ppt课件-the periodontal probe- chattanooga state community college（牙周探针-查塔努加州社区学院）.pptVIP

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2017-01-25 发布于四川
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ppt课件-the periodontal probe- chattanooga state community college（牙周探针-查塔努加州社区学院）.ppt

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* A = alveolar mucosa B = attached gingiva C= mucogingival junction D = GM E = Free gingiva * * * * * * If no contacting tooth, take measurement @ direct distal * * * * * * Attached Gingiva Functions to keep free gingiva from being pulled away from tooth Width varies Widest anterior teeth (3.5-4.5mm maxilla and 3.3-3.9mm mandible) Narrowest on premolar teeth (1.9mm maxillary and 1.8mm mandibular) * * * * The Periodontal Probe Presented by: Mellissa Boyd, RDH, BSDH Calibrated Probe Assessment instrument Determine health of periodontal tissues Working-End Blunt Rod-shaped Millimeter markings Color coded Cross-section Round Rectangular Purpose Measurement Sulcus/pocket depths Width of attached gingiva Bleeding Exudate Oral lesions Furcations A B C D E Sulcus vs. Pocket Sulcus Space between free gingiva and tooth 1-3mm Pocket Sulcus deepened because of disease 4mm+ Gingival vs. periodontal Probing Depth Entire sulcus probed Six sites per tooth 3 buccal 3 lingual Record deepest reading per site Depth rounded up to nearest mm Basic Technique Insert tip to JE, feel slight resistance Gentle walking strokes 10 – 20 grams pressure Digital motion Close together 1-2 mm Not out of sulcus Probe Position ‐ Healthy Tissue Sulcus ? Space between free gingiva and tooth ? Healthy sulcus = 1 to 3 mm ? Probe tip touches tooth near the CEJ Probe Position – Diseased Tissue Pocket ? Sulcus deepened because of disease ? 4mm+ ? Bleeding ? Probe tip touches root at point apical of CEJ Comparison MeasurementMarquis Probe (3‐6‐9‐12) Healthy Sulcus Diseased Pocket Probing Depth? Probing Depth? Need CPE to get the full story Measurements Recorded 6 sites per tooth Record deepest reading Insertion of Probe Tip Keep side of tip against tooth surface Tip = 1-2mm of probe Observe enamel contour near CEJ Tip parallel to tooth surface, keep constant contact with tooth surface Incorrect Insertion Probe tip should NOT be held away from tooth ? Inaccu