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 Healthy – Gum tissue & oral cavity are
stable and maintained
 Gum tissue is pink & firm
 No bone loss around teeth or
bleeding
 Gingivitis – Inflammation of the oral
cavity & damage of the gum tissue that is
reversible
 Gums are tender, swollen & red
 Gums bleed easy
 Bad breath
 Plaque bacteria along the gum
line
 Periodontitis – Bacterial infection of the
oral cavity of destruction of ALL parts of
the gum tissue & supporting bone around
a tooth. This is NOT reversible
destruction to the tissues & bone
surrounding a tooth.
Active Stable
Slight Moderate Severe
 Inflamed gum tissue & bleeding
 Gums are pulled away from
teeth
 Bad breath & taste
 Tooth mobility
 Plaque bacteria below the gum
line
 Bone loss around supporting
teeth
 Oral systemic factors
Diabetes Mellitus Osteoporosis
Hormone alteration Medications
Tobacco Use Genetic Influence
_________________________________
_________________________________
 Local factors
Crowded teeth Restoration Overhang
Open contact of teeth
Dental caries – cavities
_________________________________
_________________________________
FoxValleyTechnicalCollege
Appleton,WI
SheenaSpencer
Phone:1-715-881-1152
What is
your Perio
Status?
Patient
Name:_________________________
Date:
Primary purpose is to
provide quality dental
hygiene care
to all patients,
while recognizing and
respecting the dignity
of each individual.
To provide oral health
care needs in
today’s ever changing
world.
Blood Pressure
Readings
Date:
Blood Pressure:
Date:
Blood Pressure:
Date:
Blood Pressure:
Date:
Blood Pressure:
Date:
Blood Pressure:
Date:
Blood Pressure:
Oral Hygiene Instruction & Specific
Adjunct
 Brushing 2x day for 2-3 minutes
Manual Toothbrush
Department Stores - $1-$15
Electric Toothbrush
Department Stores/Online - $20-$300
 Flossing 2x day
Floss &
Floss Picks
Department
Stores
$.50 - $5
Proxi Brush
Department Stores - $.50- $5
Floss Threader
Department Stores - $1- $5
Water Jet/Pik
Department Stores / Online
$50-$100
Laser
*Done at Dental Office
Chemotherapeutic
Considerations
 Toothpaste
Over the
counter
toothpaste
Department
Stores - $5-$20
Rx toothpaste prescribed by the dentist
Prevident
 Mouthwash
Over the counter
mouthwash
Department Stores - $10-$20
Rx Mouthwash
Dentist will show a
need for this
mouthwash
Spry Moisturizing Spray
Streu’s Pharmacy
635 Main St.
Green Bay,
920-437-0206
Recare Intervals
 Prophy – Pts. have healthy,
gingivitis and/or maintained home
self-care. Pts. are asked to come
every 6 months for oral hygiene appt.
 Periodontal Maintenance – Pts. that
have periodontitis active or stable.
Pts. are asked to come every 3-4
months for hygiene appts. to
maintain disease.

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Perio STATUS

  • 1.  Healthy – Gum tissue & oral cavity are stable and maintained  Gum tissue is pink & firm  No bone loss around teeth or bleeding  Gingivitis – Inflammation of the oral cavity & damage of the gum tissue that is reversible  Gums are tender, swollen & red  Gums bleed easy  Bad breath  Plaque bacteria along the gum line  Periodontitis – Bacterial infection of the oral cavity of destruction of ALL parts of the gum tissue & supporting bone around a tooth. This is NOT reversible destruction to the tissues & bone surrounding a tooth. Active Stable Slight Moderate Severe  Inflamed gum tissue & bleeding  Gums are pulled away from teeth  Bad breath & taste  Tooth mobility  Plaque bacteria below the gum line  Bone loss around supporting teeth  Oral systemic factors Diabetes Mellitus Osteoporosis Hormone alteration Medications Tobacco Use Genetic Influence _________________________________ _________________________________  Local factors Crowded teeth Restoration Overhang Open contact of teeth Dental caries – cavities _________________________________ _________________________________ FoxValleyTechnicalCollege Appleton,WI SheenaSpencer Phone:1-715-881-1152 What is your Perio Status? Patient Name:_________________________ Date: Primary purpose is to provide quality dental hygiene care to all patients, while recognizing and respecting the dignity of each individual. To provide oral health care needs in today’s ever changing world. Blood Pressure Readings Date: Blood Pressure: Date: Blood Pressure: Date: Blood Pressure: Date: Blood Pressure: Date: Blood Pressure: Date: Blood Pressure:
  • 2. Oral Hygiene Instruction & Specific Adjunct  Brushing 2x day for 2-3 minutes Manual Toothbrush Department Stores - $1-$15 Electric Toothbrush Department Stores/Online - $20-$300  Flossing 2x day Floss & Floss Picks Department Stores $.50 - $5 Proxi Brush Department Stores - $.50- $5 Floss Threader Department Stores - $1- $5 Water Jet/Pik Department Stores / Online $50-$100 Laser *Done at Dental Office Chemotherapeutic Considerations  Toothpaste Over the counter toothpaste Department Stores - $5-$20 Rx toothpaste prescribed by the dentist Prevident  Mouthwash Over the counter mouthwash Department Stores - $10-$20 Rx Mouthwash Dentist will show a need for this mouthwash Spry Moisturizing Spray Streu’s Pharmacy 635 Main St. Green Bay, 920-437-0206 Recare Intervals  Prophy – Pts. have healthy, gingivitis and/or maintained home self-care. Pts. are asked to come every 6 months for oral hygiene appt.  Periodontal Maintenance – Pts. that have periodontitis active or stable. Pts. are asked to come every 3-4 months for hygiene appts. to maintain disease.