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Periodontal Probing

Periodontal Probing. The Normal Periodontium:. The Probe. Various Types of Probes. Cross-Section of the Healthy Periodontium:. Placement of the probe into the sulcus. Placement of the probe into diseased sulcus. Point of Insertion and Walking Stroke:. Walking Stroke:. Per tooth. 3.

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Periodontal Probing

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  1. Periodontal Probing

  2. The Normal Periodontium:

  3. The Probe Various Types of Probes

  4. Cross-Section of the Healthy Periodontium:

  5. Placement of the probe into the sulcus

  6. Placement of the probe into diseased sulcus

  7. Point of Insertion and Walking Stroke:

  8. Walking Stroke: Per tooth

  9. 3 Linguall Buccal 6 You should take 6 readings per tooth: 1. Distobuccal 2. Buccal 3. Mesiobuccal 4. Distolingual 5. Lingual 6. Mesiolingual 2 5 1 4

  10. Probing sequence per tooth: 1= Distobuccal/ Distolingual: Point of insertion is at the distobuccal line angle. Take one step distal and begin noting deepest reading. Probe into the col area. 3 6 2= Buccal/ Lingual: Without removing probe, (from the distal col), begin walking towards the DB line angle. Begin noting deepest reading from the DB line angel to the ML line angle 2 5 1 4 3= Mesiobuccal/ Mesiolingual: Continue walking mesially- noting deepest reading from first step after the ML line angle. Lingual Buccal

  11. Walking Stroke of the Probe:

  12. The walking stroke of the probe is different than other instruments in that the instrument ‘bobs’ or hops within the sulcus. Other instruments use more of a pull stroke with heavier lateral pressure against the tooth

  13. Probing sequence per sextant (or quadrant):

  14. Probing Sequence (per quadrant): (limited radius) Midline * For Right Handed Clinicians: Notice that operatorposition and the direction of the instrument handle changes at the canine on the dominant side *. * Midline

  15. Probing Sequence (per quadrant): (limited radius) Midline * For Left Handed Clinicians: Notice that operatorposition and the direction of the instrument handle changes at the canine on the dominant side. * * Midline

  16. It is important to maintain the tip of the probe against the tooth. (Fig. 11-15) O O

  17. Angulation of the probe into the col area: Notice terminal shank is no longer parallel to the long axis of the tooth See probe video: Upper right quad. linguals- a blue shaded circle appears

  18. A B In the Col: A= Incorrect position of probe tip B= Correct position of probe tip

  19. Another view of probing into the col:

  20. Pivoting on Fulcrum will allow for movement of the Probe Handle

  21. How to Read the Probe: Once you reach the base of the sulcus: Observe where the GingivalMargin is on the probe

  22. Reading the Probe (Cont’d): Now- count down from the top marking on the probe (10 mm reading) to the last marking that you actually see So, in this case: 10, 9, 8, 7, 6, 5, 4, 3, 2 10 9 5 2 Not actually marked on the probe

  23. Reading the Probe (Cont’d): So, in this case: 2mm. Is the probe reading

  24. Reading the Probe (Cont’d): Here we count down 10,9,8,7, 5, 3, 2 The gingival Margin is at the 2mm reading 10 9 8 7 5 3 2

  25. Reading the Probe (Cont’d): Here we count down 10,9,8,7,5 but the gingival margin is still lower~ Only a small space is visible. Since the gingival margin is between the 5 and the 4~ we use the last reading we could see~ So, 5 mm is the probe reading. 10 9 8, 7, 5 4 3

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