Detection of Morphology & Deposits 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 Rod shape inserted into sulcus ~ gingival Probing 5 ? What do we proble for Probing quis an short Evaluating Screening I has treatment worked Measuring Baseline /Monitoring information recession/pocket deptul Bleeding Plaque amargins [ Diagnosis Detection 6 3  11/08/2023 How I position myself + patients Ergonomics is # key! What do you need to take into consideration with yours and the patients position? look after yourself Refer to Ergonomics Lecture Revise Gingival Histology 7 Choosing the right tool 123578910 BRE WILLIAMSIs 8 4  11/08/2023 Pressure on grasp ~ X -feel less ↳ reduce tactile no blanchinglight grip I humb bushing against sensation handle 9 Tactile Sensation Enhancement Pen Grasp Modified Pen Grasp V 10 5  11/08/2023 11 Position of probes in a healthy sulcus 12 6  11/08/2023 tooth shape mindful of Line angles Mesial Mid Distal silant straight stant 13 tooth. surface -angle probe for every Tooth planes 14 7  11/08/2023 Line angles Mesial Mid Distal 15 · think of Bolbusity of Adaptation / Positioning your probe tooth. - followsharea X L B L B / junctional V epithelium. 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 highest point of disease. Proximal view Interproximal probing Occlusal view B L 18 9  11/08/2023 Interproximal probing technique have to go in at angle-depended on 1 tooth. usually 25-458 window. · 19 Different angles Correct angulation Under-angling Over-angling ↑ X X 20 10  11/08/2023 calculus if jump Store with tooth miss · probe contacts at all times. Probing walking stroke I watted along junctional epithelium.. adapting for live angles 21 detect spicules Calculus. of Probing walking stroke 22 11  11/08/2023 ↓ 23 P Limitations - detail R O - Inaccuracies - Time - Patient tolerance S - Operator variation Immediate - Subjective - - Cheap Clinician C = ‘Quick’ same Reproduceable to an extent O - Accessible - N Level of detail need - reflective I ↓ Clinician. S lots of different Probing information. a multipurpose 24 24 12  11/08/2023 When to probe? 15grams. - accurate reading Probing Pressure patient comfort - >25gcause trauma Atraumatic. 1 perforate epithelium Context Chalk patient hesitant 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