Periodontal Chart free printable template

PERIODONTAL CHART PATIENT NAME Pre-treatment FILE NO. Re-evaluation DATE Recall maintenance Diagnosis CAL BOP PD PI Calc CEJ-GM FACIAL Mobility LINGUAL GM- Gingival Margin. CAL- Clinical Attachment Loss. CEJ- Cementoenamel Junction* PD- Probing Depth Pl- Plaque if presents put. Calc- Calculus if presents put. BOP- Bleeding on probing if presents put red Plaque Index Bleeding Index Periodontal Diagnosis Supervisor s Signature. CEJ- Cementoenamel Junction* PD- Probing Depth Pl- Plaque if...

How to fill out perio charting form

How to fill out Periodontal Chart

1. Gather necessary tools: periodontal probe, mouth mirror, and patient information.
2. Start by explaining the procedure to the patient and ensuring their comfort.
3. Begin examining the patient’s mouth, focusing on one quadrant at a time.
4. Use the periodontal probe to measure the depth of the sulcus or pocket around each tooth.
5. Record the measurements in millimeters on the chart for each tooth.
6. Note any signs of gum disease, such as bleeding or swelling, next to the corresponding tooth on the chart.
7. Check for mobility of teeth and record any abnormal findings.
8. Assess the presence of calculus or plaque and document these observations.
9. Summarize the findings and determine the periodontal health status of the patient.
10. Review the completed chart with the patient and discuss any necessary treatment.

Who needs Periodontal Chart?

1. Patients with periodontal disease or risk factors for gum disease.
2. Dental professionals conducting routine check-ups or cleanings.
3. Orthodontic patients who may be at increased risk for periodontal issues.
4. Individuals experiencing symptoms such as bleeding gums, tooth mobility, or bad breath.
5. Anyone undergoing periodontal treatment needs regular monitoring.

Instructions and Help about perio charting form

Welcome to the University of Michigan dentistry podcast series promoting oral health care worldwide the symbols used for charting are shown at the top of Pagan chart there are symbols for missing teeth food impaction open contacts mobility bridges drifted or extruded teeth beginning for kitchens exposed for kitchens and periapical areas' mobility of the teeth is recorded in the squares both here and at the base of the chart the buccal and lingual aspects of the teeth are labeled on the chart this is the buccal of the maxillary teeth and the lingual of the maxillary teeth the chart is divided into millimeter markings which are an aid to marking the depth of periodontal pockets on the chart and the cementoenamel junction the reference point from which the measurements are made is indicated in these areas now let me see if I can demonstrate the use of the symbols for charting on this chart let's assume that we are missing tooth number one and tooth number five that there is an area of food impaction between 2 and 3 sometimes you may have an area of food impaction even though the contact point is not open particularly if there is a plunger cusp there's an open contact however between 2 camp; 3 & 3 & 4 the mobility of the teeth is number two has a mobility of one three has a mobility of two and eight has a mobility of one there is a bridge replacing tooth number 5 with 4 and 6 as abutments tooth number four has drifted medially the buckle of tooth number two has a beginning for fashion involvement as the for occasion involvements are marked right at the percussion the buckle of tooth number three has an exposed for occasion it means we can insert the periodontal probe all the way into the bifurcation area the mesial-lingual of tooth number three has an exposed for cushion it's wide open tooth number eight as a periapical area recording these symbols for charting I would then begin by recording the pocket depth in excess of three millimeters and if you are calling these out to an assistant we would begin on the distal buccal of the last tooth which is number two, and we begin like this 4 5 4 3 7 6 4 3 3 3 2 3 3 3 4 3 2 3 after you have recorded the buccal pocket depth I would then proceed to the lingual beginning on the distal lingual of tooth number 2 again and recording only those pocket depths the next s of 3 millimeters 4 5 5 5 8 8 4 3 3 2 to 3 3 to 4 3 to 3 once the recording of the pocket beds has been accomplished I would then proceed to record the level of the free gingival margin in relationship to the cementoenamel junction on those teeth with pockets or those teeth with gingival recession and the teeth would qualify in that category would be any tooth that has a gingival margin apical to the cementoenamel junction I would begin on the first tooth here that has pocket depth recorded and on measuring from the distal of tooth number 2 we the first measurement is 2 millimeters the PRE gingival margin is 2 millimeters from the cementoenamel...

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What is Periodontal Chart?

A Periodontal Chart is a graphical representation of the health of an individual's gums and supporting structures of the teeth. It records information about periodontal conditions, such as pocket depths, gum recession, and mobility of teeth.

Who is required to file Periodontal Chart?

Dental professionals, such as dentists and dental hygienists, are required to file a Periodontal Chart for patients undergoing periodontal assessment or treatment.

How to fill out Periodontal Chart?

To fill out a Periodontal Chart, a dental professional examines the patient's mouth, measures the depth of the gum pockets around each tooth using a periodontal probe, notes any signs of gum disease or other conditions, and records this information in the chart.

What is the purpose of Periodontal Chart?

The purpose of a Periodontal Chart is to assess and document the periodontal health of a patient, enabling dental professionals to diagnose conditions, plan treatment, and monitor changes over time.

What information must be reported on Periodontal Chart?

The information that must be reported on a Periodontal Chart includes pocket depths, attachment levels, gum bleeding, tooth mobility, furcation involvement, gum recession, and any other significant findings related to the periodontal health of the patient.