Periodontal Probing Techniques
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Questions and Answers

What is the purpose of performing a walking stroke while probing the gingival sulcus?

  • To record multiple readings at the same site
  • To cover wider areas with fewer strokes
  • To minimize patient discomfort
  • To ensure no pockets are missed (correct)
  • How should the deepest reading be recorded for the buccal surface during probing?

  • By noting the highest measurement obtained (correct)
  • By recording the first reading encountered
  • By averaging the readings from multiple sites
  • By summing all readings for that site
  • What does a positive measurement indicate when determining the level of the free gingival margin?

  • Gingival recession beyond the CEJ
  • Bone loss is significant
  • Gingival margin covering the CEJ (correct)
  • Overgrown gingiva present
  • What does a negative number indicate about the distance between the gingival margin and the CEJ?

    <p>The gingival margin significantly covers the CEJ.</p> Signup and view all the answers

    Which of the following is not a limitation of probing mentioned?

    <p>Inaccuracy due to patient discomfort</p> Signup and view all the answers

    What is a crucial factor that distinguishes between gingivitis and periodontitis?

    <p>Measurement of Clinical Attachment Levels (CAL).</p> Signup and view all the answers

    What is the correct approach when measuring for recession?

    <p>To ensure the probe is placed at the gingival margin</p> Signup and view all the answers

    How is Clinical Attachment Level (CAL) measured?

    <p>From a fixed point on the tooth, specifically the CEJ.</p> Signup and view all the answers

    What characterizes inflammation without clinical attachment loss?

    <p>Gingivitis.</p> Signup and view all the answers

    What does a positive measurement indicate regarding the gingival margin's positioning relative to the CEJ?

    <p>The gingival margin is apical to the CEJ.</p> Signup and view all the answers

    What is the clinical attachment loss (CAL) when the gingival margin is at the natural location with a probing depth of 6mm?

    <p>6mm</p> Signup and view all the answers

    How is the clinical attachment loss calculated when recession is present?

    <p>The probing depth is added to the gingival margin level.</p> Signup and view all the answers

    When the gingival margin covers the CEJ and the probing depth is 9mm with a gingival margin level of -3mm, what is the clinical attachment loss?

    <p>6mm</p> Signup and view all the answers

    In the case of a gingival margin apical to the CEJ with a probing depth of 4mm and a gingival margin level of +2mm, what is the resulting clinical attachment loss?

    <p>6mm</p> Signup and view all the answers

    What does a positive gingival margin level indicate when calculating clinical attachment loss?

    <p>The gingival margin is located above the CEJ.</p> Signup and view all the answers

    What does probing depth measure in periodontal assessments?

    <p>The distance from the gingival margin to the bottom of the pocket</p> Signup and view all the answers

    What is the significance of a probing depth greater than 4mm?

    <p>It signifies the presence of periodontal pocket</p> Signup and view all the answers

    Which component is NOT part of the periodontal probing process?

    <p>Determining the density of tooth enamel</p> Signup and view all the answers

    How many points are typically evaluated in a six-point pocket chart?

    <p>Many points over 7</p> Signup and view all the answers

    What clinical aspect does the clinical attachment level relate to?

    <p>It indicates the position of periodontal tissues relative to the tooth</p> Signup and view all the answers

    Why is the diameter of the probe important in periodontal assessments?

    <p>It influences the depth measurement accuracy</p> Signup and view all the answers

    When conducting a periodontal assessment, what is the primary purpose of measuring free gingival margin?

    <p>To measure the distance from the gingival margin to the tooth</p> Signup and view all the answers

    What is one limitation associated with periodontal probing?

    <p>It does not measure soft tissue health</p> Signup and view all the answers

    Study Notes

    Probing Depth

    • The probing depth is the distance from the gingival margin to the bottom of the pocket.
    • It is measured using a periodontal probe with a standardized tip diameter (0.4mm–0.5mm).
    • A probing depth of 4mm or more indicates a periodontal pocket.

    Limitations of Periodontal Probing

    • The probe needs to be walked across the sulcus to ensure no pockets are missed.
    • Bone levels vary in a small space, which can affect probing readings.
    • Probing depth alone does not accurately reflect the loss of periodontal support.

    6 Point Pocket Chart

    • The six points refer to the buccal and lingual surfaces of a tooth, divided into six sections.
    • The probing depth is recorded for each of the six points on a tooth.
    • The walking stroke technique is used to ensure that all pockets are documented.

    Free Gingival Margin

    • The free gingival margin is the edge of the gingiva that surrounds the tooth.
    • The location of the free gingival margin relative to the cementoenamel junction (CEJ) is important for periodontal assessment.
    • A negative number indicates that the gingival margin covers the CEJ; a positive number indicates recession.

    Clinical Attachment Levels

    • The clinical attachment level (CAL) is a measurement of the true periodontal support around a tooth.
    • It is calculated by adding the probing depth to the location of the gingival margin relative to the CEJ.
    • CAL helps distinguish between gingivitis (inflammation without attachment loss) and periodontitis (inflammation with attachment loss).

    Calculating CAL

    • To calculate CAL, you need the probing depth and the level of the gingival margin.
    • If the gingival margin is at the natural level, the CAL is equal to the probing depth.
    • If there is recession, add the level of the gingival margin to the probing depth.
    • If the gingival margin covers the CEJ, subtract the level of the gingival margin from the probing depth.

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    Description

    This quiz covers essential concepts of periodontal probing, including the definition of probing depth, its limitations, and the six-point pocket chart. Understanding these techniques is crucial for accurate periodontal assessments and documentation in dental practice.

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