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Chart the mouth starting at the uppermost side - it may be easier
to use a microcassette recorder and transcribe later to improve
speed and cleanliness.
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Count the teeth and note missing or extra teeth.
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Determine the level of calculus, as per the legend
(0 = none to 3 = 100% cover).
- Determine the level of gingival inflammation, as per the legend.
Using the blunt perio probe, gently run the probe around the buccal
sulcus to determine the degree of gingival inflammation. Take
care not to use too much apical pressure or pass the same way
twice - you do not wish to create damage where none exists.
- Note any major visible abnormalities - fractured teeth, enamel
defects, neoplasms, attrition with tertiary dentine exposure.
- Optional - use disclosing solution to determine location and
level of plaque. This step is of most use postoperatively in consulting
room examinations. Apply to buccal surfaces with a soaked cotton
bud. Duo-128™ (Virbac) contains two dyes - pink deposit indicates
immature plaque and purple is mature, mineralised plaque.
After initial scaling
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Examine the sulcus of each tooth in a minimum of six locations
- three buccal and three palatal/lingual. Use the graduated
probe, in the long axis of the tooth, in an apical direction.
Apply no more than one ounce of pressure. Use the probe as your
eyes under the gumline and feel for missed subgingival calculus,
abnormal pits and depressions in the root surfaces and periodontal
pockets - describe depth and location.
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Note the location of any teeth extracted by crossing out the
corresponding boxes and tooth graphics.
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Note other important features such as:
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Gingival recession and root furcation exposure- draw new line
on buccal graphic
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Caries - draw location
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Enamel defects - draw location and insert classification in
parenthesis
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Mobile teeth - use index as per code key
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Other significant lesions (e.g. fractured crowns or cusps,
abrasion sites, FORL's in cats etc).
- Note treatments performed - fillings, root planing, extractions,
pocket management and gingival flaps and root canals.
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