In a healthy mouth, a pocket can be anywhere from 1-3 millimeters deep. To measure a pocket we
use a periodontal probe
. The probe allows us to measure in millimeters from the top of the pocket to the bottom of the pocket. The bottom of the pocket is the area where the tissue is connected through ligaments to the root.
How do you measure pocket depth?
In a healthy mouth, a pocket can be anywhere from 1-3 millimeters deep. To measure a pocket we
use a periodontal probe
. The probe allows us to measure in millimeters from the top of the pocket to the bottom of the pocket. The bottom of the pocket is the area where the tissue is connected through ligaments to the root.
How do you calculate probing depth?
You have to use this equation:
probing depth – gingival margin to the CEJ (subtract)
. In this case, it would be 7 mm – 2 mm = 5 mm.
How do you calculate Cal?
- When recession of the gingival margin is present, the CAL is calculated by adding the probing depth to the gingival margin level. …
- When the gingival margin is coronal to the CEJ, the CAL is calculated by subtracting the gingival margin level from the probing depth.
What is Cal in dental hygiene?
Clinical attachment loss
which is also known as CAL, is the presence of periodontal disease. Periodontal disease, or gum disease, is a set of inflammatory conditions which affect the tissues that surround the teeth. In the early stage, the condition is called gingivitis.
Can gum pockets shrink?
Scaling and root planing helps remove bacteria, plaque, and tartar from around teeth. It also smooths each tooth’s root surface so that gum tissue can reattach itself to the tooth. This helps shrink the
pocket
.
Is a 5mm gum pocket bad?
The area between the tooth and the gums is called pockets. A healthy pocket is within 2-3mm. More than 3 mm is a sign of periodontal disease and
more than 5mm would require deep cleaning/root planning
.
What is pocket depth?
Measure the pocket depth of the groove between your gums and teeth by placing a dental probe beside your tooth beneath your gumline, usually at several sites throughout your mouth. In a healthy mouth, the pocket depth is usually
between 1 and 3 millimeters (mm)
. Pockets deeper than 4 mm may indicate periodontitis.
What is the probing depth?
The distance measured from the base of the pocket to the most apical point on the gingival margin. It dictates the patient’s ability to maintain optimal plaque control. Probing depths
in excess of 3mm
are an indication for periodontal therapy. Probing depth.
What causes attachment loss?
Clinical attachment loss occurs when
the collagen fibers of the periodontal ligament detach from the cementum on the root surfaces of teeth
, causing the gingiva to migrate toward the roots of the teeth, exposing the roots and eventually causing the affected tooth to loosen, migrate, or fall out.
What does Cal mean in periodontal charting?
Another measurement of the extent of the periodontal support that is often reported, but is occasionally misinterpreted is the
clinical attachment level
(CAL).
What does coronal to CEJ mean?
When the
gingival margin
is coronal to the CEJ, you subtract (from the probing depth) the distance from the CEJ to the gingival margin. If the gingival margin is apical to the CEJ, CAL is equal to the probing depth plus the distance from the CEJ to the gingival margin.
What is normal clinical attachment level?
The mean value of clinical attachment loss was obtained and divided into 4 groups: a clinical attachment of
<1 mm
(normal group), a clinical attachment of 1 – 3 mm (mild group), a clinical attachment of 3 – 5 mm (moderate group) and a clinical attachment of ≥5 mm (severe group).
Is recession a attachment loss?
Clinical attachment loss is apparent with pocketing and with
no
gingival recession, or recession with no pocketing, or both pocketing and recession.
How is periodontal percentage calculated?
Periodontal Percentage = B/A
While the adult prophy is a measure of 1 patient; the 4341 or 4342 code will calculate up to four times for 1 patient. Thus, the periodontal percentage is the calculation of procedures only, not of actual patients.
