02a Perio Disease

8/13/2019 02a Perio Disease

1/26

Periodontal Charting and Documentation


2/26


3/26

Periodontal Forms


4/26

Electronic Perio Chart


5/26

Pocket Depths! 6 sites per tooth

! 3 mm or less in blue

! 4 mm or greater in red


6/26

Bleeding Documentati!Bleeding on probing

- circle number

!Describe - delayed bleeding on probing

- mild, moderate, heavy bleedin


7/26

Bleeding Documentati

moderate generalized bleeding on probing

heavy bleeding posterior molars


8/26

Attachment Los! 6 sites per tooth

!CEJ to base of pocket


9/26

Attachment Loss

Documentation 6 sites per tooth


10/26

RecessionDocumentation

1


11/26

Furcation Documentation


12/26

Furcation

Documentation

1 = slight depression

2 = roof and a catch

3 = through and through

4 = furca is supragingival

F3F3

F3F3

Premolar mand molar max molar


13/26

Furcation Documentation

F3


14/26

What Classification?


15/26

Mobility


16/26


17/26

Mobility Documentation


18/26

Gingival Description


19/26

Gingival Contours


20/26

Gingival Descriptions Healthy 3 Cs

Color

- coral pink

Contour

- knife like

- embrasure filled

Consistency

- firm and stippled


21/26

Gingival DescriptiColor

- red - erythema

Contour

- blunted, cratered - rolled

Consistency

- edema

- smooth and shiny - fibrotic

Location - generalized or localized


22/26

SOAP DOCUMENTATION!S - SUBJECTIVE

!O - OBJECTIVE

!A - ASSESSMENT

!P - PLAN AND PROCEDURES


23/26

SUBJECTIVEReason patient is present for treatment - Recall or Perio

Maintenance or Root Planing

Statements from the patient - Patient self-care

Changes in Medical History - Pre-Medication dosage taken

Chief complaint or concern

Patient Identification Verification PIV


24/26

OBJECTIVE! Clinical observations and conditions

! Blood Pressure, pulse, ASA classification

! Summary and/or specifics from the periodontalassessment and the Head/Neck examination

! Areas of clinical concern

!

Comments on clinical concerns and the patient

s self-care status


25/26

ASSESSMENT! PERIODONTAL CLASSIFICATION

! CARIES STATUS - Active, At Risk, Controlled

! DEPOSIT CLASSIFICATION - calculus

! ETIOLOGY - - Plaque, Med systemic, Smoking,Self-Care, Patient Compliance

! PROGNOSIS - for a specific tooth or thedentition


26/26

PROCEDURES AND PLAN! Specific procedures performed at the appointment - Root

Planing with anesthesia, Recall, Radiographs, Fluorideapplications, Consults with specialists, Documentation ofSelf-Care discussion with patient goals, Dispensing of Rx

samples with directions

! Plan for the next appointment - return to Clinic for RP,3MRC, Reevaluation, Operative

02a Perio Disease

Documents

Transcript of 02a Perio Disease