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Practical periodontal screening and diagnosis

E F Corbet1

  • 1Faculty of Dentistry, Hong Kong.

International Dental Journal
|October 21, 1998
PubMed
Summary

Screening for periodontal disease differs from diagnosis. The Periodontal Screening and Recording (PSR) procedure is effective, but advanced cases require further imaging and examination post-hygiene treatment. Current advanced diagnostics lack practical application.

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Area of Science:

  • Dentistry
  • Periodontology
  • Diagnostic Procedures

Background:

  • Periodontal diseases require distinct screening and diagnostic approaches.
  • The Periodontal Screening and Recording (PSR) procedure has evolved and is currently applied.
  • Distinguishing between screening and definitive diagnosis is crucial for effective patient management.

Purpose of the Study:

  • To highlight the differences between screening and diagnosis of periodontal diseases.
  • To discuss the evolution and application of the Periodontal Screening and Recording (PSR) procedure.
  • To evaluate the utility of advanced diagnostic methods in periodontology.

Main Methods:

  • Review of the Periodontal Screening and Recording (PSR) procedure.
  • Analysis of recommended imaging (panoramic and periapical radiographs) for advanced periodontal cases.
  • Discussion of comprehensive clinical periodontal examinations and their timing.
  • Consideration of risk exposures in diagnosis.
  • Evaluation of newer, non-anatomic diagnostic procedures.

Main Results:

  • The Periodontal Screening and Recording (PSR) procedure is a key screening tool.
  • For advanced periodontal issues, panoramic radiography with supplemental periapicals is advised.
  • A comprehensive clinical examination is recommended, potentially after initial hygiene therapy.
  • Risk factor assessment is important for accurate diagnosis.
  • Current advanced, non-anatomic diagnostic tools are not yet practical.

Conclusions:

  • Screening and diagnosis of periodontal disease necessitate different strategies.
  • The PSR procedure serves as an effective initial screening method.
  • Advanced periodontal cases require comprehensive evaluation including radiography and clinical examination, with timing considerations.
  • Emerging diagnostic technologies currently lack clinical applicability.

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