Please enable JavaScript.
Coggle requires JavaScript to display documents.
Periodontal Floss-ophy, Why Dental Hygiene exists and why it is important:…
-
Why Dental Hygiene exists and why it is important: Dental hygiene is imperative for the benefit of the community, for it helps to maintain health and drive diseased oral cavity states back to symbiosis. Additionally, oral health maintenance is imperative since it helps prevent and control systemic diseases.
Values: The ADHA upholds several values that the dental hygienist must uphold to continue to create patient-clinicain relationships while exceeding the standard care to the best of one's abilities.
Success with Values in Action - Quality and Community: Providing quality care in a community based environment is imperative, for as a clinician, I want my patients to receive the standard of care they deserve in a comfortable environment. I commit to follow through with doing so by practicing with innovation and compassion and take part in consistent self-assessment. This will be measured by patient rapport and less disease recurrence among patients who do proper homecare.
-
-
-
-
Clinical Evaluation:
- gingiva is pink, firm, stippled, knife-edged, resilient, scalloped
- none to slight bleeding on probing
- slight plaque accumulation
- probe depths 1-3mm
Interdental Papillae:
- firm, occupy the embrasure space
Sulcus:
- JE coronal to CEJ
- supragingival fibers intact
- alveolar bone intact
- PDL intact
Clinical:
- gingiva is red, swollen, and inflamed
- over 30% bleeding on probing
- plaque and slight to moderate calculus accumulation
- probe depths 1-4mm
Onset:
- 4-14 days after biofilm accumulation in sulcus
Sulcus:
- JE at the CEJ
- supragingival fiber destruction
- alveolar bone intact
- PDL intact
- pseudopocketing
- bulbous interdental papillae
Clinical:
- gingiva is pink to deep purplish/blue, fibrotic leathery), edamatous
30% bleeding on probing
- plaque and moderate to heavy calculus accumulation
- probe depths 5mm +
- CAL
Interdental Papillae:
- does not fill embrasure space die to apical JE migration
Pocket:
- JE below the CEJ at the cementum
- supragingival fiber destruction
- alveolar bone destroyed
- PDL destroyed
- possible supperation
- pain on probing due to pocket ucleration
Why Treat?
to restore symbiosis in the oral cavity by ridding the bacteria that is causing the inflammation
Why Treat?
to halt dysbiosis and prevent further destruction cuased by the chronic inflammation and constant bacterial invasion
-
-
-
-
Indications for Treatment
Inflammation, bleeding, and redness as these indicate active periodontal disease
Indications for Treatment
progressing bone loss, attachment loss, inflammation, fibrotic tissue as these are indicators of active periodontitis
Instruments for Treatment
Mirror
UNC Probe
Nevi
Barnhart 5/6
Younger Good
13/14 Anna Pattison Gracey
15/16 Anna Pattison Gracey
1/2 Anna Pattison Gracey
Instruments for Treatment
Mirror
Probe
Cavitron with Slimline Inserts
Nevi
Barnhart 5/6
Younger Good
13/14 Anna Pattison Gracey
15/16 Anna Pattison Gracey
1/2 Anna Pattison Gracey
Instruments for Treatment
Mirror
Probe
Cavitron with Parkell and Slimline Inserts
Nevi
Younger Good
McCall
13/14 Anna Pattison Gracey
15/16 Anna Pattison Gracey
1/2 Anna Pattison Gracey
Diamond Files
Appointment Sequence
Health History
Vitals
EO/IO Exam
Clinical Tabs
Perio Chart or Xrays (alternate)
Dental Exam
Scale/Deplaque
Polish
Floss
Fluoride
Homecare + any needed counseling
Appointment Sequence
Health History
Vitals
EO/IO Exam
Clinical Tabs
Perio Chart or Xrays (alternate)
Dental Exam
Scale/Deplaque
Polish
Floss
Fluoride
Homecare + any needed counseling
Appointment Sequence
Health History
Vitals
EO/IO Exam
Clinical Tabs
Perio Chart or Xrays (alternate as needed)
Dental Exam
Scale 2 Quadrants finish other 2 quads at next appointment
PSE:
Periochart
Scale/Deplaque
Polish Floss
Fluoride
Homecare + any needed counseling
Referrals
Physician:
- if patient has not received physical in the last two years or if there is a potential underlying health condition
Periodontist:
- if patient is health on reduced periodontium and is seeking a plastic periodontal surgery (ex: patient has recession and wants a tissue graft)
- Gingival Hyperplasia
- failing implant
Referrals
Physician:
- if patient has not received physical in the last two years or if there is a potential underlying health condition
Periodontist:
- if a patient has reduced periodontium and is seeking plastic periodontal surgery (ex: patient has recession and wants a tissue graft)
- if there is furcation involvement
- Gingival Hyperplasia
- failing implant
Referrals
Physician:
- if patient has not received physical in the last two years or if there is a potential underlying health condition
Periodontist:
- automatic referral if patient has Stage 3 Grade C periodontitis
- furcation involvement
-masticatory disfunction/tooth mobility
- failing implant
- pocket depths greater than 6mm
-
Health on Reduced Periodontium
Healthy oral cavity, but patient has recession. This can also be a previously treated periodontal therapy patient whose oral cavity has been restored back to a symbiotic state
Recurrent and Refractory Periodontitis
Recurrent: periodontitis that has come back in a patient with a previously treated perio patient
Refractory: periodontitis that has come back, reason is unknown
Staging and Grading
Stages 1-4 determine the extent of the disease
Grades A-C determine the rate of how the disease will progress
Acute and Chronic Gingivitis
Acute: sudden onset of gingivitis within a couple days or weeks, accompanied by pain, swelling, and redness
Chronic: progressive onset of periodontitis lasting months or years, accompanied by fibrotic tissue, pain not common
-
-
Coding: 4341, 4342, 4355, 4910