Terms in a Perio Risk Assessment:
Dental Info

1. Perio Surgery for Pockets: Indicate whether the patient has ever had periodontal surgery to reposition the soft tissue to decrease the depth of periodontal pockets. This refers to surgery at any time in the patient's history, not only since the date of the last Risk Assessment.

2. Bleeding on Probing: Indicate whether there is any bleeding that occurs during this exam when probing to measure pocket depth.

3. Furcation Involvements: The furcation involvements box should be checked when any furcation present has at least 2mm of bone loss, as assessed by horizontal probing depth or radiographic bone loss. Precise measurement is not needed; this variable is about identifying a furcation that is sufficiently advanced to be clearly identifiable.

4. Subgingival Restorations: Any subgingival restoration is a risk factor, whether observed to be defective or not. Even clinically acceptable restorations trap more bacteria at their margins than the natural tooth surface and may eventually contribute to the disease process. Check this box if there are any subgingival restorations present.

5. Vertical Bone Lesions: The vertical bone lesions box should be checked when there is at least one bone lesion present that has a depth of more than 2mm measured from the top to the bottom of the defect on the radiograph.

6. Calculus on Radiographs: This is for the radiographic appearance of calculus on tooth roots for radiographs taken only at the time of the exam pertaining to this risk assessment. If current radiographs are not available, then this box should not be checked.

7. Oral Hygiene (Excellent/Acceptable/Unacceptable): This is subjective, and is not used to calculate the Perio risk or health score. It is valuable for your documentation purposes, and appears in reports for patient education and motivation.

  • Excellent indicates no visible plaque is present
  • Acceptable signifies some plaque is present but no disease
  • Unacceptable means there is a substantial amount of plaque. Unacceptable oral hygiene implies that there is enough plaque to cause disease.
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