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Angela RDH
Consultant & Non-surgical Periodontal Therapist
Periodontal Consulting
Periodontal Consulting Boston
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Perio


Periodontal Evaluation

I. Risk Assessment
The periodontal assessment is the foundation of our dental hygiene evaluation & diagnosis. There are several elements involved in the evaluation process. First, several areas of subjective information will be evaluated separately before moving on to the objective/clinical evaluation. These questions are usually printed on your patients NP paperwork, however they should be asked directly as to create a dialogue between you & your patient & establish trust.
 
This portion of the evaluation is done before packets are opened, before the bib is placed & while the patient is sitting up and you are sitting at eye level facing the patient. Remember that the subjective portion of the evaluation is merely evidence gathering- no advise should be offered at this time.
 
  1. Review medical history- prescription usage
  2. Take & discuss BP
  3. Tobacco/alcohol consumption
  4. Stress levels
  5. Diet
  6. Home care

II. Clinical Evaluation
This portion of the evaluation is performed after the patient has been reclined, although some prefer to do the head/neck palpation while the patient is sitting upright.
 
  1. Head/Neck Evaluation
  2. Radiographs & IOP
  3. Comprehensive Oral Evaluation
    1. FMPC
      • Pocket depths
      • Bleeding index
      • Suppuration
      • Recession
      • Attachment level & loss
      • Moco-gingival defects
      • Mobility
      • Furcation involvement
    2. Plaque Scoring
    3. Calculus Detection
    4. Tissue Evaluation
    5. Tongue Evaluation
    6. Hard Tissue Evaluation
      • Pocket depths
      • Bleeding index
      • Suppuration
      • Recession
      • Attachment level & loss
      • Moco-gingival defects
      • Mobility
      • Furcation involvement

  

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