STENCILDENT

                             FRENECTOMY  STUDENTS CORNER :  This particular topic on frenectomy on exam point of view is a most possible 5 mark question so in order to achieve maximum possible marks we need to present this answer in an order ,Firstly begin by giving small introduction on what frenectomy is ,how is it different from frenotomy ,where frenectomy is performed followed by how its supposed to be performed apart from exams its definitely must know topic regarding case selection criteria which has a very vital role ,in clinical practice . INTRODUCTION: Frenum is a fold of mucous membrane that is enclosed with muscle fiber that attaches to lip and cheek at alveolar mucosa gingiva  If frenum to close to marginal gingiva ,it creates tension on frenum that pull gingival margin away from tooth ,conducive to plaque accumulation. FRENECTOMY: Complete removal of frenum including its attachment to underlying bone and may be required in correction of an abnormal diastema between maxilla

 PERIODONTAL SCREENING AND  RECORDING  It has been developed jointly by the american academy of periodontology and the american dental association with the support of the procter and gamble company PROBE : WHO probe is used  It 0.5mm ball tip and colour coded from 3.5 to 5.5mm CODING SYSTEM : CODE 0 :  The probes coloured band remains completely visible  healthy and does not bleed on gentle probing  CODE 1:  Colour band completely visible in the deeper sulcus of the sextant bleeding after gentle probing is detected  CODE 2: Colour band completely visible,subgingival calculus defective margin are seen bleeding is there on probing  Treatment: Plaque and calculus removal,correction of plaque -retention margin of restoration and oral hygiene  CODE 3: Color band is partially visible  If 2 or more sextant score code 3,a comprehensive full -mouth examination and charting and indicated (3-4mm) CODE 4: Color band completely disappear (75mm) Asterisk* Abnormalities-furcation involvement ,tooth m

  PERIODONTAL EXAMINATION OF  TEETH,IMPLANTS,PERIODONTIUM AND  PERIODONTAL POCKET  1)EXAMINATION OF TEETH AND IMPLANTS: A)TOOTH MOBILITY : All teeth have a slight degree of physiologic mobility which varies for : Different teeth Time  During the morning it will be greatest ,slight extrusion of tooth whereas ,during sleep it will be limited as there is not much  Occlusal contact these 24 hour variants are seen in those who  Have occlusal habits  such as : Bruxism Clenching LOCAL CAUSES: Periapical pathology Tooth morphology Implant mobility SYSTEMIC CAUSES : Age  Sex(females more predilection) Oral contraceptive Other Cause : Loss of tooth support Trauma from occlusion STAGES : 1)INITIAL /INTRASOCKET STAGE : Tooth moves within the confine of periodontal ligament  Associated with : Viscoelastic distortion Redistribution of periodontal fluid  2)SECONDARY STAGE: Occur gradually  Increase in horizontal force results in elastic deformation of alveolar bone  GRADING: According to ease and ext