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what is sextants of periodontal treatment

by Juana Davis Published 2 years ago Updated 2 years ago
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The six sextants consist of the four groups of teeth each containing the molars (excluding third molars) and premolars of one side of one jaw and the two groups of teeth each containing canines and incisors of one jaw.

Medication

Canada - Permanent Tooth Sextants. Eaglesoft identifies permanent sextants as 03 through 08 instead of 01 through 06. This is intended as 00, 01, and 02 represent a Full Mouth, Maxillary Arch, and Mandibular Arch, respectively. Printed copies of this document are considered uncontrolled.

Procedures

Wisdom teeth are not included because pericoronitis and tooth impaction may cause isolated periodontal defects which do not represent the general periodontal condition of the rest of the mouth. At least 2 teeth must be present in a sextant for it to be scored. If only 1 tooth is present in a sextant, the tooth is included in the adjoining sextant.

Self-care

Many different techniques are used around the world. A report by World Health Organization in 1978 led to the creation of the Community Periodontal Index of Treatment Needs (CPITN) and a periodontal probe termed WHO 621 ("Trintity").

Nutrition

Treatment may be performed by a periodontist, a dentist or a dental hygienist. The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care and stop tobacco use.

Is there a permanent sextant for teeth in Canada?

Why are wisdom teeth not included in a sextant score?

What techniques are used in periodontics around the world?

How do you treat periodontitis?

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What are sextants in dentistry?

[seks´tant] one of the six equal parts into which the dental arch may be divided: maxillary right, left, and anterior and mandibular right, left, and anterior.

How are the teeth divided into sextants?

For the purposes of a BPE, all the teeth in a person's mouth are divided into sextants (i.e. 6 parts), namely the upper right second molar to the upper right first premolar, the upper right canine to the upper left canine, the upper left first premolar to the upper left second molar, the lower right second molar to the ...

What sextant is tooth 14 in?

Sextant/segment 1: upper right premolar/molar region (18-14); Sextant/segment 2: upper jaw incisor/canine region (13-23); Sextant 3: upper left premolar/molar region (24-28); Sextant 4: lower left premolar/molar region (38-34); Sextant 5: lower jaw incisor/canine region (33-43); Sextant 6: lower right premolar/molar ...

What is the main goal of periodontal therapy?

SCOPE OF PERIODONTAL THERAPY The goals of periodontal therapy are to preserve, improve, and maintain the natural dentition, dental implants, periodontium, and peri-implant tissues in order to achieve health, comfort, esthetics, and function.

How many teeth does a sextant have?

For a sextant to qualify for recording, it must contain at least 2 teeth. (If only 1 tooth is present in a sextant, the score for that tooth is included in the recording for the adjoining sextant).

What a sextant is and how it works?

sextant, instrument for determining the angle between the horizon and a celestial body such as the Sun, the Moon, or a star, used in celestial navigation to determine latitude and longitude. The device consists of an arc of a circle, marked off in degrees, and a movable radial arm pivoted at the centre of the circle.

What are the 4 quadrants of teeth?

The right upper part of your mouth is the first quadrant, followed by the top left side (second quadrant). The bottom of your mouth has the opposite designation. The left bottom side is the third quadrant, and the right bottom side is the fourth quadrant.

What is a PSR index?

Periodontal Screening and Recording (PSR) Index: precursors, utility and limitations in a clinical setting.

What are oral cavity codes?

Area of Oral Cavity CodesArea of Oral Cavity CodeDescription02Mandibular10Upper right quadrant20Upper left quadrant30Lower left quadrant2 more rows

How effective is periodontal treatment?

Periodontal therapies and treatments are often exceptionally effective, and as long as you follow the instructions your dentist provides you during the maintenance stage, your risk of recurrence is low. This includes careful oral hygiene and no use of any tobacco products.

Is periodontal treatment necessary?

Periodontal treatment is necessary when various conditions affect the health of your gums and the regions of your jawbone that hold your teeth in place. Retaining your teeth is directly dependent on proper periodontal care and maintenance.

Does periodontal therapy hurt?

Will treatment hurt? You can expect some discomfort from periodontal treatment, but it will probably be much less than you fear. The high fear factor is one of the reasons why people don't see the dentist soon enough when they notice symptoms.

