Wouldn't the last patients grade be Grade C because they smoke half a pack a day? Grade C says equal to or greater than 10 cigarettes a day. Half a pack would be 10.
Yes, I agree!! Thanks for reaching out to me regarding this. However, according to the textbook, the answer is Grade B, but I agree with your rationale since the client smokes half a pack a day (10 cigs), it should bump them up to Grade C. I have just reached out to the authors of the textbook regarding this. If I receive any clarification from them regarding why it's Grade B, I'll let you know here. Thanks again for bringing this to my attention, and my apologies for the confusion. For reference, if you want to see the answer in the textbook, which says Stage IV, Grade B for this case, please refer to page 142 in Foundations of Periodontics for the Dental Hygienist (9th ed.).
@@dentalhygienemadeeasy also the classification for time mark 12:50, where it mentions that he has CAL 5mm or "more" wouldnt that bump the pt as stage IV?
@@jennifergomez6985good question! No, CAL is the same for stage 3 and 4. What makes the client a stage 4 is if they have lost 5 teeth or more due to perio and have lots of issues with their teeth (can't chew properly, has severe mobility, etc).
Hi, thank you for the very thorough explanation. Why didn't we calculate for the Indirect evidence of progression in the last case of the video (19:35)?
Hi Nico! My apologies, that was an error on my end. If we take the worst area of boneloss (let's say it's on the mesial of max right 2nd premolar), what do you think the % of boneloss would be? I'm going to go with 70%. If I say 70% and divide it by his age of 53 (70/53), this gives me 1.32... That's Grade C. Thanks for bringing this to my attention :)
@@dentalhygienemadeeasy Thank you so much for replying and making this great video! I have used it as a guide to preparing my student for his quiz next week
You're right! I didn't do that. If we took the worst area of boneloss (let's say it's on the mesial of max right 2nd premolar), what do you think the % of boneloss would be? I'm going to go with 70%. If I say 70% and divide it by his age of 53 (70/53), this gives me 1.32. This answer shifts the grade to Grade C. Thanks for bringing this to my attention :)
I need clarification with CAL. Our software automatically calculates CAL for me when probing numbers are entered. So, if probing numbers are generalized 2-3mm, I’m gonna get interdental CAL’s of 3. This puts the patient in Stage 2 automatically yet a probing depth of 3 is normal and healthy. Can anyone help me understand this?
If you want accurate CAL numbers you would have to calculate them yourself. Software automatically calculates the GM at 0 which is why the CALs end up the same as probing depths. But in reality healthy gums sit 1-3 mm above the CEJ making a pocket depth of 3 mm on a healthy patient ending up being CAL of 0. If you have a patient with a 3 mm PD but you can feel the CEJ at 2 mm with your probe under the gumline technically their cal would be 1 (3 minus 2 because gums are still above CEJ). You would only add to pocket depth for recession because the gums are below the CEJ
That first one is a terrible example. There is no way that person had on 3-4 mm interdental CAL. Those PDS are either recorded too low or the gm is not account for significant recession.
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This is wonderful, thank you so much! You should definitely make more of these!
This is the video i have been looking for hours. Thank you, it is so informative.
Wouldn't the last patients grade be Grade C because they smoke half a pack a day? Grade C says equal to or greater than 10 cigarettes a day. Half a pack would be 10.
Yes, I agree!! Thanks for reaching out to me regarding this. However, according to the textbook, the answer is Grade B, but I agree with your rationale since the client smokes half a pack a day (10 cigs), it should bump them up to Grade C. I have just reached out to the authors of the textbook regarding this. If I receive any clarification from them regarding why it's Grade B, I'll let you know here. Thanks again for bringing this to my attention, and my apologies for the confusion. For reference, if you want to see the answer in the textbook, which says Stage IV, Grade B for this case, please refer to page 142 in Foundations of Periodontics for the Dental Hygienist (9th ed.).
@@dentalhygienemadeeasy also the classification for time mark 12:50, where it mentions that he has CAL 5mm or "more" wouldnt that bump the pt as stage IV?
@@jennifergomez6985good question! No, CAL is the same for stage 3 and 4. What makes the client a stage 4 is if they have lost 5 teeth or more due to perio and have lots of issues with their teeth (can't chew properly, has severe mobility, etc).
Hi, thank you for the very thorough explanation. Why didn't we calculate for the Indirect evidence of progression in the last case of the video (19:35)?
Hi Nico! My apologies, that was an error on my end. If we take the worst area of boneloss (let's say it's on the mesial of max right 2nd premolar), what do you think the % of boneloss would be? I'm going to go with 70%.
If I say 70% and divide it by his age of 53 (70/53), this gives me 1.32... That's Grade C.
Thanks for bringing this to my attention :)
@@dentalhygienemadeeasy Thank you so much for replying and making this great video! I have used it as a guide to preparing my student for his quiz next week
Hi, Thank you so much for making this video, it was very thorough explanation.
This video is. amazing, thank you so much!! Super helpful
What is you have a patient who by most accounts is stage 2 but they have localized PDs of 7 mm. Would that automatically upgrade them to a stage 3?
@@TheCh3lzea yup! You always select the worst area and stage that.
This is great..thank you!
you're amazing thank you!!!!
you forgot to do the RBL/age for the last patient's Grading.
You're right! I didn't do that. If we took the worst area of boneloss (let's say it's on the mesial of max right 2nd premolar), what do you think the % of boneloss would be? I'm going to go with 70%.
If I say 70% and divide it by his age of 53 (70/53), this gives me 1.32. This answer shifts the grade to Grade C.
Thanks for bringing this to my attention :)
thanks prof love u
Thank you. Thank you. Thank you!
I need clarification with CAL. Our software automatically calculates CAL for me when probing numbers are entered. So, if probing numbers are generalized 2-3mm, I’m gonna get interdental CAL’s of 3. This puts the patient in Stage 2 automatically yet a probing depth of 3 is normal and healthy. Can anyone help me understand this?
If you want accurate CAL numbers you would have to calculate them yourself. Software automatically calculates the GM at 0 which is why the CALs end up the same as probing depths. But in reality healthy gums sit 1-3 mm above the CEJ making a pocket depth of 3 mm on a healthy patient ending up being CAL of 0. If you have a patient with a 3 mm PD but you can feel the CEJ at 2 mm with your probe under the gumline technically their cal would be 1 (3 minus 2 because gums are still above CEJ). You would only add to pocket depth for recession because the gums are below the CEJ
On phone, tablet or TV: letters too small
That first one is a terrible example. There is no way that person had on 3-4 mm interdental CAL. Those PDS are either recorded too low or the gm is not account for significant recession.