Full Periodontal Assessment 3 hard
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Questions and Answers

What are the primary focuses of the preventive program discussed in the research by Axelsson and Lindhe?

  • Caries prevention and oral health education (correct)
  • Dental hygiene and aesthetic improvements
  • Dental plaque and caries management (correct)
  • Gingivitis and orthodontic complications

Which specific aspect of dental plaque is addressed in the classification discussed by Chetru et al.?

  • Visual identification of plaque
  • Factors affecting gum disease
  • Types of bacteria present in plaque (correct)
  • Stages of plaque formation (correct)

How is the effectiveness of the preventive program measured in the study by Axelsson and Lindhe?

  • Comparative analysis of caries rates over time (correct)
  • Surveys on children’s oral health behavior
  • Longitudinal study of gingival health (correct)
  • Assessment of plaque reduction only

Which of the following is least likely to be a characteristic of dental plaque according to current classification standards?

<p>It forms only in the presence of sugars (C)</p> Signup and view all the answers

What intervention is often recommended to ensure children maintain effective plaque control?

<p>Use of disclosing tablets and supervised brushing (B)</p> Signup and view all the answers

Which of the following journal articles focuses specifically on dental plaque as a subject?

<p>Classification, formation, and identification of dental plaque (C)</p> Signup and view all the answers

What color indicates bacteria presence in biofilm more than three days old?

<p>Blue (D)</p> Signup and view all the answers

Which of the following is NOT a type of disclosing solution?

<p>Paste (C)</p> Signup and view all the answers

What is the primary reason for disclosing solutions for patients?

<p>To facilitate self-monitoring and personal evaluation (C)</p> Signup and view all the answers

What equipment is essential for using disclosing solutions?

<p>Scribe (A)</p> Signup and view all the answers

Which statement best describes a 6 point plaque score?

<p>It is calculated using six specific points on each tooth. (D)</p> Signup and view all the answers

What is necessary to calculate the total number of surfaces for plaque index?

<p>Multiply the number of teeth by 4 or 6 (D)</p> Signup and view all the answers

Which color in disclosing solutions can indicate acid levels or mature plaque?

<p>Light blue (D)</p> Signup and view all the answers

What should be documented in patient notes when using disclosing solutions?

<p>Plaque scores and observations (D)</p> Signup and view all the answers

What is the purpose of using disclosing solutions in clinical settings?

<p>To provide direction for oral hygiene practices (B)</p> Signup and view all the answers

Which of the following indicates successful removal of plaque using disclosing solution?

<p>Complete absence of color in the marked areas (B)</p> Signup and view all the answers

What is a primary purpose of taking plaque scores in oral health?

<p>To monitor oral health status (B)</p> Signup and view all the answers

Which of the following are types of scoring used in periodontal assessment?

<p>4 point and 6 point scoring (C)</p> Signup and view all the answers

What is the first step in calculating the Plaque Index?

<p>Divide the total number of surfaces covered in plaque by the total number of tooth surfaces (C)</p> Signup and view all the answers

What is the advantage of using disclosing aids during a periodontal assessment?

<p>They allow for the visualization of plaque, which is otherwise colorless (C)</p> Signup and view all the answers

What does a Plaque Index result of 5% indicate?

<p>95% of the tooth surfaces are plaque-free (D)</p> Signup and view all the answers

How is the bleeding score relevant to oral health practices?

<p>It measures immediate and delayed responses to probing (B)</p> Signup and view all the answers

Which aspect of oral health can be impacted by the interpretation of plaque score results?

<p>Oral health messages communicated to the patient (D)</p> Signup and view all the answers

What percentage of bleeding indicates localized gingival inflammation?

<p>10-30% (D)</p> Signup and view all the answers

How can the effectiveness of disclosing solutions be delivered to patients?

<p>Through various types of toned solutions and their application methods (C)</p> Signup and view all the answers

What does immediate bleeding during a probe insertion signify?

<p>Generalized inflammation (A)</p> Signup and view all the answers

Which of the following is a sign of deeper inflammation during probing?

<p>Delayed bleeding occurring seconds after insertion (A)</p> Signup and view all the answers

What is a key element to consider when calculating plaque scores?

<p>The entire dentition, including buccal, mesial, distal, and palatal/lingual surfaces (C)</p> Signup and view all the answers

What is the ideal plaque index goal for a patient?

<p>5% plaque presence (B)</p> Signup and view all the answers

What personal assessment aspect is suggested to show a patient’s current oral health state?

<p>Clear graphical displays comparing past and present status (C)</p> Signup and view all the answers

What aspect of coaching or feedback is essential when monitoring oral health progress?

