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    Chahal Paul S1611 DiagnosisPeriodontitis

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    Shany Schwarzwald
    This document provides information on periodontal disease diagnosis. It discusses that proper diagnosis involves determining if disease is present, identifying its type, extent, severity, and underlying causes. A periodontal examination should systematically check the pockets between gums and teeth using probes to measure depth and check for bleeding. Deeper pockets and bone loss seen on x-rays can indicate periodontitis. The differential diagnosis lists possible conditions from most to least likely to guide treatment if the initial diagnosis is incorrect. Maintaining good oral hygiene through regular cleanings, tooth brushing, and the use of floss or picks is important to prevent and treat periodontal disease.

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    Chahal Paul S1611 DiagnosisPeriodontitis

    Uploaded by

    Shany Schwarzwald
    40 views11 pages
    This document provides information on periodontal disease diagnosis. It discusses that proper diagnosis involves determining if disease is present, identifying its type, extent, severity, and underlying causes. A periodontal examination should systematically check the pockets between gums and teeth using probes to measure depth and check for bleeding. Deeper pockets and bone loss seen on x-rays can indicate periodontitis. The differential diagnosis lists possible conditions from most to least likely to guide treatment if the initial diagnosis is incorrect. Maintaining good oral hygiene through regular cleanings, tooth brushing, and the use of floss or picks is important to prevent and treat periodontal disease.

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    This document provides information on periodontal disease diagnosis. It discusses that proper diagnosis involves determining if disease is present, identifying its type, extent, severity, and underlying causes. A periodontal examination should systematically check the pockets between gums and teeth using probes to measure depth and check for bleeding. Deeper pockets and bone loss seen on x-rays can indicate periodontitis. The differential diagnosis lists possible conditions from most to least likely to guide treatment if the initial diagnosis is incorrect. Maintaining good oral hygiene through regular cleanings, tooth brushing, and the use of floss or picks is important to prevent and treat periodontal disease.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    40 views11 pages

    Chahal Paul S1611 DiagnosisPeriodontitis

    Uploaded by

    Shany Schwarzwald
    This document provides information on periodontal disease diagnosis. It discusses that proper diagnosis involves determining if disease is present, identifying its type, extent, severity, and underlying causes. A periodontal examination should systematically check the pockets between gums and teeth using probes to measure depth and check for bleeding. Deeper pockets and bone loss seen on x-rays can indicate periodontitis. The differential diagnosis lists possible conditions from most to least likely to guide treatment if the initial diagnosis is incorrect. Maintaining good oral hygiene through regular cleanings, tooth brushing, and the use of floss or picks is important to prevent and treat periodontal disease.

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    Periodontal Disease Diagnosis

    PAUL CHAHAL
    GROUP S1611
    MAY 24, 2020
    Introduction
     Proper diagnosis is essential to intelligent
    treatment. Periodontal diagnosis should first
    determine whether disease is present; then
    identify type, extent, distribution, and severity;
    and finally provide an understanding of the
    underlying pathologic processes and their cause
     A chronic bacterial infection that affects the gums
    and bone supporting the teeth
     Periodontal disease ranges from simple gum
    inflammation to serious disease that result in
    major damage to the soft tissues and bone that
    support the teeth
    Diagnosis

    In current practice of periodontics it is primarily derived from information


    obtained from the patient’s medical and dental histories combined with
    findings from a through oral examination.

    Differential Diagnosis
    Listing of the possible diagnosis of a patient’s condition ranked from Important- because it provides the clinician with other diagnostic
    most likely to least likely. options if the initial diagnosis subsequently proves to be wrong.
    Examination

     The periodontal examination should be systematic, starting


    in the molar region in either the maxilla or the mandible and
    proceeding around the arch. This avoids overemphasis of
    spectacular findings at the expense of other conditions,
    which, although less striking, may be equally important. It
    is important to detect the earliest signs of gingival and
    periodontal disease.
     Probing should be done to determine pocket pockets,
    bleeding on probing
     Observation of color, texture, consistency, and contour of
    gingiva
     Palpating the oral mucosa help locate the origin of radiating
    pain that the patient cannot localize
     Blood tests to evaluate the presence of blood dyscrasias and
    generalized infections
    How to determine diagnosis?

     Review medical history to identify any factors that could be


    contributing to your symptoms, such as smoking or taking certain
    medications that cause dry mouth.
     Examine mouth to look for plaque and tartar buildup and check for
    easy bleeding.
     Measure the pocket depth of the groove between your gums and teeth
    by placing a dental probe beside your tooth beneath your gumline,
    usually at several sites throughout your mouth. In a healthy mouth, the
    pocket depth is usually between 1 and 3 millimeters (mm). Pockets
    deeper than 4 mm may indicate periodontitis. Pockets deeper than 5 mm
    cannot be cleaned well.
     Take dental X-rays to check for bone loss in areas where your dentist
    observes deeper pocket depths.
    Overall appraisal of the patient

    In the very first meeting only clinician come to know about patient’s mental
    and emotional status, temperament, attitude and physiologic age.

    First visit
    Helps to build rapport with the patient.

    CHIEF COMPLAINT
    Symptoms described and recorded in Acts as medicolegal record when signed It may provide insight into the nature and
    patients own words by the patient. path of problem.
    Medical History

    So patient should be made


    Importance of medical as they usually omit A complete history of
    aware of – role of systemic
    history should be explained information due to lack of hospitalization and surgery
    disease and condition in
    to patients awareness. should be provided.
    periodontal conditions.

    Any history of allergy or


    Abnormal bleeding patient’s family medical
    adverse drug reaction should Any other medical problems
    tendencies history
    be provided.
    A list of dental visits should be supplied, including frequency, date of most recent visit, oral
    prophylaxis by dentist including frequency and date of most recent cleaning.

    Patient’s oral hygiene regimen should be noted, including tooth brushing frequency, method, type of
    tooth brush.

    Pain in tooth or gums

    Dental History Bleeding from gums

    Halitosis

    Patient’s general dental habits such as clenching and grinding habit.

    Any sort of previous periodontal problems


    Squamous cell carcinoma

    Abscess due to presence of diffused area

    Cyst due to a sclerotic bony outline


    Differential
    Diagnosis Granulomatous Disease

    Gingival Tumors

    Leukoplakia
    Preventative Measures

    • Many periodontal patients must receive dental prophylaxis every 3 months or every 4 months, in addition to
    Dental prophylaxis whatever more extensive treatment may be necessary at the hand of the dentist.

    • It must be stressed also that the toothbrush is really a mouth brush and the care of the gingivae is just as important as
    Good oral hygiene that of the teeth.

    • It is the most commonly recommended measure for the removal of food debris and plaque from the teeth
    Tooth brushing mechanically.

    • Dental floss, tooth picks, rubber tips etc. are sometimes recommended for cleaning areas inaccessible to the
    Devices for entering individual crevices: toothbrush.

    Disorders of occlusion: • Diagnosis of occlusal disorders and early treatment

    Mouth Breathing • This should be treated either by clearing the air passages or by orthodontics

    • Such as blood dyscrasias, endocrine disorders and vitamin deficiencies will need medical attention in addition to
    Systemic diseases local treatment
    Thank You

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