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Questions and Answers
What is a key aspect of periodontal diagnosis according to the text?
Why is obtaining past and present medical history important in periodontal diagnosis?
What role does past/present dental history play in the diagnostic procedure?
What does systematic diagnostic procedure for periodontal disease aim to determine?
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Which factor aids the diagnostician in detecting systemic conditions affecting periodontal response to local factors?
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Why are oral habits like tooth brushing and teeth grinding important for diagnosis?
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Which step is crucial to determine if immediate emergency treatment is required for a patient?
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What is the correct order for examining the periodontium?
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Why should gingiva be dried before observation during gingival inflammation assessment?
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Which manifestation of periodontal disease involves measurements of pockets between the teeth and gums?
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What are the four signs of gingival inflammation that must be observed?
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Why is examining the teeth occlusion and arch form important during a clinical examination of the oral cavity status?
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Study Notes
Diagnosis of Periodontal Disease
- Recognition of periodontal disease requires detection of pathological conditions affecting tooth-supporting structures.
- Periodontal diagnosis involves case history recording, clinical examination, and diagnostic aids like radiographs and laboratory investigations.
Diagnostic Procedure
- The procedure should be systematic and organized to determine if a disease is present, identify its type, and understand etiological factors.
- The recommended sequence for diagnostic procedure includes:
- Case history recording (personal information, medical and dental history, chief complaint)
- Clinical examination (oral cavity status, teeth examination, periodontium examination)
- Performing indicated diagnostic aids (radiographs, laboratory investigations, etc.)
Case History Recording
- Personal information (name, age, sex, birth place, address, occupation)
- Medical history (past and present) to aid in diagnosing oral manifestations of systemic diseases
- Dental history (previous visits, treatments, responses, oral habits)
- Chief complaint of the patient (specify duration, explore source, and determine if immediate emergency treatment is required)
Clinical Examination
- Examination of oral cavity status (mouth cleanliness, mouth odor, oral mucosa examination)
- Teeth examination (occlusion, arch form, malocclusion, overbite, overjet, attrition, erosion, abrasion, dental stains, plaque)
- Periodontium examination (systematic manner, starting from last molar in either maxilla or mandible)
Periodontium Examination
- Detection of earliest features of gingival and periodontal diseases
- Key features to examine and record:
- Gingival inflammation
- Presence and measurements of periodontal pockets
- Interdental crater formation
- Gingival recession
- Dental calculus
- Tooth mobility and migration
- Loss of attachment
Gingival Inflammation
- A process involving gingival tissues with clinical visible features
- Features to observe:
- Color changes
- Edema (swelling)
- Bleeding on gentle probing
- Increased gingival fluid (exudates)
- Types of tissue response: edematous and fiberotic
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Description
Test your knowledge on the diagnosis, prognosis, and treatment plan of periodontal diseases. This quiz covers the skills required for recognizing periodontal diseases, including case history analysis, clinical examination evaluation, radiographs interpretation, and laboratory investigations.
