Parameters of Care Summary - Comprehensive Perio Exam
Patient evaluation/examination should include:
- Medical history
- Identify predisposing conditions
- Dental history
- Chief complaint
- Past dental and periodontal care
- Extraoral structures
- Intraoral tissues and structures
- Oral mucosa, muscles, lips, floor of mouth, tongue, salivary glands, palate, oropharynx
- Teeth and replacements
- Missing teeth, condition of restorations, mobility, position, occlusion, habits, pulpal status
- Based on diagnostic needs of patient
- Diagnostic quality
- Plaque and calculus
- Periodontal soft tissues
- Probing depths, location of gingival margin (clinical attachment levels), and presence of bleeding on probing
- Mucogingival relationships
- Furcation invasions
- Additional diagnostic aids where warranted
- Diagnostic casts, microbial assessments, radiographic imaging, medical lab tests
Document all relevant clinical findings.
Make and document referrals to other health care providers when warranted.
Present patient with the diagnosis.
Present patient with the proposed treatment plan.
Inform patient of:
- Disease process
- Therapeutic alternatives
- Potential complications
- Expected results
- Their responsibilities in treatment
- Consequences of no treatment
Source: Journal of Periodontology, Volume 71 Number 5, May 2000 (Supplement)
Parameters are available for download from the AAP web site.