Exam (elaborations)
DEN Diagnosis of Periodontal Diseases
- Course
- DEN 7136
- Institution
- New York University
DEN Diagnosis of Periodontal Diseases
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DEN 7136 2/8/23 Diagnosis ofPeriodontal Diseases
To arrive at a periodontal diagnosis, you Student Doctor must rely upon: (5)
1) The presence or absence of clinical signs of inflammation (e.g., bleeding upon probing);
2) Pocket probing depths;
3) The extent and pattern of loss of clinical attachment and bone;
4) The patient's medical and dental histories; and
5) The presence or absence of signs and symptoms, including pain, ulceration, and amount of
observable plaque and calculus.
As you know, plaque-induced periodontal diseases have traditionally been divided into two general
categories based on whether attachment loss has occurred or not: these two categories are-
•Gingivitis and Periodontitis
Gingivitis is
the presence of gingival inflammation without loss of connective tissue attachment and bone.
Periodontitis
can be defined as the presence of gingival inflammation at sites where there has been a pathological
detachment of collagen fibers from cementum and the junctional epithelium has migrated apically.
The inflammatory events in periodontitis is associated with
-connective tissue attachment loss and also
-the resorption of coronal portions of tooth-supporting alveolar bone.
proper diagnosis is essential to____________________________
smart treatment.
periodontal diagnosis should first determine whether__________________________
disease is present;
then identify the disease ________________________________________
type, extent, distribution, and severity;
finally provide an understanding of the ____________________________________and its cause.
underlying pathologic processes
Periodontal diagnosis is determined through
, "-careful analysis of the case history-evaluation of the clinical signs and symptoms,-as well as the
results of various tests (e.g., probing, mobility assessment, radiographs and blood tests if required).
The interest should be in the _____________who has the disease and not simply in the
___________itself.
patient, disease
Diagnosis must therefore include a ______________________ of the patient and a consideration of
the _________________
general evaluation, oral cavity.
Overall Appraisal of the Patient:
-At the outset, make an overall appraisal of the patient; which should include
-Consideration of the patient's mental and emotional status, temperament, attitude, and physiologic
age.
Medical History
-It is obtained verbally, by questioning the patient and recording responses, or by means of a
questionnaire the patient completes.
-Explain the importance of the medical history because patients often omit information that they
may not relate to their dental problems.
-The medical history should be updated by relevant questions at subsequentvisits.
Medical History
The patient should be made aware of:
-the possible role some systemic diseases, or behavioral factors may play in the cause of periodontal
disease;
-the presence of conditions that may require special precautions or modifications during treatment;
and
-the possibility that oral infections may have a powerful influence on the occurrence and severity of
a variety of systemic diseases and conditions is well established.
Medical History
•Find out if the patient is under the care of a physician, If so:
-nature and duration of the problem and the therapy
-name, address, and telephone number of the physician should be recorded,
Medical History
•Details on hospitalizations and operations, examples
-including diagnosis,
-kind of operation,
-and untoward events,
-such as anesthetic,
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