Dental Probe Design

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Dental Probe Design

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Measurement Probing depth Technique and Significance of Results 262). Clinical attachment level Relative attachment level Amount of attached gingiva when there is bone loss. Gingival recession Furcation invasion adjacent bone. Bleeding on probing Pathologic lesions Distance between teeth with severe periodontal disease. When the periodontal probe design is flat and too thick or wide, it is difficult to manipulate the instrument into and around narrow, tight areas for accurate Module || Module Overview This module presents the (1) design characteristics of calibrated periodontal probes Calibrated Periodontal Probes and Basic Probing Technique and (2) stepbystep instructions for use of a calibrated periodontal probe. Module Outline

Calibrated.Periodontal Probes General Design Characteristics Millimeter Markings Examples of Probe Markings ComputerAssisted Probes Use of Probe to Assess Tissue Health Function of Calibrated Probe Review of A recent development in manual probes is pressuresensitive probes designed to control the force each time it is used with the same operator or another operator (True Pressure Sensitive (TPS) Probe", Ivoclar North America Incorporated). The TPS insures a consistent 20gram force, has a disposable head, and is a plastic screening probe with a ball end. Other companies also manufacture this type of probe. In conclusion, selection strategies for a manual, straight periodontal probe Furcation probe (e.g., Nabers 1 N) is a

curved,.bluntas the tip; the side of the tip, rather than the actual point, is used for detecting calculus 2. Circular in cross section, the explorer may have paired or unpaired working ends tipped instrument used to detect and assess bone loss in the furcation areas of bifurcated and trifurcated teeth C. Calibrations—millimeter marks at intervals that are specific for each probe design 1. Calibrated probes a. Probe designs may differ in millimeter TABLE 171 Use of HandActivated Instruments Classification Purpose Calibrated Measurement of pocket depths, probe clinical attachment level, width of attached gingiva, gingival recession, and intraoral lesions; evaluation of gingival should NOT be used directly on cemental surfaces

Universal.Debridement of crown and root curet surfaces; removal of light to mediumsized supragingival and subgingival calculus deposits; some designs have long functional shanks that allow Giving the same verbal and written instructions about periodontal maintenance to all groups of patients will not increase compliance with periodontal maintenance (E). The entire dental hygiene faculty in the dental hygiene clinic uses the same standardized design of periodontal probe at all times to measure clinical attachment loss to classify patients' periodontal status and has calibrated with each other on the use of this probe. Select the two factors that are enhanced by using the THE PERIODONTAL PROBE The periodontal probe is used to

measure.the depth of the gingival sulcus or periodontal pocket in millimeters to help evaluate the extent of support loss (Figure 2.66). Probes vary by design and markings: ' Crosssectional design: rectangular (flat), oval, or round 0 Millimeter markings: the calibrated working end is marked at varying intervals to facilitate reading of depth measurements COMMONLY USED PERIODONTAL PROBES The Marquis probe Donald F. Adams Periodontitis is characterized clinically by loss of attachment (LOA) and the formation of pockets and osseous defects. The documentation of LOA is essential in establishing baseline data, monitoring treatment results, and determining periodontal stability. Probes vary in design by length, thickness, and

millimeter.markings. Characteristics of a good periodontal probe include a thin shaft with a rounded tip, durable markings that are easily read, and ease of sterilization.Periodontal Probe Design Working end: It is blunt, straight and generally round and tapered with graduated millimeter markings. Shank ❑ Junction between shank and working end is 90° ❑ Remaining shank can be straight or offset. Types (Figs 3.2A to E and 3.3) ❑ Calibrated periodontal probe—color coded/noncolor coded ❑ Nabers furcation probe. Generations of Periodontal Probe (Refer Chapter 32) Uses of Periodontal Probe 1. Used for recording pocket depth, attached gingiva, These are called turbo tips (Figure 2.22). In general, widening the light guide tip from

exit.portal to end of light guide results in a lower light intensity at the tip. The amount of light delivered remains the same but is distributed over a larger area. The reverse in not necessarily the case as the light is reflected at the surface of the sleeve on the light guide, leading to dissipation of the light within the light guide itself. This may well further lead to the guide becoming warm. l Light probe design.

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