Periodontal Case Classification

PERIODONTAL CASE CONSULTATION

Directions

1. Prepare items listed in detail 2. Complete the items prior to the consultation 3. Make an appointment for your consultation prior to the deadline 4. Utilize textbooks and library references 5. Paper must be typewritten

Medical History

1. Outline the pertinent information 2. Indicate any precautions, medications, systemic complications with (*) in red

Dental History

1. Indicate past and present information

Oral Inspection

1. Outline pertinent information and describe abnormalities 2. Include intraoral photographs for gingival evaluation (intraoral photographs will also be taken after

treatment to be included with the periodontal paper for comparison)

Charting

1. List restorations and describe any abnormal conditions present such as overhangs or defective margins

2. List caries, attrition, erosion and abrasion 3. List missing teeth 4. Include clinical charting form 5. Angle’s classification – malpositioned teeth 6. Periodontal probing and gingival index 7. Graphic charting

Model Evaluation

1. State arch form, determine symmetry, determine arch midline, and plane of occlusion 2. Evaluate Angle’s classification 3. Evaluate overbite 4. Evaluate overjet 5. Determine any crossbites 6. List individual teeth in malposition and list the type 7. List any drifting or tilting of the teeth 8. List any faceting or attrition of cusps 9. List any area of recession or cervical abrasion 10. Note any other visible abnormalities

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Radiographic Evaluation

1. List specific location of horizontal bone loss 2. List specific area of vertical bone loss 3. List areas where crestal bone is absent 4. List areas of thickened lamina dura 5. List any abnormal radiolucencies 6. List any sign of caries 7. List any sign of defective restorations 8. Lost areas of widened periodontal ligament 9. List specific areas of calculus evidence 10. List any impaction 11. List furcation involvement

Case Classification

Make a potential diagnosis of the case based on the American Academy of Periodontlogy Classification. Diagnosis must be supported with evidence and rationate. (see appendix I for Periodontal Classification System)

Recommendations

List a suggested treatment plan for the correction of all the patients’ periodontal problems. Suggestions must be supported with evidence and rationale. Indicate recommendations for:

a. Home care b. Additional treatment to be rendered by a dentist c. Indicate referrals d. Recall appointments

Prognosis

Make a forecast on the potential patients’ success in controlling his or her periodontal condition using variables such as general health, degree of bone destruction, tissue resolution, motivation and home care. A treatment plan for maintenance should be included stating the appropriate rationale where applicable. Use terms such as: excellent, good, fair and poor.

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