What+Assessments

= What assessments are needed to provide support for an accurate periodontal diagnosis and treatment plan? =  ==Assessments are the first step in the dental hygiene process of care. They provide a foundation for diagnosis, planning, implementation, and evaluation. == 

The assesments and information needed include:

 * 1) Medical History
 * 2) Dental History
 * 3) Chief complaint
 * 4) Clinical examination
 * 5) Extraoral and intraoral assessments
 * 6) Oral hygiene assessment
 * 7) Periodontal assessments
 * 8) Dentition assessments
 * 9) Radiographic examination

Medical History

 * <span style="font-family: 'Comic Sans MS',cursive;">Identifies systemic diseases and conditions
 * <span style="font-family: 'Comic Sans MS',cursive;">Helps to identify oral manifestations of systemic disease
 * <span style="font-family: 'Comic Sans MS',cursive;">Identifies medications that may have oral manifestations

<span style="color: #800080; font-family: 'Comic Sans MS',cursive;">Dental History
<span style="color: #000000; font-family: 'Comic Sans MS',cursive;">
 * <span style="font-family: 'Comic Sans MS',cursive;">Identifies chief complaint
 * <span style="font-family: 'Comic Sans MS',cursive;">Previous dental treatment
 * <span style="font-family: 'Comic Sans MS',cursive;">Oral habits-clenching, grinding, smoking, tobacco use
 * <span style="font-family: 'Comic Sans MS',cursive;">Existing restorations or pathologies

<span style="color: #800080; font-family: 'Comic Sans MS',cursive;">Extra oral and Intra oral exam
<span style="color: #000000; font-family: 'Comic Sans MS',cursive;">
 * <span style="color: #000000; font-family: 'Comic Sans MS',cursive;">Palpation of head and neck-identifies swollen lymph nodes or visually inspect and record suspected lesions
 * <span style="color: #000000; font-family: 'Comic Sans MS',cursive;">Gingival description
 * <span style="color: #000000; font-family: 'Comic Sans MS',cursive;">Atypical or abnormal pathology or conditions

<span style="color: #800080; font-family: 'Comic Sans MS',cursive;">Oral Hygiene Assesment
<span style="color: #000000; font-family: 'Comic Sans MS',cursive;">
 * <span style="font-family: 'Comic Sans MS',cursive;">Identifies patients oral hygiene technique
 * <span style="font-family: 'Comic Sans MS',cursive;">Informs clinician of what tools and education to implement
 * <span style="font-family: 'Comic Sans MS',cursive;">Allows clinician to educate pt. on oral hygiene

**<span style="color: #800080; font-family: 'Comic Sans MS',cursive;"> Periodontal Assessments **
<span style="color: #000000; font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;">
 * <span style="font-family: 'Comic Sans MS',cursive;">Marginal bleeding index
 * <span style="font-family: 'Comic Sans MS',cursive;">Probing
 * <span style="font-family: 'Comic Sans MS',cursive;">Bleeding on Probe
 * <span style="font-family: 'Comic Sans MS',cursive;">Recession
 * <span style="font-family: 'Comic Sans MS',cursive;">Clinical Attachment loss
 * <span style="font-family: 'Comic Sans MS',cursive;">Furcation involvement
 * <span style="font-family: 'Comic Sans MS',cursive;">Mobility
 * <span style="font-family: 'Comic Sans MS',cursive;">Fremitus

<span style="color: #800080; font-family: 'Comic Sans MS',cursive;">Dentition Assesments
<span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive;"> <span style="font-family: 'Comic Sans MS',cursive; font-size: 17px; line-height: 25px;">**<span style="color: #800080; font-family: 'Comic Sans MS',cursive;">Radiographic Examination ** <span style="font-family: 'Comic Sans MS',cursive;">
 * <span style="font-family: 'Comic Sans MS',cursive;">Presence of caries
 * <span style="font-family: 'Comic Sans MS',cursive;">Restoration status
 * <span style="font-family: 'Comic Sans MS',cursive;">Presence of open contacts
 * <span style="font-family: 'Comic Sans MS',cursive;">Tooth wear: abrasion, abfraction, erosion.
 * <span style="font-family: 'Comic Sans MS',cursive;">Identifies crown to root ratio
 * <span style="font-family: 'Comic Sans MS',cursive;">Height of alveolar crest
 * <span style="font-family: 'Comic Sans MS',cursive;">Presence of lamina dura
 * <span style="font-family: 'Comic Sans MS',cursive;">Vertical or Horizontal bone defects
 * <span style="font-family: 'Comic Sans MS',cursive;">Presence of periodontal or endodontic abscess
 * <span style="font-family: 'Comic Sans MS',cursive;">Pathology in bone
 * <span style="font-family: 'Comic Sans MS',cursive;">Trabecular pattern
 * <span style="font-family: 'Comic Sans MS',cursive;">Discrepancies in PDL