Detection of Morphology & Deposits Part 2 PDF

Detection of Morphology & Deposits Part 2 Foundations of Clinical Skills and Practice Sarah Balian 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...

Detection of Morphology & Deposits Part 2 Foundations of Clinical Skills and Practice Sarah Balian 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. Probing Probing 2 4 1 3 5 Clinician Requires skill Appreciation of Reflection Lots of limitations dependent how technique sensitive and mitigate against it Probing Probing Evaluating Screening Measuring Baseline /Monitoring information Diagnosis Detection Ergonomics is key! What do you need to take into consideration with yours and the patients position? Refer to Ergonomics Lecture Revise Gingival Histology Choosing the right tool Pressure on grasp Tactile Sensation Enhancement Pen Grasp Modified Pen Grasp Position of probes in a healthy sulcus Line angles Mesial Mid Distal Tooth planes Line angles Mesial Mid Distal Adaptation / Positioning your probe Probe tip is kept in contact with The probe tip should not be held tooth surface away from tooth surface Parallelism Probe parallel to long axis of tooth Probe NOT parallel to long axis of tooth  Proximal view Interproximal probing Occlusal view Interproximal probing technique Different angles Correct angulation Under-angling Over-angling Probing walking stroke Probing walking stroke  P Limitations - detail Inaccuracies R Time Patient tolerance Operator variation O Subjective Immediate Cheap S ‘Quick’ C Reproduceable to an extent Accessible Level of detail O N Probing 24 S Probing Pressure Context Chalk How can you calibrate with your team members? 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. 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 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. 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 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 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 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).  inflammation Sub gingival Operator skill calculus Recording Angulation of errors probe Patient Probing force tolerance Operator Probe wear variation Probe diameter