Measurement of Periodontal Attachment Loss

In this lecture I explain in step-by-step fashion the basics of Measurement of Periodontal Attachment Loss. a photo guide is attached to the guide to aid in better understanding of the topic

1. MEASURE
ATTACHMENT LOSS

DENTAL TIPS

2. Attachment Loss

Clinical Attachment Loss:
is the measurement of distance from cemento-enamel
junction (CEJ) to the apical extent (depth) of

periodontal sulcus

It aid in the diagnosis of periodontal diseases

3. Attachment Loss

Insertion of periodontal probe

Enamel ————e

Top of pocket

1

Attachment
loss

|

Base of pocket ——>

o—_ Gingiva

Root surface

Pocket depth

|

4. How to measure?

It involve two measurments, pocket probing depth and
the gingival margin level... Then we add these two
numbers together

First, measure the pocket depth with periodontal

probe

5. How to measure?

Then, measure the distance from marginal gingiva
to the CEJ

= If the gingival margin level above the level of CEJ, then assign a
negative sign to the number (e.g., -1, -2, -3...)

= If the gingival margin level at the same level of CEJ, then the
number is ZERO

# If the gingival margin level below the level of CEJ, then assign a
positive sign to the number (e.g., +1. +2, +3...)

in this case
ginigival margin
level is

+1

6. How to measure?

Now we add the two numbers together, and the

result is the clinical attachment loss

Examples:

m Periodontal pocket depth = 2
Gingival margin level =+1
Clinical attachment loss = 2 +1=3

= Periodontal pocket depth = 5
Gingival margin level =-2
Clinical attachment loss = 5 -2 =3

7. AAA A 4 x b
A tooth with probing depth of 1mm
and the gingival margin level is above the CEJ by
1mm

calculate clinical attachment loss for that tooth ...

Put your answer in the

comments below...