<p>Providing specific and clear targets to meet (C)</p> Signup and view all the answers

What does a 30% or greater bleeding score indicate?

<p>Generalized periodontal disease progression (B)</p> Signup and view all the answers

How is a patient's adherence to oral hygiene typically assessed?

<p>Asking patients how often they brush and floss (A)</p> Signup and view all the answers

What is the purpose of using a WHO probe during periodontal evaluation?

<p>To measure the depth of the periodontal pockets (B)</p> Signup and view all the answers

What is a common misconception patients may have regarding their oral hygiene?

<p>They claim to use their toothbrush effectively (B)</p> Signup and view all the answers

What is the primary purpose of disclosing agents in dentistry?

<p>To change the color of dental biofilm for visibility. (B)</p> Signup and view all the answers

Which characteristic is NOT associated with disclosing agents?

<p>They are allergenic. (B)</p> Signup and view all the answers

What dye is typically used in disclosing solutions?

<p>Phloxine B (B)</p> Signup and view all the answers

What can be inferred about plaque and bleeding scores in engaged patients?

<p>Scores are expected to improve by more than 50%. (A)</p> Signup and view all the answers

Which of the following statements correctly describes a non-engaged patient's condition?

<p>They display improvements in hygiene of ≤50%. (B)</p> Signup and view all the answers

What factor does NOT influence the retention of dye substances in biofilms?

<p>The pH of the mouth during examination. (A)</p> Signup and view all the answers

Which of the following statements about surgical intervention types is least accurate?

<p>Engaged patients always meet oral hygiene targets. (D)</p> Signup and view all the answers

Which factor contributes to the ease of use of disclosing agents in practice?

<p>Ease of removal from tooth surfaces. (A)</p> Signup and view all the answers

How would you characterize the ideal properties of a disclosing agent?

<p>Non-allergenic and easy to remove. (D)</p> Signup and view all the answers

Which of the following best describes the target scores for oral hygiene improvement?

<p>Bleeding scores should decrease to ≤20%. (C)</p> Signup and view all the answers

Flashcards

Plaque Score

A measure of the amount of plaque on teeth, used to assess oral health.

Bleeding Score

A measure of gingival bleeding, indicating inflammation and potential gum disease.

Periodontal Assessment 3

A step in a comprehensive periodontal checkup that includes plaque and bleeding scoring.

Disclosing Aids

Substances used to stain dental plaque, making it visible.

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4-point Charting

A system for recording periodontal measurements on teeth using four sections (buccal, mesial, distal, and palatal/lingual).

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6-point Charting

A system for recording periodontal measurements on teeth using six sections.

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Oral Health Monitoring

Tracking plaque and bleeding scores to improve oral health.

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Oral Health Messages

Instructions for maintaining oral health based on assessment results.

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Immediate/Delayed Bleeding

Bleeding that occurs immediately or after probing; both indicative of inflammation.

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Engaged Patient

A patient actively participating in their treatment plan, showing improvement in plaque and bleeding scores by at least 50%.

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Disclosing Agent

A substance that changes the color of dental biofilm to make it visible.

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Non-Engaged Patient

A patient not making enough progress in treatment. Plaque and bleeding scores didn't improve enough.

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Plaque Score

A measure of the amount of plaque on teeth.

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Bleeding Score

A measure of gingival bleeding, indicating possible inflammation.

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Disclosing Solution Ingredients

Contains a dye, typically vegetable, like Phloxine B, to stain plaque.

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Disclosing Agent Properties

Water-soluble, non-allergenic, and easy to use.

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Improved OH Score

Plaque and/or bleeding scores decreased by 50% or more, reaching targets set by the dentist.

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OH Targets

Oral health objectives set by the clinician to improve a patient's hygiene.

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Biofilm Retention

Dental biofilm accumulates dye, staining plaque, due to interactions via polarity differences and electrostatics.

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Plaque Index Calculation

Dividing the number of surfaces with plaque by the total number of surfaces, then multiplying by 100 to get a percentage.

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Plaque Index

A measure of the plaque accumulation on teeth, expressed as a percentage.

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Bleeding on probing (Immediate)

Bleeding that occurs as soon as a probe is inserted into a gingival sulcus.

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Bleeding on probing (Delayed)

Bleeding that occurs a few seconds after probe insertion.

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Periodontal Pockets

Deep gingival sulcus/inflammation.

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Gingival Health (Less than 10%)

Indicates healthy gums, less than 10% bleeding.

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Localized Bleeding (10-30%)

Bleeding limited to few areas.

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Generalized Bleeding (>30%)

Bleeding present in majority of mouth.

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Oral Health Goals

Target plaque reduction and prevention of disease progression based on assessment results.

