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Get the free Periodontal Examination & Charting Form - faculty ksu edu

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This document is used for recording and evaluating periodontal examinations, including patient information, medical history, intraoral and extraoral examinations, diagnosis, and treatment plans.
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How to fill out periodontal examination charting form

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How to fill out Periodontal Examination & Charting Form

01
Gather all necessary patient information, including name, date of birth, and medical history.
02
Start by examining the patient's gums for any signs of inflammation or disease.
03
Use a periodontal probe to measure the depth of the periodontal pockets around each tooth.
04
Record the measurements on the chart, noting any areas with deeper pockets.
05
Assess furcation involvement if applicable, and document any findings.
06
Check for mucogingival issues and note any recession or buccal/lingual changes.
07
Evaluate tooth mobility and document the mobility score for affected teeth.
08
Note any plaque or calculus present on the teeth.
09
Complete any additional sections related to the patient's overall periodontal health.
10
Review the completed form with the patient and discuss the findings.

Who needs Periodontal Examination & Charting Form?

01
Individuals with a history of gum disease or periodontal issues.
02
Patients who smoke or use tobacco products.
03
Those experiencing signs of gum disease, such as bleeding gums or bad breath.
04
Patients with diabetes or other systemic health issues that affect oral health.
05
Individuals over the age of 30, as periodontal disease is more common in older adults.
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People Also Ask about

Periodontal charting is a way of measuring the space between a tooth and the gum tissue next to it. Your hygienist uses an instrument called a probe and gently inserts it into this space. The size of these pockets is an indicator of how healthy or unhealthy your gums and bone support are.
Periodontal charting is a way of checking for these pockets by measuring the space between a tooth and the gum tissue next to it. A dentist or dental hygienist uses an instrument called a probe and gently inserts it into the space.
A periodontal assessment is a thorough evaluation of your gum and bone health, designed to detect signs of advanced gum disease at its earliest stages.
Periodontal probing can cause some discomfort, especially if your gums are inflamed. However, it's usually described as more of a pressure than a sharp pain. Dentists are trained to use gentle techniques. Probes with rounded tips can further minimize discomfort.
An Overview of the Periodontal Exam He will also examine the bone that supports your teeth and the pockets between the gums and the teeth. The process is comfortable, takes only about 15-20 minutes, and is an important starting point for addressing oral health concerns.
Periodontal charting is a diagnostic procedure that provides a comprehensive assessment of the health status of the periodontium, systematically documenting key clinical parameters related to the gingiva, periodontal ligament, and alveolar bone.
Periodontal charting is simple and relatively painless, during the procedure you will hear your dentist or hygienist call out a series of numbers for each tooth. This is measuring, in millimeters, the cuff of your gum line and the point at which the gum actually attaches to your tooth.

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The Periodontal Examination & Charting Form is a document used by dental professionals to assess and record the periodontal health of a patient. It includes details about gum condition, pocket depths, and other necessary measurements.
Dental professionals, including dentists and dental hygienists, are required to file the Periodontal Examination & Charting Form for patients undergoing periodontal evaluation and treatment.
To fill out the Periodontal Examination & Charting Form, the dentist or hygienist must examine the patient's gums, measure pocket depths, assess bleeding, and record relevant findings and notes regarding the patient's periodontal status.
The purpose of the Periodontal Examination & Charting Form is to systematically document the status of a patient's periodontal health, guiding treatment decisions and monitoring progress over time.
The information that must be reported includes probing depths, attachment levels, gum recession, bleeding on probing, furcation involvement, and overall periodontal disease classification.
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