What are the 4 quadrants of teeth?

The right upper part of your mouth is the first quadrant, followed by the top left side (second quadrant). The bottom of your mouth has the opposite designation. The left bottom side is the third quadrant, and the right bottom side is the fourth quadrant.

What are the 4 types of teeth and their functions?

4 Types of Teeth and Their FunctionsIncisors. The incisors are the types of teeth that greet your friends, family and grace your photographs. ... Canines. The second type of teeth is canine. ... Premolars. Just behind your canines are your premolars. ... Molars. Your molars are next to your premolars.

Which tooth is a bicuspid?

Premolars, also called bicuspids, are the permanent teeth located between your molars in the back of your mouth and your canine teeth (cuspids) in the front.

What are the three most popular methods for labeling teeth?

Dental professionals use numerous dental notation systems to efficiently associate information with a specific tooth. The three most popular systems used include the ISO System, Universal Numbering System and the Palmer notation method.

How many sextants are there in the mouth?

The mouth is divided into 6 sextants i.e. lower left molars and premolars as one sextant, lower anteriors as another and lower right molars and premolars as a third sextant. A minimal force of around 20-25g should be used (enough to make your fingernail blanch).

What is OHI in periodontal?

No periodontal treatment required; encourage patient. 1. Basic oral hygiene instruction (OHI) given to the patient. 2. OHI, removal of plaque retentive features e.g. calculus and overhanging restorations. 3. OHI, removal of plaque retentive features and initial therapy if first time a BPE of 3 is recorded.

What instrument is used for a WHO test?

The instrument used for the examination is a CPITN Probe (also known as a WHO probe).

Can you move on to the next sextant?

Generally, if a BPE score of 4 has been identified in a sextant then you can move on to the next sextant as there isn’t a worse BPE score. However, it is advised to still quickly check the remaining teeth for any furcation involvement.

What is the goal of periodontitis treatment?

The goal of periodontitis treatment is to thoroughly clean the pockets around teeth and prevent damage to surrounding bone. You have the best chance for successful treatment when you also adopt a daily routine of good oral care, manage health conditions that may impact dental health and stop tobacco use.

Why do periodontists make incisions in gums?

Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing. Because periodontitis often causes bone loss, the underlying bone may be recontoured before the gum tissue is sutured back in place.

How to tell if you have periodontitis?

To determine whether you have periodontitis and how severe it is, your dentist may: Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding.

What is the procedure to cover exposed roots?

This can help reduce further gum recession, cover exposed roots and give your teeth a more pleasing appearance. Bone grafting. This procedure is performed when periodontitis has destroyed the bone surrounding your tooth root.

How to get ready for an appointment?

To get ready for your appointment, make a list of: Any symptoms you're experiencing, including any that may seem unrelated to the reason for your appointment. Key personal information, such as any medical conditions you may have.

What is the best treatment for a diseased tooth root?

Tissue-stimulating proteins. Another technique involves applying a special gel to a diseased tooth root. This gel contains the same proteins found in developing tooth enamel and stimulates the growth of healthy bone and tissue.

How to get rid of plaque between teeth?

Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. Supplement brushing and flossing with an interdental cleaner, such as a dental pick, interdental brush or dental stick specially designed to clean between your teeth.

What are the main objectives of periodontal treatment?

The re-establishment and maintenance of periodontal health are the main objectives of periodontal treatment. Local factors like plaque and calculus are the major factors for periodontal disease progression. Removal of these local factors to obtain a clean root surface is mandatory to achieve periodontal health.

Who first classified periodontal probes?

The first systematic classification of periodontal probes was given by B L Pihlstrom in 1992 3, who classified …….. Contents available in the book …….. Contents available in the book …. …….. Contents available in the book …. …….. Contents available in the book ….

Why is sharpening important?

A sharp instrument improves the quality of periodontal instrumentation and reduces operator fatigue. A sharp edge of the instrument enhances the tactile sensitivity and reduces the amount of lateral pressure required to perform the desired function. In addition, the patient comfort level is also improved. Sharp instruments easily detect calculus and overhanging restoration margins.

What instruments are used to remove supragingival calculus?

