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INSTRUMENTS IN
PERIODONTICS
CONTENT
INTRODUCTION
PERIODONTAL PROBES
NON PERIODONTAL PROBES
RADIOGRAPHIC ASSESSMENT
Diagnosis Involves
Analysis of case history
Evaluation of clinical signs and symptoms
Results of tests (Probing, Mobility, Radiograph, blood
test etc.)
Diagnosis Determines
Presence of disease
Type of disease
Underlying disease process
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PERIODONTAL PROBES
Orban as the eye of the operator beneath the gingival margin
Latin word Probo, which means to test.
Gold standard
Simonton (1925) and Box (1928) were among the first to advocate
periodontitis
Gold standard recording changes in periodontal status
Probing depth is measured from the free gingival margin
(FGM) to the depth of the probable crevice.
not the most objective measure of loss of periodontal tissues
generations.
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UNC-15 probe
Color-coded at 5,10 and 15 no. marking
Thin shank allows access into
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Williams probe
Invented in 1936, 1943 by periodontist Charles
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diameter
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With williams
marking
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,
and
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16 mm long
Tip and shank -90degree
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Nabers probe
Curved, and it is used for measuring into the furcation
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Plastic probes
SHANK: Thin, round and tapered.
MEASUREMENT:
Color-coded
and
variable
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chance of penetration.
Color-coded, easy to read markings.
Thin shank allows access into tight fibrotic sulci.
Will not scratch implants.
DISADVATAGES: When markings wear away, entire
Novatech probe(UNC-12)
Shank : upward and right angled bend
Measurement: availability in variety of designs
Tip: many designs
Advantages : posterior areas easy access
2nd generation of
periodontal probes
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(Waerhaug, 1952)
True Pressure Sensitive (TPS) probe:
Prototype , Hunter 1994
Disposable probing head
20 gm & 0.5mm dia
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probe :
Gabathuler and Hassell (1971)
periodontal probe & a small piezoelectric pressure
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system
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3rd generation
probes
MA): prototype.
Jeffcoat et al. in 1986
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0.125 mm
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4th generation
probes
under development
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penetrating it
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NON-PERIODONTAL PROBES
1.CALCULAS DETECTION
Based on measurements of resonance vibrations of
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SYSYTEM
The Diamond Probe/Perio 2000 System is a
dental device designed to detect sulphide
concentrations of various forms (S, HS, H 2S and
CH3SH) in gingival sulci
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3.GINGIVAL TEMPERATURE
Increased blood flow and a very high metabolic rate
Kung et al Sensitive diagnostic devices for
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4.TOOTH MOBILITY
Periotest Probe is a hand-held probe,
Mobility is recorded in Periotest units (PTU) from 0
to 50.
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L ,1999)
Periocheck (Pro-Dentec , USA) measures
presence of non-specific neutral protease
activity in GCF.
This Kit contains Plastic disposable test
RADIOGRAPHIC ASSESMENT
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DENTAL X-RAYS
X-rays are produced by boiling off electrons from a
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DISCOVERY
Wilhelm Conrad Roentgen, Bavarian physicist,
discovered the x-ray on 1895.
In 1895, German dentist Otto Walkhoff made
the 1st dental radiograph.
In 1895, New York physician made the 1st dental
radiograph in the united states using the skull.
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INTRAORAL X-RAYS
Bite-wing X-rays : Bite-wing X-rays are used to
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angle technique
Other technique is paralleling technique
Angulation used in bisecting angle technique are-
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EXTRAORAL X-RAYS
Panoramic X-ray
Tomograms
Cephalometric projections
Sialography
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Panormic radiograph(OPG)
Film size used are
30 cm 12 cm (12 5) and 30 cm x 15 cm (12
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system (CADIA)
Tuned aperture computed tomography (TACT)
Computed tomography (CT)
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Other advances
1. Advances in microbiological analysis
Bacterial culturing
Direct Microscopy-dark-field or phase-contrast microscopy
Immunodiagnostic methods
Enzymatic methods
Diagnostic analysis based on Molecular Biology techniques
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2. New innovations
Proteome analysis
Genetic analysis
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Conclusion
After all these years of intensive research, we still lack a
References
Newman MG, Takei HH, Klokkevold PR, Carranza
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Thank you
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