Clinical Practice of Dental Hygiene Chapter 11

periodontal pocket

A gingival sulcus that has been deepened by disease; depth is greater than 3 mm

10 and 20 grams

A pressure exerted with the probe tip against the soft tissue base of the sulcus or pocket should be between

periodontal pocket

A probing depth deeper than 3 mm indicates a

walking strokes

A series pf bobbing strokes that are made within the sulcus or pocket while keeping the probe tip against the tooth surface

COL

Area beneath contact area

probing the teeth

As with all instrumentation skills, it is important to proceed in a step-by-step manner when

all around the tooth

Bob along that soft tissue base

millimeter configurations

Calibrated probes are available in many different

bands

Color-coded probes are marked in

gingival pocket

Deepening of gingival sulcus caused by detachment of coronal portion of junctional epithelium and swelling of tissue

health of the periodontal tissues

Finding from an examination with a periodontal probe are used to determine the

periodontal pocket

Forms from apical migration of the junctional epithelium and destruction of periodontal fibers and bone

six specific sites on each tooth

How are measurements recorded

automated system records the assessment data on a computerized chart

How does a computerized prob work

like a miniature ruler for making intraoral measurements

How is a probe used

parallel as possible

How should the working-end of a probe be positioned to the long axis of the root surface

1, 2, 3, 7, 8, 9, and 10

If a probe has millimeter markings only at certain intervals, where are the marks found

greater than 3 mm

If the probe tip douched the root somewhere below the CEJ, the probing depth is

1 mm to 3 mm in depth

In health, the probing depth should be from

mandible gets in the way

It can be difficult to probe the distal surfaces of the maxillary molars because of the

color-coded probes

Marked in bands with each band being several mm in width

clinical

Measuring the size of oral lesions needs to be put in what part of the notes

attached gingiva

Part of the gingiva that is tightly connected to the cementum on the roots and to the connective tissue cover of the alveolar bone

interdental gingiva

Portion of the gingiva that fills the area between two adjacent teeth apical to the contact area

healthy gingival sulcus

Probe is inserted into a

depth measurement

Record six areas per tooth Record one reading per area (the deepest) Round up measurements to nearest full mm

tissue

Repeatedly removing the probe can traumatize the

distal surfaces of the maxillary molars

Reposition the instrument handle to the side of the patients face to reach the

scale that measures weight in grams

Standardize your probing pressure by practicing on a

insert at the distofacial line angle

Step 1 of anterior teeth

insert the distofacial line angle keep the side of the probe in contact with tooth surface gently slide to tough the soft tissue base

Step 1 of posterior teeth

touch the contact area, walk the probe between the teeth until it touches the contact area

Step 1 of the two step technique

soft and flexible when touched with the probe tip

Step 1.2: The junctional epithelium feels soft and flexible when touched with the probe tip

take a measurement beneath the contact area tilt the probe and press down gently

Step 10 of posterior teeth

soft tissue base of the sulcus or pocket

Step 1: Insert the probe and lightly run the tip along the tooth surface until it encounters the

walk the probe toward the distal surface

Step 2 of anterior teeth

keep tip in contact with the tooth, pressing down to touch the soft tissue base initiate a series of short, bobbing stokes toward the distal surface

Step 2 of posterior teeth

slant the probe lightly so that the tip reaches under the contact area, in this position gently press downward to touch the soft tissue base

Step 2 of the two step technique

up and down in short bobbing stokes

Step 2: Creat a walking stoke by moving the probe tip

tilt the probe and take a reading beneath the distal contact area

Step 3 of anterior teeth

walk the probe onto the distal surface until it touches the contact area

Step 3 of posterior teeth

1 mm increments

Step 3: Move forward in

area 2 is the facial surface extending from the distofacial line angle to the mesiofacial line angle

Step 4 of anterior teeth

tilt the probe so that the tip reaches beneath the contact area gently press downward to touch the soft tissue base of the sulcus/pocket

Step 4 of posterior teeth

walk across the facial surface

Step 5 of anterior teeth

tilt the probe so that the tip reaches beneath the contact area press down against the soft tissue and take a reading

Step 5 of posterior teeth, technique check

assess area 3, from the mesiofacial line angle to the midline of mesial surface walk the probe onto the mesial surface until it touches the contact area

Step 6 of anterior teeth

reinsert at the distofacial line angle in the preparation for assessing the facial surface

Step 6 of posterior teeth

tilt the probe and take a reading beneath the mesial contact area

Step 7 of anterior teeth

make a series of tiny walking strokes across area 2-the facial surface

Step 7 of posterior teeth

reinsert at the mesiofacial line angle in preparation for assessing the mesial surface

Step 8 of posterior teeth

walk the probe onto the mesial surface until it touches the contact area

Step 9 of posterior teeth

computer-assisted probe

The Florida Probe is an example of a

circular or rectangular (most all are circular)

The cross section of a prob may be

probe

The distance in millimeters from the gingival margin to the base of the sulcus of periodontal pocket as measured with a

two adjacent teeth

The probe cannot fit between

sulcus with each stroke

The probe is NOT removed from the

mesiodistal and faciolingual

The probe must be parallel in what dimensions

1 - 2

The probe tip is how many mm of the side of the probe

free gingiva

The unattached portion of the gingiva that surrounds the tooth in a turtleneck manner

gingival sulcus

The v-shaped space between the free gingiva and the tooth surface, and where a periodontal probe is inserted into this space to assess its health

blunt and rod-shaped

The working-end of a probe is

the working end

There are many different patterns of millimeter markings, but what end of a probe is marked in millimeter increments

position of gingival margin interference from calculus deposits, overhanging restorations amount of pressure applied misread probe calibrations

Various factors that can affect accuracy of measurements

this is used to cover the entire circumference of sulcus

Walking strokes

circumference of the sulcus or pocket base

Walking strokes with the probe should cover the entire

measure sulcus and pocket depths measure clinical attachment levels determine the width of the attached gingiva assess for the presence of bleeding measure the size of oral lesions

What are the uses of probes

millimeter marking

What can be used to determine the marking pattern of a particular probe

missing teeth recession pocket depth bleeding variety of other data

What does the information recorded on a computerized charts includes

probes

What is an important tool in the assessment of the health status of the periodontium

deeper in one place

What is common for the depth of a pocket

a precise technique; the use of the walking stroke, correct adaptation and parallelism

What is important to access the depths of a sulcus or pocket

base of sulcus

What is impossible to probe that is directly under the contact area

periodontal probe

What is marked in millimeter increments and used to evaluate the health of the periodontal tissues

junctional epithelium

What is not always a uniform depth

UNC 15

What probe has millimeter markings at 1-15 millimeters

millimeter configuration

What should you must know about a probe that you are using

that they are all marked the same

What should you not assume about probes

that all probes have the same pattern of millimeter markings

What should you not assume when using a probe

a system that works for you; me, my patient, my light grasp, finger rest and adaptation

What should you remember when probing the teeth

two-step

What technique is used to probe the mesial and distal surfaces

epithelium

What tissue does not have blood vessels

connective tissue

What tissue had blood vessels

special technique

When two teeth are in contact -side by side- what needs to be used to probe that area directly beneath the contact area

near the CEJ

Where does the probe tip touch the tooth

tooth surface

Where is the probe tip keep in contact throughout the walking stroke

away from the tooth

Where should the probe tip NOT be held

to avoid missing a deeper area

Why should you walk around the entire circumference

probing

the act of waling the tip along the base of a sulcus or pocket for the purpose of assessing the health status of the periodontal tissues