PennWell Dental Community
Our periodontal evaluation needs to include an evaluation of the inflammatory response. This is an interesting subject because inflammation is both good and bad. Inflammation can martial the forces, so to speak, that attack and destroy invading bacteria. Inflammation can clean up diseased and dead tissue.
On the other hand, inflammation also destroys healthy tissue, a sort of collateral damage. Actually, there is a benefit to…Continue
Added by Richard L. Pascoe DDS MS on February 1, 2016 at 2:11pm — No Comments
Have you never lost a tooth? Good for you because many people have lost at least one tooth: 178 million American adults have lost at least one. What’s more,…Continue
Added by Brent Cornelius, DDS on January 22, 2016 at 3:26pm — No Comments
A periodontal examination includes evaluation of the attached gingiva. Is the attached gingiva adequate in quantity and quality? The amount of attached gingiva necessary to maintain periodontal health has been debated. From a practical perspective, the attached gingiva is adequate if the gingival complex can remain inflammation free and there is an absence of gingival recession over time. In order to properly monitor gingival recession, accurate…Continue
Added by Richard L. Pascoe DDS MS on January 21, 2016 at 12:38pm — No Comments
Periapical and bitewing radiographs provide a wealth of information about the patient’s dental condition. They are indispensable for diagnosis and treatment planning. They are indicative of the patient status at the time they were taken. Radiograph analysis does not predict future disease progression.
When reading radiographs the obvious things we look for are caries, periapical lesions, and bone loss. There is additional…Continue
Added by Richard L. Pascoe DDS MS on January 14, 2016 at 2:22pm — No Comments
When it comes to good oral hygiene, following the basics is really all you need to do. There’s no need to follow gimmicks or new fads. Practicing the essential oral hygiene habits truly are all you need to do to enjoy good oral health for your entire…Continue
Added by Brent Cornelius, DDS on January 13, 2016 at 4:11pm — No Comments
We’ve gone through a series dealing with the periodontal evaluation. Of course, we next need to formulate a diagnosis and proceed with appropriate treatment. When all is said and done, the patient is then placed in a maintenance program where his/her progress is monitored and documented.
I don’t have to tell you how important documentation is. I’ve learned over the years that lawsuits aren’t always won or lost based on the treatment…Continue
Added by Richard L. Pascoe DDS MS on January 8, 2016 at 5:07pm — No Comments
Many children dislike going to the dentist. As in, really dislike going to the dentist! They are worried about getting a shot and feeling pain. Having to sit in the dentist’s chair with their mouth open for several a minutes a time isn’t all that easy, either. What’s…Continue
Added by Brent Cornelius, DDS on January 8, 2016 at 10:08am — No Comments
So excited that the originial LAA, PerioChip is back in the US market by Dexcel Pharmaceuticals. PerioChip is a great option for adjunct use during S/RP in any pocket over 5mm. PerioChip has an excellent safety profile,fights bacteria at a higher level, site specific 36% Chlorhexidine over the rinse 0.12%. It stays in place for up to 10 days without compliance issues and is cost effective with minimal side effects.
I am hoping to re-introduce PerioChip to a whole new generation of…Continue
Added by Amy Miller on December 22, 2015 at 3:56pm — No Comments
When we talk about periodontal charting we think pocket depth. Pocket depth is an important part of the periodontal exam but it’s obviously not everything. In fact, as a stand alone diagnostic, it’s almost meaningless. Why do I say this? Because pocket depth is relative. We talk pocket depth but what we really mean to get at is loss of attachment. If the gingival margin is at the CEJ and we measure a 6mm pocket we are faced with…Continue
Added by Richard L. Pascoe DDS MS on December 21, 2015 at 1:55pm — No Comments
Tooth mobility needs to be considered when evaluating the treatment and care of a periodontal patient. Why? Because untreated mobility can have negative consequences for healing, especially if a regeneration procedure is planned. Other more obvious sequela of mobile teeth are problems with patient comfort and the possibility of accidental avulsion.
In an examination, we chart mobility. It’s VERY technical! If you can wiggle a tooth one millimeter it’s…Continue
Added by Richard L. Pascoe DDS MS on December 14, 2015 at 11:23am — No Comments
Added by Brent Cornelius, DDS on December 11, 2015 at 2:49pm — No Comments
We are in a series discussing the key elements of a periodontal evaluation. My last blog touched on the importance of evaluating not only the quantity, but also the quality of calculus. Now, let’s move on to another important finding, furcation involvement.
The degree of furcation involvement is a major factor in determining an accurate prognosis and in the development of an appropriate treatment plan. Furcation exposure, more than anything, complicates…Continue
Added by Richard L. Pascoe DDS MS on November 25, 2015 at 9:55am — No Comments
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Added by Cambridge Dental Consultants on November 25, 2015 at 9:08am — No Comments
In a previous blog I mentioned three important examination findings that play an integral part in a periodontal evaluation and the development of a treatment plan. One is an assessment of the calculus.
There are two things you need to know about the calculus. First is to determine if calculus is present. This is not a problem if you are dealing with supra-gingival deposits. It’s also not a problem if you are dealing with the typical bulky subgingival calculus we so often find.…Continue
Added by Richard L. Pascoe DDS MS on November 19, 2015 at 7:34pm — No Comments
Savvy dentists know that writing blogs are good for their marketing. Blogs can bring people to your website because they are searchable. They can inform patients about topics they didn’t know. For example, many people might not know ways to eliminate bad breath. However, if you believe that blogs’ sole purpose is directing traffic to your website, you could be missing a golden marketing opportunity.
Added by Charles Crawford on November 19, 2015 at 2:01pm — No Comments
We are happy to announce that DentaKit.com now carries PlaqueHD Toothpaste. This fluoride toothpaste reveals plaque while a patient brushes their teeth! Patients can buy it directly from us at: http://www.dentakit.com/plaquehd.html…Continue
Added by Lynn Schneider on November 18, 2015 at 3:24pm — No Comments
Wondering what you can do to provide more value to your patients?
Do you wish to give your dental practice…Continue
In the past, I have mentioned what I feel are the most important examination findings of a periodontal examination from a treatment planning perspective. In my opinion they are:
1. A determination of the quality of the calculus
2. A determination of the extent of furcation exposures
3. A determination of mobility
Note that pocket depth isn’t one of them. It’s not that I find pocket depth insignificant,…Continue
When someone says periodontal exam we think of periodontal probing. Measuring pocket depth is an important part of the examination but it’s not the whole story. In my opinion, it isn’t even the most important part of the story.
What are we attempting to do at the examination? Breaking it down to the bare minimum, we want to make a periodontal disease diagnosis and we want to develop a plan of attack.
When you think of it, the diagnosis is…Continue
Added by Richard L. Pascoe DDS MS on November 3, 2015 at 2:55pm — No Comments
It seems that many of us suffer from “one size fits all”. This is not surprising; it’s how we were trained. I’m referring the hygienic phase of periodontal treatment. This is where every periodontal patient receives instructions in plaque control, comprehensive scaling and root planing, then a revaluation to determine additional (surgical) needs. I could never buy into this approach. I always thought we could be more sophisticated in our diagnosis and…Continue