Periodontal health examination items include? Thank you, everyone.

Periodontal disease is a disease with many pathogenic factors, different clinical manifestations and the most teeth involved. Doctors should not only be able to diagnose whether patients have periodontal disease (especially periodontitis), but also be able to judge the scope (number of teeth) and severity of the disease. By inquiring about the general and local medical history, conducting a number of routine examinations and auxiliary examinations, and comprehensively analyzing the examination results, we can make a correct diagnosis and treatment plan. Inspection procedures and methods for dental plaque and calculus 1. Visually record the amount of plaque, soft scale, dental calculus and tooth surface coloring, which can be expressed by+,++and 30. 2. Plaque display agent can be used to check the number of dental plaque. 3. According to the needs and conditions, different objective quantitative indicators such as plaque index can be used to describe the number of plaques. 4. The bacterial composition in subgingival plaque can be observed by microscope if conditions permit. Check whether there are any bad dentures or fixed crowns and bridges, overhangs of adjacent teeth, bad orthodontic appliances, smooth surfaces of restoration materials, mistakes, bad habits, food impaction, anatomical abnormalities, etc. (such as lingual sulcus deformation, attached gingival stenosis, abnormal attachment of frenulum, etc.). ). Operating procedures and methods of gingivitis 1. Check the changes of gum color, shape and texture, and describe them in words. 2. Quantitative indicators such as gingival index (GI) and gingival sulcus bleeding index (SBI) are used to record the degree of gingival inflammation. 3. Whether there is bleeding in the gums after probing indicates whether there is inflammation in the gums. Place the tip of the blunt periodontal probe about 65438±0mm below the gingival margin, and then gently slide along the gingival margin to observe whether there is bleeding for a moment. If there is bleeding, it is recorded as positive. Periodontal probing is one of the most basic examination techniques for periodontitis patients. The degree of periodontitis in each tooth of the same patient is different, and the depth of periodontal pocket in different parts of the same tooth can also be different. Through the whole mouth periodontal exploration, we can understand the condition more accurately. When detecting the depth of the bag, we can also know the inflammation degree of the inner wall of the bag and the number of subgingival stones through BOP. In principle, every patient should be screened for periodontitis, which can focus on the adjacent surfaces of teeth, periodontal pockets and bleeding after visiting. During the periodontal specialist examination, multiple parts of each tooth should be explored. Operating procedures and methods 1. Periodontal probe with blunt tip and scale should be used. 2. The probe should be parallel to the long axis of the tooth, and the tip of the probe should be close to the tooth surface. After detecting the bottom of the bag, record the distance (mm) from the bottom of the bag to the gingival margin, that is, the detection depth. When detecting the adjacent surface, the probe is close to the contact area, and the tip can be slightly inclined to the center of the adjacent surface. 3. When probing the periodontal pocket with wide tooth surface, it is necessary to move up and down to find out the periodontal pocket with different depths. 4. When probing, the fulcrum should be stable, the intensity should not be too great, and the intensity should be controlled at 20 ~ 25g. 5. In order to accurately measure the periodontal attachment level, it is necessary to find the position of enamel cementum boundary. Record the distance from the bottom of the bag to the boundary of enamel bone, which is the degree of attachment loss; If the tooth has gingival recession, the degree of attachment loss only refers to the millimeter of gingival recession plus the distance from the bottom of the bag to the gingival margin. 6. After exploration, record whether there is bleeding, that is, whether BOP is positive. Note: 1. During acute gingivitis, the probing depth of the affected teeth will be greater than the actual bag depth, so it should be re-explored after the acute period to obtain the real probing depth. 2. For patients with severe gingivitis and systemic diseases such as rheumatic heart disease, antibiotics should be taken as needed before periodontal exploration. 3. Multiple teeth should explore the periodontal pocket at the root bifurcation. Operating procedures and methods for measuring tooth looseness 1. Hold the incisal margin of the anterior teeth with forceps, and do lip-tongue or proximal-distal shaking, and record the looseness according to 1, 2 and 3 degrees; When examining the posterior teeth, close the tweezers, hold their tips against the occlusal fossa, and shake them in the buccal-lingual or mesial direction to record the mobility. 2. If there is acute inflammation around the root tip or periodontal tissue, looseness will increase, and it should be checked again after anti-inflammation to obtain accurate records. 3. Check whether there is tooth inclination or displacement while checking tooth looseness. Operating procedures and methods for checking occlusal function 1. The patient sits up with his eyes looking straight ahead and his sight parallel to the ground. 2. Teaching patients to do various occlusal movements needs to be repeated many times to ensure the accuracy of the examination. 3. Check (occlusion), (occlusion) position, early contact and (occlusion) interference in turn. Inspection procedures and methods for food impaction 1. Check the wear of occlusal surface and marginal ridge, such as whether there is a development groove, whether the marginal ridge is flattened, whether the critical surface has been polished, and how wide the buccal tongue is. 2. The situation of the adjacent contact area, such as whether the contact area is widened, whether the width of the buccolingual abduction gap is reduced, whether the adjacent contact area is loose, and whether there is adjacent caries. 3. Whether the occlusal teeth have filled cusps or sharp marginal ridges. 4. Whether the dentition is neat, loose, displaced and missing teeth. 5. Whether the abutment area of a tooth is tight or not can be judged by the degree of obstruction of dental floss passing through the abutment area.