PERIODONTAL DIAGNOSTICS -ANGOL indices 2013

The clinical examination must contain the following elements:The clinical examination must contain the following elements:

1. Chief complain2. Medical and dental history3. Oral soft tissue examination4. Periodontal charting

oral hygiene (plaque and calculus, plaque retention factors)gingival bleedingprobing depth - attachment level

gingival recessiontooth mobility

5. Occlusal analysis6. Summary of past dental treatment

1. Chief complain2. Medical and dental history3. Oral soft tissue examination4. Periodontal charting

oral hygiene (plaque and calculus, plaque retention factors)gingival bleedingprobing depth - attachment level


5. Occlusal analysis6. Summary of past dental treatment

PERIODONTAL DIAGNOSTICPERIODONTAL DIAGNOSTIC

ASSESS ORAL HYGIENE

GINGIVAL EXAMINATION

EXAMINE THE ATTACHMENT APPARATUS

OCCLUSAL ANALYSIS

ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

Periodontal chartingoral hygiene (plaque and calculus, plaque retention factors)

gingival bleeding

probing depth - attachment level


BLEEDING ON PROBING

Periodontal chartingoral hygiene (plaque and calculus, plaque retention factors)

gingival bleeding

probing depth - attachment level


ORAL HYGIENEORAL HYGIENE1. PLAQUE SURVEYS (YES-NO)

2. PLAQUE INDICES WITHOUT DISCLOSING AGENTS (SEMI-QUANTITATIVE)

3. PLAQUE INDICES WITH DISCLOSING AGENTS (SEMI-QUANTITATIVE)

1. PLAQUE SURVEYS (YES-NO)

2. PLAQUE INDICES WITHOUT DISCLOSING AGENTS (SEMI-QUANTITATIVE)

3. PLAQUE INDICES WITH DISCLOSING AGENTS (SEMI-QUANTITATIVE)

indices used for periodontal diagnosis and epidemiological studies

FACTOR ASSESSED

CLINICAL SCORING

SURVEYS LONGITUDINAL STUDIES

CONTROLLED TRIALS TREATMENT NEEDS

PLAQUE

YES/NO QUIGLEY-HEI

N, SILNESS-LOE

OHI-S YES/NO QUIGLEY-HEI

N, SILNESS-LOE

QUIGLEY-HEIN,

SILNESS-LOE

QUIGLEY-HEIN, SILNESS-LOE, PLANIMETRY

CALCULUSOHI-S

YES/NO

OHI-S, YES/NO,

VOLPE-MANHOLD,

CLCULUS SURFACE I,

VOLPE-MANHOLD,

MARGINAL LINE

CALCULUS I

CLCULUS SURFACE I, VOLPE-MANHOLD,

MARGINAL LINE CALCULUS ICPITN, PSR

GINGIVITIS

YES/NO, LÖE-SILNESS

GI, PAPILLARY BLEEDING I





YES/NO, LÖE-SILNESS GI, PAPILLARY BLEEDING I

CPITN, PSR

ATTACHMENT LOSS

PROBING, RADIOGRAP

HS

RUSSELL PI, PERIODONTAL

DISEASE I-RAMFJORD,

PROBING

RUSSELL PI, PERIODONTA

L DISEASE I-RAMFJORD,

PROBING, RADIOGRAPH

S

RUSSELL PI, PERIODONTAL DISEASE I-RAMFJORD,

PROBING, RADIOGRAPHSCPITN, PSR, PROBING

TOOTH MOBILITY

MILLER I, YES/NO

MILLER I, YES/NO

MILLER I, YES/NO

MILLER I, YES/NO

PLAQUE INDICESPLAQUE INDICES

SIMPLIFIED ORAL HYGIENE INDEX (Greene-Vermillion)

PLAQUE INDEX (Silness-Löe)QUIGLEY-HEIN INDEX

TURESKY PLAQUE INDEXNAVY PLAQUE INDEX

PLAQUE CONTROL RECORD (O'LEARY)

SIMPLIFIED ORAL HYGIENE INDEX (Greene-Vermillion)

PLAQUE INDEX (Silness-Löe)QUIGLEY-HEIN INDEX

TURESKY PLAQUE INDEXNAVY PLAQUE INDEX


SIMPLIFIED ORAL HYGIENE INDEX (OHIS-S)

SIMPLIFIED ORAL HYGIENE INDEX (OHIS-S)

0= no debris or stain1= soft debris up to 1/3 of the tooth or stain2=soft debris up to 2/3 of the tooth3=soft debris more than 2/3 of the tooth

