Dental Problems

What is Periodontal Chart? - Classifications

Periodontal chart resembles like normal dental charts with more information about the problems related to periodontal disease. In 1992, the American Academy of Periodontology (AAP) and the American Dental Association (ADA) has endorsed Periodontal Screening and Recording (PSR) TM, also called as periodontal charting. It is described as the early detection system for the periodontal disease.

What is Periodontal Chart?

Periodontal Chart provides a graphical description on the conditions of a patient's mouth. It gives all the details about the teeth, like how many teeth are affected with plaque, depth of the teeth, bleeding sites, malposed or missing teeth, pocket depths, details about mobility, recession, crowning, implants, and suppuration. It also includes erosion, developmental anomalies, abrasion and use of prostheses. It is prepared on the first visit of the dentist and will be updated for each visit to note the progress of the patient with home care, and the dental procedures. The charting is a part of the treatment with no extra charge.

Classifications of Periodontal Health

A dental chart is made based on some case types. Similarly the dentists assigned a standardized classification for the periodontal chart.

Case Type I:

Gingivitis will be present when inflammation becomes apparent, and the gingiva can be characterized with color, position, appearance and form. Bleeding can be present.

Case Type II:

Slight Periodontitis is present if the inflammation has progressed from gingival to bones and deeper periodontal structures, with slight bone loss. There will be loss in the connective tissue attachment.

Case Type III:

Moderate Periodontitis is said as an advanced stage of slight periodontitis, which leads to increased destruction and tooth mobility. There can be furcation involvement in the multirooted teeth.

Case Type IV:

Advanced Periodontitis involves a major loss in bone support, furcation involvement and increased tooth mobility

Case Type V:

Refractory Progressive Periodontitis will be diagnosed with a rapid bone or attachment loss and slow continuous loss.

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