Week+11+Big+Ideas



ch.35 The essential part of the treatment of periodontal disease is proper diagnosis which determines if disease is present, type of the disease, extent and severity of the condition. The diagnosis should be based on thorough medical history evaluation, dental and periodontal assessment, radiographic examination, and nutritional status evaluation. If needed the laboratory tests microscopic examination has to be added to with diagnosing. The diagnostic procedures have to be systematic and organized; all findings have to be recorded properly; all findings have to be correlated to provide explanation of the existing condition. ch. 36. Evaluation of radiographs helps in diagnosis of periodontal disease, helps to determine the outcome of the treatment, and possible prognosis. Using radiographs clinician can evaluate normal interdental septum and destructions to the bone produced by periodontal diseases such as pattern of the bone loss, furcations, the presence of PDL and lamina dura, and various periodontal abscesses. Ch. 35- Clinical diagnosis includes the general evaluation of a patient from the first visit including physical appearance, the medical history, dental history, radiographs, and oral exam, periodontal exam, and oral hygiene. Clinicians can also incorporate a patient’s nutritional status and run blood tests to confirm. All these aid the clinician in determining a clinical diagnosis. Periodontal screening is an easier and faster way to screen and record the periodontal status of a patient by using codes 0, 1, 2, 3, 4, and *. Ch. 36- Radiographic interpretation is another way clinicians can interpret a patient’s periodontal status and outcome of treatment when used with clinical examination. Clinicians can examine the patients alveolar crest level (bone loss), patterns of bone destruction, furcations, and trauma to indentify periodontal disease including aggressive periodontitis. Clinicians can also identify abscesses, and changes occurring in the general osseous from diseases such as Paget’s disease.

Ch. 35- Clinically diagnosing a patient usually begins with at least two appointments, the first being to get the full medical and dental history of the patient so that the clincian can get an idea of how to treat the patient safely and effectively. A thorough E&I is done and radiographs are taken and interpreted. Then the second visit is where the clincian gathers all of the periodontal indices to get an idea of the periodontal status of the patient. That includes checking for mobility, furcations, probing, recession, marginal bleeding, plaque, fremitus, etc. The clinician bases periodontal diagnosis on those findings and creates a treatment plan customized to fit the patient's needs.Ch. 36-Radiographs are an important adjunct to clinical diagnosis because they give important information about a patient's periodontal health, but they are not a replacement for the clinical assessments. By interpreting radiographs, the clinician can get a sense of the amount of bone loss, certain patterns of bone destruction in areas of the mouth, any evidence of abscesses or infection, foreign objects in the bone, a basis for probing depths, evidence of furcations, occlusal trauma, and other information that will complement clinical findings.AH28

Ch. 35- This chapter discusses what should be done to assess a patient’s periodontal health. We need to have a complete medical and dental history to see what present or past conditions may affect their oral health. It includes all the assessments from extra and intraoral exams. Such as any abnormalities like erosion or attrition, check for mobility, probing depths. All the assessments we gather will help with diagnosing gingival or periodontal disease. Ch. 36-This chapter discusses the importance of radiographs in determining the diagnosis of periodontal disease, prognosis, and evaluation possible treatment outcomes.

CH: 35 To accurately treat periodontal disease it is important to provide an accurate assessment of the oral cavity. A medical history, dental history, intraoral pictures, radiographs, cast models, oral examination, and thorough periodontal assessments are all important features that we must incorporate when treating a patient to ensure an accurate diagnosis. CH: 36 Radiographs are an important part of a periodontal assessment. They provide important information that helps determine the periodontal status of a patient. It is difficult to make a clinical determination of osseous and this is why radiographs are important during a periodontal exam. They allow you to see the different forms of bone destruction that we cannot clinically see.

CH 35: The big idea of this chapter is about clinical diagnosis and the different assessments we have to do in order to determine our clinical diagnosis. It discusses the importance of medical histories, examinations, and nutritional stataus of our pateints.CH 36: The big idea of this chapter is the radiographic aids that help us in our diagnosis. It discusses bone loss patterns of periodontal disease and what we would see on the radiographs to determine the level of periodontal disease. Radiographs are very important because they help us confirm our clinical findings and allow us to see things going on with the bone that we cannot see clinically.AS36

