Figure 6-3.Walking the periodontal probe around the tooth.
Once the front of the NAVMED 6600/2 is charted,
the areas of the back of the form are completed by the
dentist. The tentative treatment plan outlines the
dentist's recommended treatment for the patient and
the sequence in which it is done. The dentist must
discuss the diagnosis, prognosis, and tentative
treatment plan with the patient. It is up to the patient to
accept or decline the recommended treatment. The
examining dentist, facility, and dates are on the front
page of the NAVMED 6600/2, which becomes a
permanent part of the patients dental record. After the
examination is completed, appointments are arranged
with the patient for treatment.
BASIC PERIODONTAL INSTRUMENTS
Several instruments are commonly used in
periodontal treatment. Among them are probes,
scalers, curettes, hoes, files, chisels, and knives.
Although we have discussed some of these instruments
in other specialties, the instruments discussed here are
designed for periodontal use and are somewhat
different. Some of the instruments are used for scaling
and root planing, while others are used for periodontal
The periodontal probe is one of the most important
instruments used to make a diagnosis and accurately
determine the presence, depth, and form of periodontal
pockets. An angled shank places the working end at
about a 45° angle in relation to the handle. The thin
narrow working end is inserted gently to the depth of
the periodontal pocket. Calculus may interfere with
accurate probing. A periodontal probe is an elongated
and tapered instrument that is scored at millimeter
intervals on the working end. The scored markings
make it easy to determine the depth of the pocket. The
markings can range in increments from 1 to 10mm,
depending on the type of the probe. Many different
types of probes are used. Figure 6-4 illustrates a
common periodontal probe
When periodontal disease causes sufficient loss of
a t t a c h m e n t a r o u n d m u l t i r o o t e d t e e t h , t h e
interradicular bone (furcation area) may become
involved. The presence of gingiva and neighboring
teeth frequently prevent accurate probing of the
furcation area with the standard periodontal probe.
The furcation probe shown in figure 6-5 is a
double-ended instrument designed to help determine
the extent of the interradicular bone loss.
SCALING AND ROOT PLANING
The term scaling is used to identify the removal of
calculus (mineralized plaque) from the surface of a
tooth. Scaling can be supragingival (performed by
Dental Technicians) or subgingival (performed by a
hygienist or a dentist), depending on the location of the
Figure 6-4.Periodontal probe.
Figure 6-5.Furcation probe (double-ended).