0= no debris or stain1= soft debris up to 1/3 of the tooth or stain2=soft debris up to 2/3 of the tooth3=soft debris more than 2/3 of the tooth

plaque component DI-Splaque component DI-S 6 1 66 1 6

PLAQUE INDEX (Silness-Löe)PLAQUE INDEX (Silness-Löe)

0= gingival area of the tooth is free of plaque1= No visible plaque but dental probe picks up some plaque2= gingival area covered by a thin to moderate thick leyer of plaque visible by naked eye3= heavy accumulation of soft plaque tha fills the gingival crevice

0= gingival area of the tooth is free of plaque1= No visible plaque but dental probe picks up some plaque2= gingival area covered by a thin to moderate thick leyer of plaque visible by naked eye3= heavy accumulation of soft plaque tha fills the gingival crevice

scores only the differences in thickness of the soft deposits in the gingival area of the tooth surfaces by running the dental probe accross the tooth surfaces

scores only the differences in thickness of the soft deposits in the gingival area of the tooth surfaces by running the dental probe accross the tooth surfaces

0 No plaque1 separate flecks of plaque at the cervical margi n2 a thin continous band of plaque (max 1mm) at the cervical margin3 a band of plaque covering up to 1/3 of the crow n4 a band of plaque covering more than 1/3 but less than 2/3 of the crown5 a band of plaque covering more than 2/3 of th e crown

TWO OR SIX SITED PLAQUE INDEX

0

423

1

4

Rustogi Modified Navy Plaque Index

Ínyszél = A B C * 2

Approximális = D F * 2



FOUR SURFACES OF EACH TOOTH SCORED + OR - FOR VISIBLE PLAQUE AFTER DISCLOSINGFOUR SURFACES OF EACH TOOTH SCORED + OR - FOR VISIBLE PLAQUE AFTER DISCLOSING

+

++-

PLANIMETRY

MEASUREMENT OF CALCULUSMEASUREMENT OF CALCULUS

SIMPLIFIED ORAL HYGIENE INDEX (CI-S)

CALCULUS SURFACE INDEXVOLPE MANHOLD INDEX

MARGINAL LINE CALCULUS INDEX


CALCULUS SURFACE INDEXVOLPE MANHOLD INDEX




0= no calculus1= supragingival calculus up to 1/3 of tooth surface2= supragingival calculus up to 2/3 of tooth surface and/or flecks of subgingival calculi3= supragingival calculus more than 2/3 of tooth surface and/or continuous band of subgingival calculi

0= no calculus1= supragingival calculus up to 1/3 of tooth surface2= supragingival calculus up to 2/3 of tooth surface and/or flecks of subgingival calculi3= supragingival calculus more than 2/3 of tooth surface and/or continuous band of subgingival calculi

CALCULUS SURFACE INDEXCALCULUS SURFACE INDEX

0= no calculus1= calculus not exceending 0,5mm in width and thicknes2= calculus not exceending 1,0 mm in width and thicknes3= calculus exceending 1,0mm in width and thicknes

0= no calculus1= calculus not exceending 0,5mm in width and thicknes2= calculus not exceending 1,0 mm in width and thicknes3= calculus exceending 1,0mm in width and thicknes

four mandibular incisors four mandibular incisors

VOLPE-MANHOLD INDEXVOLPE-MANHOLD INDEX

Measure the extent of supragingival calculus on the lingual surface of lower front teeth by recording the calculus in mm-s. There are three readings on each tooth.

Measure the extent of supragingival calculus on the lingual surface of lower front teeth by recording the calculus in mm-s. There are three readings on each tooth.



The cervical band of supragingival calculus paralleling the gingival margin are measured.The tooth is devided into a mesial and a distal part. The percentage of the distance covered by calculus is expressed as 0%, 12,5%, 25%, 50%, 75% and 100%

The cervical band of supragingival calculus paralleling the gingival margin are measured.The tooth is devided into a mesial and a distal part. The percentage of the distance covered by calculus is expressed as 0%, 12,5%, 25%, 50%, 75% and 100%


ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

GINGIVAL INDEX

MEASUREMENT OF GINGIVAL INFLAMMATION

MEASUREMENT OF GINGIVAL INFLAMMATION

Papillary Bleeding Index (PBI)Gingival Index (Löe-Silness) (GI)

Gingival Crevicular Fluid Flow (GCF)Periodontal Index (Russell) gingival

component

Papillary Bleeding Index (PBI)Gingival Index (Löe-Silness) (GI)

Gingival Crevicular Fluid Flow (GCF)Periodontal Index (Russell) gingival

component

Papillary Bleeding Index (PBI) Mühlemann

Papillary Bleeding Index (PBI) Mühlemann

0= no bleeding1= bleeding some seconds after probing2= bleeding immediately after probing3= bleeding on probing spreading towards the gingival margin