Ch 35: The big idea of this chapter was clinical diagnosis and everything that involves doing a clinical diagnosis. This includes going over the medical history, dental history, an oral examination, and radiographs. It also talks about what indices are used as part of the examination and how to use the indices.Ch 36: The big idea of this chapter was to discuss radiographs and what we can see by looking at the radiographs (vertical bone loss, horizontal bone loss, lamina dura, alveolar crest, etc). Radiographs are a part of the clinical diagnosis and it mentions that it is used as a supplement to diagnosing, but it does not replace it.SF25

Ch. 35 This chapter discusses the different methods and indices that are used to help determine a clinical diagnosis. This chapter explains the importance of a thorough medical and dental history as well as an oral examination. All of the assessments that are gathered during the oral examination are used to help develop a clinical diagnosis. Ch. 36. This chapter discusses the use of radiographs in aiding with the diagnosis, prognosis, and treatment of a patient. The use of radiographs helps to determine bone pattern and can correlate with the findings of an oral examination. This chapter emphasized that radiographs are used in conjunction with an oral examination but does not replace it. ES 34

CH. 35 Talks about the importance of proper diagnosis to provide the necessary treatment. The first dental visit consist of reviewing the medical history because some systemic disease, conditions can affect the periodontal health and based on evaluations of extra oral and intra oral visual changes, radiogragraphs, and probing depths can provide information in determining a proper diagnosis for the patient. Mobility, furcations, recession, BOPs, plaque scores and open contacts are all necessary steps in the detection of periodontal disease. CH.36 Radiographs are necessary in the detection of periodontal disease they will determine the prognosis and evaluation of the outcome of treatment. It is important to understand that radiographs are adjunct to the clinical examination and not a substitute for it. Radiographs detect the past periodontal history of the patient. Ch.35Chapter 35 went into every clinical exam that should be performed on every patient and explain the importance of each one. As a whole, each procedure is necessay in order to give the patient a proper treatment plan and diagnosis. Ch.36The clinical exam is not enough to diagnose the patients and radiographs are necessary as an adjunct as part of full diagnosis of the patients periodontal health. Radiographs help the clinician identify different bone loss patterns that give a wealth of information about the patients periodontal health.

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Dx, Prognosis, and Tx plan: Clinical diagnosis

1st visit should include appraisal of pt, thorough medical history, dental history, intraoral radiographs, casts, clinical photographs (these all aide in clinical diagnosis) 2nd visit oral examination, examination of teeth (mobility, staining, restorations, integrity of restorations, hypersensitivity), periodontal examination ( probing depths, BOP, recession, MGD, alveolar bone loss). Gingival and periodontal abscesses. Laboratory aides.

Ch36

Radiographic aids in Dx of perio

Technique has a great influence on determining health of periodontium. Must have correct technique in order to properly treat patient, without proper technique things will not be detected. Breaks in lamina dura indicate disease process, affects different areas and different times,

Chapter 35 This chapter discusses the importance of thoroughly evaluating a medical and dental history and extra and intra oral examinations. The indices and assessments gathered during the oral examination are used to make the diagnosis. Chapter 36 This chapter discusses the use of radiographs to assist in determining the diagnosis, prognosis, and treatment plan. Radiographs can be used to correlate and confirm clinical findings

Ch. 35 discusses all assessments needed to help with a proper diagnosis and to develop and implement a treatment plan. The assessments include medical and dental history, oral examination, examination of the teeth and periodontium. Ch. 36 Discusses the importance of radiographs in the diagnosis of periodontal disease, to help determine the proper prognosis based on the amount and type of bone loss present, to help evaluate the outcomes of treatment.

Ch35- The big idea of this chapter is the treatment of periodontal disease and all the different assessments in order to diagnose and treat Ch36- The big idea of this chapter is radiographs and how they are important in diagnosing periodontal disease and determining the prognosis and treatment plan. The radiographs help in confirming assessments and allows the clinician to see bone levels.

Chp. 35: Periodontal diagnosis is essential to treatment planning. It helps determine if disease is present and if it is, identify its type/extent/distribution/severity and then provide understanding of the cause. Findings must be correlated to provide a meaningful explanation of the patient’s condition. Diagnosis is determined by evaluation of radiographs and various tests (perio exam procedures). Medical Health History helps to explain to the patient the role of systemic disease/conditions or behavioral factors that may play in cause of Perio Disease and vice versa; oral infection influence severity/occurrence of systemic disease/conditions. Chp 36: Radiographs are an important aid in determing the diagnosis of periodontal disease. They provide the level of alveolar bone height in relation to the CEJ to determine the ADA classification to help treatment plan and provide a prognosis. Other periodontal assessments are correlated with radiographs to interpret findings. ACS #35