Treatment FAQ

what is the purpose of explorers in periodontal treatment

by Prof. Paolo Rippin IV Published 2 years ago Updated 2 years ago
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Explorers – used to detect decay in the tooth’s surface. If the explorer sticks in the surface of the tooth, the tooth may have some decay that needs to be removed. Mouth Mirror – used in the mouth to view the oral cavity, reflect light and retract the cheek. Periodontal Probe – used to measure the pocket depth of the gums around each tooth.

Use a periodontal probe-explorer to evaluate plaque and calculus coverage, gingival inflammation, furcation exposure, tooth mobility, pulp exposure, resorptive lesions, or other tooth abnormalities.

Full Answer

What is a dental explorer used for?

Mar 21, 2018 · The gums will then be sutured to fit more tightly around the tooth. This procedure typically costs between $1000 and $3000 without insurance. After surgery, you may experience swelling for about ...

Do dentists use the explorer to probe teeth for cavities?

A dental explorer or sickle probe is an instrument in dentistry commonly used in the dental armamentarium.A sharp point at the end of the explorer is used to enhance tactile sensation. In the past it was usual for dentists to use the explorer to probe teeth for the presence of cavities.Some dental professionals have questioned this practice in the first decade of the …

How does a dentist treat periodontal disease?

Your first step in periodontal disease treatment is a conservative, non-surgical approach called scaling and root planing (SRP). A dentist or dental hygienist provides this treatment by scraping and removing the plaque and tartar from your teeth and root surfaces with instruments designed for this purpose.

What is periodontal charting?

Nov 19, 2011 · What is the purpose of explorers in periodontal treatment? to provide tactile information to locate calculus A type of curette with two cutting edges is a Universal What is the purpose of a periodontal pocket marker? to mark bleeding points in the gingival tissue How do ultrasonic scalers work? sound waves

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What drug is often used for the treatment of periodontitis Juvenile periodontitis and rapidly destructive Perdontitis?

Tetracyclines have been widely used in treating refractory forms of periodontal disease, including localized aggressive periodontitis.

What type of instrument is used to remove calculus from subgingival surfaces?

Ultrasonic instruments. Ultrasonic instruments are the principle treatment modality for removing plaque and calculus. These power-driven instruments oscillate at very high speeds, causing micro vibrations that aid in calculus and subgingival plaque removal.

What drug is often used for the treatment of periodontitis Juvenile periodontitis?

Tetracycline antibiotics – Antibiotics which include tetracycline hydrochloride, doxycycline, and minocycline are the primary drugs used in periodontal treatment. They have antibacterial properties, reduce inflammation and block collagenase (a protein which destroys the connective tissue).

What are three non surgical periodontal treatments?

Non-Surgical Periodontal TherapyScaling and Root Planing. ... Localized placement of medications under the gum line to combat “gum” disease. ... Systemic Antimicrobials. ... Laser Therapy.

What instrument is used for periodontal pockets?

A periodontal probe is an instrument in dentistry commonly used in the dental armamentarium. It is usually long, thin, and blunted at the end. The primary purpose of a periodontal probe is to measure pocket depths around a tooth in order to establish the state of health of the periodontium.

What instrument is used to locate deposits of calculus?

Periodontal probes are used to locate, measure mark pockets. Explorers are used to locate calculus deposits and caries. A typical probe is a tapered rod-like instrument calibrated in millimeters with a blunt, rounded tip.

Which antibiotic is best for periodontal disease?

Metronidazole (Flagyl): This antibiotic may be prescribed to those patients suffering from severe periodontitis. Metronidazole works best when used in a combination with amoxicillin or tetracycline. Ciprofloxacin: This antibiotic is used to specifically target A.Jul 15, 2020

Do antibiotics help periodontal disease?

However, like many types of infection, periodontal disease can be effectively treated with antibiotics. Whether used in combination with deep dental cleaning treatments or procedures like oral surgery, or used alone, antibiotics have been shown to relieve a variety of conditions, including: Acute periodontal infection.

What is the most effective antimicrobial therapy available to reduce plaque and gingivitis?

Of all the products included here, chlorhexidine appears to be the most effective agent for reduction of both plaque and gingivitis, with short-term reductions averaging 60% (29).

What does periodontal treatment include?

Initial periodontal therapy Scaling and root planing is the thorough cleaning of the root surfaces to remove plaque, calculus (tartar) and bacteria. It also involves the smoothing of root surfaces to prevent recurring build up and allow for reattachment of the gingiva (gum tissues).

What is supportive periodontal therapy?

Periodontal maintenance procedures (also known as supportive periodontal therapy) are designed to minimize the recurrence and progression of periodontal disease in patients that have been previously treated for periodontal problems. This is an ongoing prevention program of periodontal cleanings and evaluations.

What are surgical periodontal treatments?

Surgical Periodontal Therapy is the re-contouring of gum and bone to decrease the risk of further periodontal disease. Surgical procedures are designed to either remove diseased gum and bone for better cleaning access or to build missing tissue back to a healthier state.

