Periodontal charting

Periodontal charting

Periodontal charting is the graphic representation of the situation in an individuals mouth. Periodontal charting highlights the caries, malposed teeth, clinical attachment levels, restorations, furcation (root) involvement, pocket depths, bleeding sites, mobility, and other similar disorders.

The periodontal charting allows dental hygienists and periodontists to gather the information and to know the current condition of the patients oral health and periodontal disease level in a graphically comprehensible manner. In order to check the progress of the treatment, to keep track of the procedures of treatment which have been done and to make further decisions regarding the treatment, it is necessary to update the periodontal chart every time the patient visits for treatment.

The naming and numbering of teeth is the first task which is done in periodontal charting. The upper arch of an adult, which is called maxillary, contains 16 teeth, while the lower arch, which is called mandibular, consists of similar paired 16 teeth. The permanent teeth are assigned numbers from 1 to 32. The primary teeth are assigned alphabets from a to t, the position of the primary teeth is not considered in this regard.

A periodontal chart can be designed in a style of displaying two rows of 16 circles each, or, it can be designed to display more than a few views of every tooth. The periodontal chart also consists of small boxes which can be used by the periodonist to note down any important points associated with the particular tooth. In a periodontal chart, usually the missing teeth are charted first. You can use an X or a single vertical line to represent the missing tooth. Teeth which are not erupted can be represented by a circle, and partial eruption is displayed by an altered circle.

The periodontal charting identifies if there is a need for the treatment for decay, requirements for restoration or replacements, etc.

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