Detection of Morphology and Deposits DTH23 Part 2 PDF

11/08/2023 Detection of Morphology & Deposits Part 2 Foundations of Clinical Skills and Practice Sarah Balian 1 Intended Learning Outcomes By the end of this session students should be able to: Explain the different methods of deposit detection on the tooth su...

11/08/2023 Detection of Morphology & Deposits Part 2 Foundations of Clinical Skills and Practice Sarah Balian 1 Intended Learning Outcomes By the end of this session students should be able to: Explain the different methods of deposit detection on the tooth surface. Discuss limitations and pros and cons of each method. Recognise that detection of deposits on the tooth surface is not isolated to one method but multiple methods combined. Discuss the characteristics of effective probing technique in terms of hand grasp, adaptation angulation, pressure and stroke. Discuss the limitations of probing and how clinicians can mitigate against errors in probing. 2 1  11/08/2023 Probing 3 Probing 2 4 1 3 5 Clinician Requires skill Appreciation of Reflection Lots of limitations dependent how technique sensitive and mitigate against it 4 2  11/08/2023 Probing 5 Probing Evaluating Screening Measuring Baseline /Monitoring information Diagnosis Detection 6 3  11/08/2023 Ergonomics is key! What do you need to take into consideration with yours and the patients position? Refer to Ergonomics Lecture Revise Gingival Histology 7 Choosing the right tool 8 4  11/08/2023 Pressure on grasp 9 Tactile Sensation Enhancement Pen Grasp Modified Pen Grasp 10 5  11/08/2023 11 Position of probes in a healthy sulcus 12 6  11/08/2023 Line angles Mesial Mid Distal 13 Tooth planes 14 7  11/08/2023 Line angles Mesial Mid Distal 15 Adaptation / Positioning your probe Probe tip is kept in contact with The probe tip should not be held tooth surface away from tooth surface 16 8  11/08/2023 Parallelism Probe parallel to long axis of tooth Probe NOT parallel to long axis of tooth 17 Proximal view Interproximal probing Occlusal view 18 9  11/08/2023 Interproximal probing technique 19 Different angles Correct angulation Under-angling Over-angling 20 10  11/08/2023 Probing walking stroke 21 Probing walking stroke 22 11  11/08/2023 23 P Limitations - detail R Inaccuracies O Time Patient tolerance S Operator variation Subjective Immediate Cheap ‘Quick’ C Reproduceable to an extent O Accessible N Level of detail S Probing 24 24 12  11/08/2023 Probing Pressure Context Chalk How can you calibrate with your team members? 25 Factor affecting probing – Group activity There are many factors that impact probing accuracy 1. In preparation for your clinical activity, create a mind-map with all the factors you have identified through research that impact probing. 2. Please note all comments must be justified (you need to defend your responses). 3. Make note of the references on this subject. 26 13  11/08/2023 Tactile sensation activity – Detection Session Enhancing tactile sensation Identifying different features on teeth, restorations & anomalies Notice differences, sensations, noises and how can you enhance identification of these situations 27 Normal Conditions Do not feel any interruptions as the probe moves from the JE to the gingival margin. Spicules Probes transmits gritty sensation to fingers as passes over fine granular deposits. 28 14  11/08/2023 Ledge of Subgingival Calculus As probe moves over tooth surface it moves out & around raised bump then returns to the tooth surface Restoration with Overhang Margin Probes path is blocked by overhang & must move away from the tooth surface & over restoration 29 Restoration with Deficient Margin Tip passes over restoration & then dips in to trace the surface of the restoration. Carious Lesion The probe dips & then comes out again as it travels along tooth surface. Or in soft lesions it can get stuck or feel sticky 30 15  11/08/2023 Image references https://www.sciencedirect.com/science/article/abs/pii/S0047248414002541 https://radiopaedia.org/cases/dental-calculus-disease Silorane Adhesive System: A Case Report | jcda https://www.dentistryiq.com/dentistry/pathology/article/14180848/oral-pathology-case-the-common-but-notsocommon-radiopacity https://www.dentist-manila.com/glossary/periapical-x-ray/ Rinn XCP-DS Fit | Dentsply Sirona https://dimensionsofdentalhygiene.com/tips-periodontal-probing/ The Dentist Will See You Now: But Will You See the Dentist? - Scientific American peridontal-disease-treatment-and-deep-teeth-cleaning-required-for-hard-plaquee-build-up.jpg (1000×662) (lakefrontfamilydentistry.com) What is gingivitis? – K Dental Studios | Dentist in London Integração estética Perio-Prótese - Face Magazine 3:1 Air and Water Aspirating Dental Syringe (presidental.co.uk) 4,519 Dental Calculus Stock Photos, Pictures & Royalty-Free Images - iStock (istockphoto.com) Types of Floss - Wilkinson Dental of Springfield, MO (wilkdental.com) As promised. The dental cleaning process. - GIFs – Imgur £3 donation (crossreach.org.uk) http://nhakhoaquocbinh.com/en/is-dental-calculus-as-harmless/ https://www.yourdentistryguide.com/plaque/ (4) Pinterest https://www.researchgate.net/figure/Mean-distance-in-millimeters-between-several-anatomical-landmarks-at-the-external_fig1_321152588 31 Recommended reading Listgarten, MA, Periodontal probing: What does it mean? Journal of Clinical Periodontology (1980) Kazuki Ishihata, Noriyuki Wakabayashi, Juro Wadachi, Tatsuya Akizuki, Yuichi Izumi, Kazuo Takakuda, Yoshimasa Igarashi, Reproducibility of Probing Depth Measurement by an Experimental Periodontal Probe Incorporating Optical Fiber Sensor, Journal of Periodontology, 10.1902/jop.2011.110047, 83, 2, (222-227), (2012). John E. Lynch, Mark K. Hinders, Gayle B. McCombs, Clinical comparison of an ultrasonographic periodontal probe to manual and controlled-force probing, Measurement, 10.1016/j.measurement.2005.12.001, 39, 5, (429-439), (2006). Garnick JJ, Silverstein L. Periodontal probing: probe tip diameter. J Periodontol. 2000 Jan;71(1):96-103. doi: 10.1902/jop.2000.71.1.96. PMID: 10695944. Arthur F. Hefti, Periodontal Probing, Critical Reviews in Oral Biology & Medicine, 10.1177/10454411970080030601, 8, 3, (336-356), (2016). 32 16  11/08/2023 inflammation Sub gingival Operator skill calculus Recording Angulation of errors probe Patient Probing force tolerance Operator Probe wear variation Probe diameter 33 17