0= no bleeding1= bleeding some seconds after probing2= bleeding immediately after probing3= bleeding on probing spreading towards the gingival margin

Gingival Index (GI) Löe-SilnessGingival Index (GI) Löe-Silness

0= no inflammation1= mild inflammation, color changes, no bleeding on probing2= moderate inflammation, redness, oedeme, hypertrophy, bleeding on probing3= severe inflammation, marked redness, oedeme, hypertrophy tendency to spontaneous bleeding, ulceration

0= no inflammation1= mild inflammation, color changes, no bleeding on probing2= moderate inflammation, redness, oedeme, hypertrophy, bleeding on probing3= severe inflammation, marked redness, oedeme, hypertrophy tendency to spontaneous bleeding, ulceration

GINGIVAL BLEEDING INDEX (AINAMO-BAY)PLAKK ÉRTÉK

(O'LEARY)

GINGIVAL BLEEDING INDEX (AINAMO-BAY)PLAKK ÉRTÉK

(O'LEARY)

+

++-

FOUR SURFACES OF EACH TOOTH SCORED + OR - FOR BLEEDING ON PROBING EXPRESSED IN PERCENTAGE OF THE BLEEDING SPOTS

Gingival Crevicular Fluid Flow

Gingival Crevicular Fluid Flow


ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

Periodontal IndicesPeriodontal Indices

Periodontal Index (PI) RussellPeriodontal Disease Index (Ramfjord) (PDI)

Periodontal Index (PI) RussellPeriodontal Disease Index (Ramfjord) (PDI)

Periodontal Index (PI) RussellPeriodontal Index (PI) Russell

0= no inflammation, no loss of function1= mild gingivitis, circumscribed2= severe gingivitis, total6= gingivitis with pocket formation, no tooth mobility8= advanced destruction, pocket formation, tooth mobilty, impaired masticatory functions

0= no inflammation, no loss of function1= mild gingivitis, circumscribed2= severe gingivitis, total6= gingivitis with pocket formation, no tooth mobility8= advanced destruction, pocket formation, tooth mobilty, impaired masticatory functions

Periodontal Disease Index (Ramfjord) (PDI)

Periodontal Disease Index (Ramfjord) (PDI)

0= healthy1= mild gingivits2= moderate gingivitis3= severe gingivitis4= pocket depth up to 3 mm5= pocket depth up to 6 mm6= pocket depth more than 6 mm

0= healthy1= mild gingivits2= moderate gingivitis3= severe gingivitis4= pocket depth up to 3 mm5= pocket depth up to 6 mm6= pocket depth more than 6 mm

Ramfjord teeth: 16, 21,24, 36, 41, 44 teethRamfjord teeth: 16, 21,24, 36, 41, 44 teeth


ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

ASSESS ORAL HYGIENE



OCCLUSAL ANALYSIS

Periodontal chartingoral hygiene (plaque and calculus, plaque retention factors)gingival bleedingprobing depth - attachment level


CEJ

GINGIVAL MARGIN

POCKET BASE

PROBING POCKET DEPTH–distance between gingival margineand pocket base

CLINICAL ATTACHMENT LEVEL - distance between CEJ and pocket base

GINGIVAL RECESSION -distance between CEJ andgingival margine

Williams and CPITN periodontal probes

WHO PROB

CPI

CPITN

PPD

CAL

GR

I.

II.

III.

IV.

The recession seriously affects the interdental papilla.Class IV

The recession affects the interdental papillaClass III

The recession does not affect the interdental papilla but extends to the mucogingival junction

Class II

The recession does not affect the interdental papilla and does not extend to the mucogingival junction .

Class I

MILLER ’S CLASSIFICATION

ROENTGENOGRAPHIC EXAMINATIONROENTGENOGRAPHIC EXAMINATION

1. Interdental bone height2. Presence of a lamina dura3. Trabecular bone pattern4. Morphology of bone destruction 5. Furcation problems6. Width of periodontal ligament space7. Crown-to-root ratio8. Rooth shape and length9. Caries, calculus deposists, quality of restorations10. Other pathologic features

1. Interdental bone height2. Presence of a lamina dura3. Trabecular bone pattern4. Morphology of bone destruction 5. Furcation problems6. Width of periodontal ligament space7. Crown-to-root ratio8. Rooth shape and length9. Caries, calculus deposists, quality of restorations10. Other pathologic features

GIVES THE FOLLOVING INFORMATIONSGIVES THE FOLLOVING INFORMATIONS

RADIOLOGICAL EXAMINATION

0%

100%

50%

FURCATIO LAESIO

PERIODONTAL DIAGNOSTICS -ANGOL indices 2013

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