentistry.

I. X-rays
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II. Oral Surgery (or any invasive procedure)
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III. Appointments
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IV. Premedication
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V. Highly Contagious
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VI. Anesthetic (Epinephrine)
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VII. Ultrasonic Cleaner or Scaler
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#20
PERIODONTAL CHARTING
Procedure used to measure and record the depth of the sulcus surrounding each tooth
with a periodontal probe.

I. PERIODONTAL DISEASE
a. What is Periodontal Disease?
1. An infection of the tissues that support the teeth characterized by swollen and bleeding
gums (bacterial infection present)

II. PERIODONTAL PROBE


a. Instrument used to measure gums.
b. Marked in increments of millimeters

III. MEASUREMENTS
a. A normal sulcus is 1-3mm or less.
b. When the depth is greater than 3 mm it becomes a periodontal pocket.
c. Six sites are probed and recorded around the tooth.
1. 3 on the facial: Mesial/Facial/Distal
2. 3 on the lingual: Mesial/Lingual/Distal

IV. APPEARANCE OF GINGIVA


a. Evaluated in terms of:
1. color
2. texture
3. shape
4. Bleeding

VI. BLEEDING/SUPPURATION
a. The amount of blood/fluid present during probing.
b. It is a major indicator of inflamed gingiva.

VII. RECESSION
a. It is the loss of gingival tissue exposing the underlying cementum/dentin.

VIII. TOOTH MOBILITY


a. Measures movement of tooth within the socket.
b. Recorded using scale of 0-3 (mm’s)
1. 0 normal
2. 1 slight
3. 2 moderate
4. 3 severe

IX. FURCATION INVOLVEMENT


a. Measures destruction of interradicular bone in the furcation area of multi-rooted teeth

X. OCCLUSION
a. Evaluated and described.
b. Occlusal bite relationship is checked with articulating paper.
c. Occlusion is relieved of high spots (Occlusal equilibration)
XI. DEPOSITS HAPPEN!
a. Deposits on teeth leads to:
b. Gum irritation which leads to:
c. Perio pockets which leads to:
d. Gum recession and bone loss which leads to:
e. Tooth loss… eventually.

XII. DENTAL HYGIENE


a. Soft deposits – plaque
b. Hard deposits – calculus / tartar
c. Scaling and Root Planing

XIII. PROGRESSION OF PERIO DISEASE


1. Healthy Gums
2. Gingivitis
3. Periodontitis
4. Advanced Periodontitis

XIV. CAUSES OF PERIODONTAL DISEASE


a. Poor Hygiene
b. Diabetes
c. Hypertension
d. Malocclusion
e. Smoking
f. Rheumatoid Arthritis

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