Periodontal Assessment and Treatment Planning
Gingival description
- Color:
- pink
- erythematous
- cyanotic
- racial pigmentation
- metallic pigmentation
- uniformity
- Contour:
- recession
- clefts
- enlarged papillae
- cratered papillae
- blunted papillae
- highly rolled
- bulbous
- knife-edged
- scalloped
- stippled
- Consistency:
- firm
- edematous
- hyperplastic
- fibrotic
- Band of gingiva:
- amount
- quality
- location
- treatability
- Bleeding tendency:
- sulcus base, lining
- gingival margins
- Suppuration
- Sinus tract formation
- Pocket depths
- Pseudopockets
- Frena
- Pain
- Other pathology
Dental Description
- Defective restorations:
- overhangs
- open contacts
- poor contours
- Fractured cusps
- Caries
- Deposits:
- Type
- plaque
- calculus
- stain
- matera alba
- Location
- supragingival
- subgingival
- Severity
- mild
- moderate
- severe
- Type
- Wear facets
- Percussion sensitivity
- Tooth vitality
- Attrition, erosion, abrasion
- Occlusal plane level
- Occlusion findings
- Furcations
- Mobility
- Fremitus
Radiographic findings
- Film dates
- Crown:root ratio
- Amount of bone loss
- horizontal; vertical
- localized; generalized
- Root length and shape
- Overhangs
- Bulbous crowns
- Fenestrations
- Dehiscences
- Tooth resorption
- Retained root tips
- Impacted teeth
- Root proximities
- Tilted teeth
- Radiolucencies/opacities
Etiologic factors
- Local:
- plaque
- calculus
- overhangs
- orthodontic apparatus
- open margins
- open contacts
- improper pontic design
- stainless steel crown
- overcontoured restoration
- biologic width violation
- tooth position
- crowded teeth
- excessive overbite
- rotations
- tipping
- overeruptions
- exaggerated occlusal curves
- stepped occlusion
- fanning
- cross-bites
- plunger cusps
- uncleansable furca
- poor embrasures
- enamel pearl
- root fracture
- food impaction
- chemical irritation
- Functional:
- bruxism
- occlusal trauma
- tongue thrusting
- thumb sucking
- mouth breathing
- other habits
- Systemic:
- smoking
- pregnancy
- hormonal disturbances
- oral hormonal therapy
- diabetes
- blood dyscrasias
- collagen diseases
- cardiac disease (anoxic conditions)
- arthritis
- adolescence
- handicap/disability
- occupation
- nutritional deficiency
- Other systemic disorders
Diagnosis
- Periodontal diagnosis, as well as other diagnoses
- See the AAP Disease Classification reference.
Prognosis
- Patient cooperation
- Initial amount of disease present
- Initial rate of disease present
- Patient age
- Systemic problems
- Mobility
- Cause of mobility
- Pocket depth/proximity to apex
- Number of missing teeth
- Success of previous treatment
- Location of missing teeth
- Bone loss
- Crown to root ratio
- Furcation involvement
- Amount of gingiva
- Operator skill
- Patient finances
- Patient systemic background
- Severity of inflammation
- Malocclusion
- Tooth and root morphology
- Status of abutment teeth
- Infrabony pockets
- Nonvital teeth
- Tooth resorption
See also Oral Pathology list.