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Questions and Answers
Which grade of furcation classification allows the probe to pass completely through the furcation area?
Which grade of furcation classification allows the probe to pass completely through the furcation area?
What is the characteristic visibility of mechanisms in Grade 4 furcation classification?
What is the characteristic visibility of mechanisms in Grade 4 furcation classification?
What is the maximum mobility classified as Grade 2?
What is the maximum mobility classified as Grade 2?
Which of the following best describes the mobility classified as Grade 3?
Which of the following best describes the mobility classified as Grade 3?
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Which item is specifically used to measure plaque biofilm for scoring?
Which item is specifically used to measure plaque biofilm for scoring?
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Which of the following is a characteristic of a disclosing agent?
Which of the following is a characteristic of a disclosing agent?
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What type of mobility is considered Grade 0?
What type of mobility is considered Grade 0?
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What is the primary function of the Bleeding Index?
What is the primary function of the Bleeding Index?
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Which of the following scores represents a more detailed plaque assessment than a 4-point score?
Which of the following scores represents a more detailed plaque assessment than a 4-point score?
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What does the presence of a grade 4 furcation indicate regarding visibility on radiographs?
What does the presence of a grade 4 furcation indicate regarding visibility on radiographs?
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What method is used to ensure that lips do not stain when using a disclosing solution?
What method is used to ensure that lips do not stain when using a disclosing solution?
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When is the plaque biofilm commonly evaluated for its color changes?
When is the plaque biofilm commonly evaluated for its color changes?
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When performing a plaque and bleeding index calculation, what should you do first?
When performing a plaque and bleeding index calculation, what should you do first?
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What does a pink disclosing agent typically indicate?
What does a pink disclosing agent typically indicate?
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What type of bleeding does a delayed bleeding index indicate?
What type of bleeding does a delayed bleeding index indicate?
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What makes a disclosing agent non-allergenic?
What makes a disclosing agent non-allergenic?
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What is the purpose of using cotton wool or pledgets during the disclosing process?
What is the purpose of using cotton wool or pledgets during the disclosing process?
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What should be done after marking and adding up teeth with plaque or bleeding present?
What should be done after marking and adding up teeth with plaque or bleeding present?
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Which characteristic describes aqua disclosing agents?
Which characteristic describes aqua disclosing agents?
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What does a probing depth of 6mm with a gingival margin level of 0 indicate regarding clinical attachment loss?
What does a probing depth of 6mm with a gingival margin level of 0 indicate regarding clinical attachment loss?
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How is clinical attachment level (CAL) measured?
How is clinical attachment level (CAL) measured?
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What indicates the presence of inflammation in periodontitis?
What indicates the presence of inflammation in periodontitis?
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What does BPE stand for and how is it characterized?
What does BPE stand for and how is it characterized?
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What describes the condition when the gingival margin is apical to the CEJ?
What describes the condition when the gingival margin is apical to the CEJ?
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In the context of furcations, what does a grading of 2 imply?
In the context of furcations, what does a grading of 2 imply?
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During a full periodontal assessment, which of the following would indicate gingivitis?
During a full periodontal assessment, which of the following would indicate gingivitis?
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What is the significance of a light probing force of 25g in periodontal assessments?
What is the significance of a light probing force of 25g in periodontal assessments?
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Which of the following probing depths indicates a need for immediate periodontal intervention?
Which of the following probing depths indicates a need for immediate periodontal intervention?
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Study Notes
Full Periodontal Assessment
- Probing Depth: Distance from gingival margin to periodontal pocket bottom.
- Light Probing Force: 25g.
- BPE (Bleeding on Probing Examination): Screening tool only.
- Ball End Sizes: 0.5mm and 3.5-5.5mm.
- Marking: 1-15mm.
- UNC-15: Specific marking system.
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Gingival Margin Levels: Measured from the cementoenamel junction (CEJ).
- Natural Position: 0
- Gingival Margin Covers CEJ: Negative value.
- Gingival Margin Apical to CEJ: Positive value.
- Clinical Attachment Levels (CAL): Estimate of periodontal stability and loss of support, measured from CEJ.
- Gingivitis: Inflammation without attachment loss.
- Periodontitis: Inflammation with attachment loss.
Furcations
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Classification (Glickman 1953):
- Grade 1: Probe detects just above the furcation entrance.
- Grade 2: Probe can partially enter the furcation.
- Grade 3: Probe passes completely through the furcation.
- Grade 4: Same as grade 3, clinical entrance is visible.
- Nabers Probe: Used to measure furcations.
Mobility
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Classification (Miller 1950):
- Grade 0: Normal mobility (0.1-0.2mm).
- Grade 1: Slight mobility (up to 1mm).
- Grade 2: Moderate mobility (greater than 1mm).
- Grade 3: Severe mobility (greater than 1mm, horizontal and vertical).
Plaque Index
- Contrast: Vegetable dye or other agents.
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Disclosing Agents:
- Single-Toned: Pink (plaque <24 hours), Blue (plaque >24 hours), Aqua (very acidic).
- Disclosing Agent Types: Tablets, liquid, pre-loaded pellets.
- Equipment: PPE, disclosing solution, cotton wool, eye protection, scribe, easy removal mechanism e.g., aspiration.
- Important note: Use vaseline to prevent staining of the lips.
Bleeding Index
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Immediate Bleeding: Bleeding as soon as probe is inserted.
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Delayed Bleeding: Bleeding few seconds after probe insertion.
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WHO probe: Used to evaluate bleeding.
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Calculation: 4 or 6 point chart, similar to plaque index.
- <10% Bleeding: Considered clinically healthy.
- 10-30% Bleeding: Considered localised.
- >30% Bleeding: Considered generalised.
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Description
Test your knowledge on full periodontal assessment techniques including probing depth, clinical attachment levels, and furcation classifications. This quiz covers essential parameters used in diagnosing periodontal conditions and understanding gingivitis and periodontitis.