牙周病检查和危险因素评估-同济口腔医学课件.pptVIP

如果龈缘位于解剖牙冠，牙周袋深度减去龈缘至釉牙骨质界的距离，即为附着水平。 如果龈缘的位置位于釉牙骨质界，丢失的附着水平等于牙周袋深度。 如果龈缘位于釉牙骨质界根方，那么丧失的附着水平要大于牙周袋深度。即龈缘至釉牙骨质界的距离加上牙周袋深度等于丧失的附着水平。 探诊出血　（Bleeding on probing ＢＯＰ) When present in multiple sites of advanede disease, bleeding on probing is a good indicator of progressive attachment loss. 多部位探诊出血，可以预示有可能附着丧失在进展，是附着丧失加重的重要危险指标之一． Bleeding on probing: a blunt periodontal probe is inserted to the bottom of the gingival pocket and is moved gently along the tooth (root) surface . If bleeding is provoked by this instrumentation, the site examined is considered inflamed 探诊出血 立即出血，延迟出血；30－60秒