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Communication with Team

Clear communication is essential for accurate assessment and treatment planning.

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Disclosing Solutions

Substances that visually highlight plaque on teeth.

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Single-tone Disclosing

A disclosing solution that gives one color to show plaque on teeth.

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Two-tone Disclosing

A disclosing solution with two colors, possibly distinguishing plaque age or something else.

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Three-tone Disclosing

A disclosing solution with three colors, potentially categorizing based on factors like plaque composition or age.

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Plaque Index Calculation

A method for determining the amount of plaque on teeth, accounting for all surfaces.

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6-point Plaque Score

Assessing plaque on teeth using six areas per tooth.

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4-point Plaque Score

Assessing plaque on teeth using four areas per tooth.

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Why Disclose (Patient)

Educate and motivate patients about oral hygiene using visual aids.

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Why Disclose (Clinician)

To visualize, track, and direct oral health practices based on observed plaque areas.

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Equipment Needed

PPE, disclosing solution, tools for application, removal, and recording.

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Dental Plaque

A sticky film of bacteria on teeth, contributing to gum disease and cavities.

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Gingivitis

Inflammation of the gums, often caused by plaque.

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Caries

Dental cavities or tooth decay, often resulting from bacteria and sugars.

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Preventive Programme

A set of actions or steps to prevent dental problems.

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Periodontal Study

Research or investigation into periodontal issues like plaque, gingivitis, and caries.

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Plaque Disclosing Tablets

Products used to visually highlight plaque on teeth.

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Study Notes

Periodontal Assessment 3: Plaque and Bleeding Score

  • Plaque and bleeding scores are taken periodically to monitor oral hygiene.
  • Disclosing aids are used to visually identify plaque, which is usually the same color as teeth.
  • Plaque scores are crucial for monitoring oral health.

Intended Learning Outcomes

  • Students will review previous components of periodontal assessment.
  • Students will learn the process of disclosing and different types of toned disclosing solutions, as well as their modes of delivery.
  • Discussion of the benefits of disclosing for both patients and clinicians.
  • Demonstration of plaque score calculation using 4-point and 6-point charting methods.
  • Interpretation of plaque scores and their impact on oral health messages.
  • Explanation of bleeding scores in relation to oral health practices, including immediate and delayed bleeding.
  • Interpretation of bleeding scores and their impact on oral health messages.

Useful Videos

  • Two YouTube video links are provided for supplementary learning.

Recap

  • Diagrams/images are shown for periodontal assessment and charting methods with numbers 1-6 on models of teeth showing different aspects of the teeth.

BSP UK Clinical Practice Guidelines for the Treatment of Periodontal Diseases

  • The guidelines outline steps for managing periodontal diseases, including diagnosis, treatment planning, and follow-up.
  • Key aspects include oral health and risk assessment, diagnosis, and care planning.
  • Building optimal treatment outcomes involves factors like patient-centered care, oral hygiene, risk factor reduction, treatment options, and professional care.

Periodontal Assessment (Continued)

  • A section on specific requirements for periodontal care.

  • How to evaluate oral health and maintain healthy conditions.

  • Specific methods for monitoring periodontal health and maintaining proper oral hygiene are covered.

Plaque Score

  • The steps and methods for recording plaque scores are detailed on slide 20.

Plaque Index Calculation

  • A step-by-step method for calculating the plaque index is described on slide 21.

Plaque Index Example

  • An example calculation of the plaque index illustrates the procedure with specific numbers to help with understanding.

Goals

  • The importance of achieving a plaque-free state is highlighted.
  • Different target goals for plaque reduction or eradication are discussed for the patients, aiming for 95 % plaque-free state or over 90 %.

Buccal, Lingual or Interproximal?

  • Identification and location of plaque in the mouth.

Communication with Team Members

  • Guidelines for communication with team members, including clear communication, indicating starting points, crossing midlines, and asking questions when in doubt.

Bleeding Score

  • The presentation explains what bleeding represents and distinguishes between immediate and delayed bleeding based on the time it takes after probing to initiate bleeding.
  • Ways of observing and recording bleeding results from probing are listed.

How Do You Take A Bleeding Score?

  • Proper instruments and techniques for taking a bleeding score are demonstrated in a slide showing the tools.

Troubleshooting

  • Dealing with potential challenges and difficulties in patient management and procedures are discussed.

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Related Documents

Periodontal Assessment 3 Plaque and Bleeding Score PDF

Description

This quiz focuses on the evaluation of plaque and bleeding scores in periodontal assessment. Students will learn about disclosing aids, scoring methods, and the significance of these metrics in oral hygiene. Gain insights into how these scores impact patient care and oral health communication.

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