Why do dentists use the Explorer?

In the past it was usual for dentists to use the explorer to probe teeth for the presence of cavities. Some dental professionals have questioned this practice in the first decade of the twenty-first century.

Why use a dental explorer?

The use of a dental explorer with firm pressure to probe suspicious areas may result in the rupture of the surface layer covering early lesions. Instead, they argue that fluoride and oral hygiene should be used to remineralize the enamel and prevent it from decaying further.

What is the most common type of explorer?

There are various types of explorers, though the most common one is the No. 23 explorer, which is also known as a "shepherd's hook". Other types include the 3CH (also known as "cowhorn" or "pigtail") and No. 17 explorers, which are useful for the interproximal areas between teeth.

Can a sharp explorer cause cavitation?

Penetration by a sharp explorer can actually cause cavitation in areas that are remineralizing or could be remineralized. Dental lesions initially develop as a subsurface lesion. Early lesions may be reversed - with meticulous patient self-care and application of fluoride - as long as the thin surface layer remains intact.

Why do dentists cover roots?

Your dental professional takes gum tissue from your palate or another source and uses it to cover the roots of one or more teeth. Covering exposed roots helps reduce sensitivity and protects your roots from decay while stopping further gum recession and bone loss.

What are the different types of periodontal disease?

There are different forms of periodontal disease, but the following are the most common: 1 Chronic gingivitis. A reversible, milder form of periodontal disease, marked by inflammation, redness, and bleeding gums. There is no bone loss with gingivitis, and as noted, it is easily preventable! 2 Aggressive periodontitis. A rapid loss of gum attachment and bone destruction in a short period. 3 Chronic periodontitis. The most common form of periodontitis. It progresses slowly. 4 Necrotizing periodontal disease. An infection resulting from the death of gum tissue surrounding the tooth and connecting bone. Its common symptoms are a foul odor and painful bleeding gums.

What is the sign of gum disease?

Gingivitis to Periodontitis. A significant indicator of gum disease is inflammation, which is the body's way of shielding, guarding, and protecting itself from infection. Think of it as a blowfish puffing up to scare away predators!

What is the first stage of gum disease?

Gum disease is a sneaky, progressive disease. Here's why: the first stage, called gingivitis, occurs when bacterial plaque is not thoroughly removed from your teeth.

How to prevent tooth decay?

Avoid sugary foods and drinks as they contribute to tooth decay. Instead, build a well-balanced diet. It should consist of plenty of hydration, vegetables, fruits, whole grains, meats, and dairy to make a robust immune system ready to fight disease!

Can you fold back gum tissue?

This means you're a candidate for periodontal pocket reduction or flap surgery. By folding back the gum tissue, your dental professional can remove infectious bacteria and smooth areas of damaged bone. Your gum tissue will then reattach to healthy bone.

Is laser periodontal therapy good?

Although laser periodontal therapy is still in its infancy, it shows promising results for eligible patients. There are a few apparent benefits of this novel therapy. They include the laser's ability to target the disease precisely, in a less invasive nature, and shorter recovery time.

Why is periodontal charting important?

Periodontal charting is an important step in the detection of gum disease. According to the Centers for Disease Control, this condition affects almost half of adults older than 30. It causes inflammation of the gumline, and can lead to loss of the bone that surrounds the teeth.

What is a periodontal chart?

Periodontal charting is a way of measuring the space between a tooth and the gum tissue next to it. A dentist or dental hygienist uses an instrument called a probe and gently inserts it into this space. This probe has markings like a tape measure that shows them how deep it can reach into the space to check the health of your gums.

How deep can a periodontal pocket be?

Areas with higher readings tend to be more sensitive to probing. In severely diseased areas, sometimes probing depths can reach up to 12 millimeters. These problem areas are often referred to as periodontal pockets and are often challenging to keep clean at home.

Is it important to clean your gums?

Keep in mind that cleaning above the gumline is just as important as cleaning below the gumline. Gently brush your gums while you brush your te eth and swish with a mouthwash for healthier gums. Scheduling dental cleanings on a regular basis is another essential part of keeping your teeth and gums healthy for life.

Is a dental exam a substitute for professional advice?

It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

Can gum recession be a sign of gum disease?

Gum disease can be painless, so it may go undetected without preventative dental care, but symptoms commonly include sensitive gums that bleed easily, especially when brushing or flossing. Gum recession is also another classic sign of gum disease. The measurements of the gum tissue should be recorded at least once per year, ...

How do hygienists examine teeth?

Your hygienist will begin by counting and numbering your teeth on the chart. Any notable issues you have can then be assigned to the appropriate tooth and marked with a shorthand note on the chart. Once your teeth are numbered, your hygienist will examine your teeth.

Why do dentists use chart?

The chart gives both you and your dentist a point of reference to see if you’re making progress in your dental health. With better home care, for example, gum pockets could improve. They are able to keep an organized and easy-to-read record of the condition of your mouth.