Periodontal instruments have been designed specifically to achieve this goal. Presently, there is a large range of instruments available for the removal of supra and subgingival calculus, including ultrasonic devices, sickles, hoes, chisels and curettes.

How many generations are periodontal probes?

As already stated periodontal probes have been classified into five generations,

Who designed the first pressure sensitive probe?

Historically, Gabathuler and Hassell (1971) probably designed the 1st pressure sensitive probe with a constant force application. Another pressure sensitive probe holder was designed by Armitage in 1977 to determine how a constant probing pressure of 25 pounds affected the connective tissue attachment 11.

Can a periodontal scaler be used to remove calculus?

The use of periodontal hoe scalers is usually limited to the removal of large ledges of calculus located supragingivally and slightly subgingivally. For example, the calculus that rings the tooth on the facial, lingual, and distal surfaces of teeth that have no adjacent posterior teeth, can be removed with the hoe.

Why are wisdom teeth not included in a sextant?

Wisdom teeth are not included because pericoronitis and tooth impaction may cause isolated periodontal defects which do not represent the general periodontal condition of the rest of the mouth. At least 2 teeth must be present in a sextant for it to be scored. If only 1 tooth is present in a sextant, the tooth is included in the adjoining sextant.

How much force does a sextant have?

The probe is "walked around" measuring the depth of the gingival crevices/periodontal pockets (the gap between the tooth and the gums, "below the gumline") with a force of approximately 20 - 25 gm (20 - 25 N) (about the force using when writing with a pencil). The worst finding in a sextant dictates the sextant's BPE score. The BPE is usually recorded in a table of six boxes (see diagram). The scoring is as follows:

What is periodontal exam?

A periodontal examination is a clinical examination of the periodontium (gums). It is routinely carried out in dentistry and allied specialties. Many different techniques are used around the world.

What is oral hygiene instruction?

Oral hygiene instruction because bleeding on probing usually indicates the presence of plaque induced gingivitis. 2. Periodontal pocketing < 3mm, but calculus (dental) present with or without plaque retentive factors such as "overhanging" restorations.

Does a periodontal screening tool provide a diagnosis?

It is a screening tool which is used to quickly obtain a rough picture of the periodontal condition and treatment needs of an individual, but it does not provide an exact periodontal diagnosis.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes professionally cleaning the sockets around teeth, to prevent damage to surrounding bone, along with medication and surgical procedures.
Medication

Topical antiseptics: Used to destroy or prevent the growth of microorganisms that may cause infection.

Chlorhexidine Gluconate


Antibiotics: Used to top growth or kill bacteria.

Penicillin

Procedures

Removal of unhealthy tissue: Dead, damaged or infected tissue from wounds are removed to promote healing.

Gingivectomy: Surgical removal of diseased gum tissue.

Gingivoplasty: Surgery to reshape healthy gum tissue around the teeth.

Self-care

Always talk to your provider before starting anything.

  • Tooth polishing: using a gritty paste and rotating brush to remove stains on the surface of the teeth
  • Oral hygiene: keeping mouth clean by regularly brushing teeth, flossing and using mouthwash

Nutrition

Foods to eat:

  • Foods rich in vitamin C like grapefruit, oranges, and kiwi
  • Foods rich in omega-3 essential fatty acids like salmon, fish oil, avocados, and sprouted walnuts.
  • Foods rich in fiber like ground flax seed
  • Dairy products like yogurt kefir and cheese

Foods to avoid:

  • Foods rich in carbohydrates like white flour, rice, white bread and pasta
  • Foods rich in sugar like cakes cookies and -chocolates
  • Alcoholic beverages
  • Foods containing hydrogenated oils like processed Foods, deep-fried Foods, and junk food
  • Caffeinated beverages like tea and coffee

Specialist to consult

Dentist
Specializes in the treatment of diseases associated with teeth and gums.

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6.Periodontal examination - Wikipedia

Url:https://en.wikipedia.org/wiki/Periodontal_examination

10 hours ago  · Eaglesoft identifies permanent sextants as 03 through 08 instead of 01 through 06. This is intended as 00, 01, and 02 represent a Full Mouth, Maxillary Arch, and Mandibular …

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