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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.

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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
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Methods for Clinical Assessment in Periodontal Diagnostics: A Systematic Review.

I H Stødle1, J-C Imber2, S V Shanbhag1

  • 1Department of Periodontology, Faculty of Dentistry, University of Oslo, Oslo, Norway.

Journal of Clinical Periodontology
|March 17, 2025
PubMed
Summary

This systematic review found no clear advantage of electronic probes over manual probes for diagnosing or monitoring periodontitis. Manual probes remain the standard for assessing periodontal health.

Keywords:
clinical attachment lossdiagnosisperiodontitisprobing depth

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Area of Science:

  • Periodontology
  • Dental Diagnostics
  • Clinical Assessment

Background:

  • Periodontitis diagnosis and monitoring rely on accurate clinical assessment.
  • Traditional manual probes are the current standard for measuring probing depth (PD) and clinical attachment level (CAL).
  • Investigating alternative assessment methods is crucial for improving diagnostic accuracy and reliability.

Purpose of the Study:

  • To systematically review clinical studies comparing alternative periodontal assessment methods to manual probes.
  • To determine if non-manual probes enhance diagnostic accuracy for periodontitis.
  • To evaluate if alternative probes improve reliability in monitoring disease stability or progression in supportive periodontal care (SPC).

Main Methods:

  • A comprehensive search strategy was employed across four electronic databases.
  • Included studies focused on probing depth (PD) and clinical attachment level (CAL) measurements.
  • Risk of bias was assessed using a modified Newcastle-Ottawa scale.

Main Results:

  • Twenty-six studies were included from 5417 identified titles.
  • Manual probes tended to yield higher PD values.
  • Pressure-sensitive/electronic probes showed a trend towards better inter- and intra-examiner reproducibility.
  • No definitive superiority of one probe type over the other was found for diagnosis or monitoring.

Conclusions:

  • Pressure-sensitive/electronic probes do not offer a clear benefit over contemporary manual probes.
  • Manual probes continue to be the established clinical standard for periodontitis diagnosis and patient monitoring.
  • Further research may be needed to definitively establish the role of advanced probes.