What are the conditions that may be described in your dental chart?

Conditions and issues that may be described in your dental chart include: areas of decay (cavities) missing teeth. depths of your gum pockets, bleeding points during probing, and gum recession. abnormalities in your teeth, such as rotations, erosion, or abrasions in your teeth or enamel. damage to your teeth.

What is dental charting?

Dental charting is a process in which your dental healthcare professional lists and describes the health of your teeth and gums. Periodontal charting, which is a part of your dental chart, refers to the six measurements (in millimeters) that are taken around each tooth.

How many readings per tooth are recorded?

Usually six readings per tooth are recorded. This is called periodontal charting. Your hygienist will use an instrument to check the tops of your teeth for decay. After your charting is complete, your hygienist will usually clean your teeth. Then your dentist will do an examination.

Why do dentists create a dental chart?

Your hygienist or dental assistant creates a dental chart of your mouth because it’s a good way of organizing the important information about your dental health. By creating this chart, your dentist has all the information that they need to access your dental health, in one place in a simple format.

What to do after dental appointment?

After your dental appointment, it’s best to incorporate the advice you’re given about maintaining healthy teeth and gums. And try to make sure you go back for regular checkups and charting.

How to reduce the risk of gum disease?

This may require extensive surgery to repair and treat the condition. Reducing risk factors, maintaining a good oral hygiene, and keeping routine dental appointments can reduce the risk and severity of gum disease. Last medically reviewed on March 10, 2018. Dentistry.

What is gum surgery?

Preventing gum disease. Outlook. Sometimes, periodontal surgery may be needed to treat certain gum diseases and conditions, such as gingivitis or periodontitis. This type of surgery is commonly known as gum surgery. The procedure aims to treat the gum disease and any damage it may have caused by:

Why does gingivitis occur?

Most often, gingivitis occurs due to poor oral hygiene, plaque, and tartar buildup. Professional treatment can reverse the condition. Periodontitis is a more severe form of gum disease in which gingivitis has worsened and advanced, leading to an inflammatory response that destroys bone and tissues.

What is a guide tissue regeneration?

Guided tissue regeneration. During this procedure, a dental surgeon will place a small piece of mesh-like material between a person’s bone and gum tissue. The material prevents the gum from growing into space where bone should be, allowing the bone and connective tissue to regrow.

What kind of surgery is done to remove tartar from teeth?

Before surgery, a dental surgeon might give the gums a deep clean. One procedure known as deep scaling can remove tartar and bacteria from teeth and gums.

What is gum recession?

Tissue grafting. The type of surgery performed will be based on several factors, such as the condition of the gums. A lowered gum line , known as gum line recession, is caused by the loss of gum tissue and may require soft tissue grafting to reduce the risk of further damage.

How to prepare for gum surgery?

Preparing for gum surgery. Before a person has a gum surgery, a dentist will perform a pre-operative exam to make sure it is safe to have surgery. During this exam, the dentist will likely: take a medical history review and do an exam. examine the teeth, mouth, and jaw to check for stability and health.

Why is it important to treat advanced gum disease?

Treating advanced gum disease is essential to prevent more dangerous issues from arising. If a patient is pregnant or has allergies to certain medications, additional precautions will need to be taken during oral surgery. Always let your doctor know about your full medical history to ensure your safety.

What is the best treatment for gum disease?

Before surgery is considered, your dentist will attempt to treat gum disease with treatments like root-planing and scaling. 3  However, by the time your dentist recommends gum pocket or osseous surgery, you probably don't have less invasive treatment options.

What happens if you have advanced gum disease?

If your advanced gum disease has spread to other sections of your mouth, it's possible that you'll need to have osseous surgery again for another tooth, or you may require a dental implant. 5 

How to clean a tooth with a periodontal numbing?

A periodontal specialist will numb the infected area with a local anesthetic and begin cutting around the teeth. Once the bone and roots are accessible, the area will be cleaned through scaling. 3  Using hand tools and a drill, your doctor will cut into the bones around the teeth to perform osseous surgery to create a smoother and more uniform shape.

How does root planing help teeth?

Root planing helps the tooth and gum reattach by smoothing the root. 4 . The sooner you're able to treat the infected area, the less tissue will need to be removed. Taking good care of your oral hygiene going forward will help prevent you from having the same surgery done again for other teeth.

What is the procedure to remove tartar from the mouth?

If you have gum disease, gum pocket reduction surgery can clear tartar from your mouth and prevent infection from spreading throughout your body. As part of the procedure, your doctor will perform osseous surgery to smooth irregularities in the jaw bone. 1  Here's what to expect from this oral surgery.

Can gums recede after surgery?

Receding gumline: After surgery, your gums around the treated te eth may start to recede faster than the rest of your gums, making these teeth look longer than the others. Treatment is available to correct this issue if it occurs. 2 . Sensitive teeth: Your teeth may feel more sensitive to hot and cold.

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