Dental grading/scoring

WSAVA guideline

Key findings

• Box 5 — PD staging per tooth (AVDC), verified from official translation: PD0 = clinically healthy, no gingival inflammation; PD1 = gingivitis only, no attachment loss; PD2 = early periodontitis, attachment loss <25% (probing, or radiographic CEJ-to-alveolar-margin : root-length ratio) or furcation stage 1 at most; PD3 = moderate, loss 25–50% or furcation stage 2; PD4 = advanced, loss >50% or furcation stage 3. One patient may carry teeth at different PD stages.
• Box 4 — mobility (M), verified from official translation: M0 physiological ≤0.2 mm; M1 >0.2 to 0.5 mm in any non-longitudinal direction; M2 >0.5 to 1.0 mm; M3 >1.0 mm or any longitudinal mobility.
• Furcation (Figure 114): grade I — probe enters <1/3 root width → cleanable closed (no flap); grade II — >1/3 but not through → flap surgery or extraction; grade III — through-and-through → extraction.
• OHI (Gawor et al. 2006), conscious patient: scores lymph nodes, dental deposits, inflammation status, diet, homecare. Action bands as printed: 0–3 prophylactic recommendations; 4–7 radical change required, surgery likely; 8–12 immediate surgery required.
• TMPS (Harvey et al. 2008): under GA; "allows for a very accurate determination of the patient's periodontal health".
• Modified Triadan: quadrants clockwise from right maxilla — 100s right maxilla, 200s left maxilla, 300s left mandible, 400s right mandible (500–800 deciduous); canines always 04, first molars 09 (e.g., left maxillary fourth premolar = 208).
• Normal probing depth: dog 0–3 mm / cat 0–1 mm (§1, §4); pocket diagnosed at >3 mm (dog) / >0.5 mm (cat) ⚠️ §5 Step 8 prints the feline sulcus as "0-0.5 mm" — internal inconsistency [verify]; record 6 sites/tooth (§4 allows 4–6).
• Bleeding on probing = grade II gingivitis (Figure 9) — first sign of disease, before colour change; gingival inflammation, not calculus load, should trigger professional therapy (calculus is essentially non-pathogenic).
• Timelines: plaque forms within 24 h, calculus within 3 days, gingivitis begins as early as 2 weeks (§1 Key Points).
• Recording: manual symbols — circle (O) missing, hash (#) fractured, cross (X) extracted; free EVDS electronic charting; thiol test strip aids conscious scoring and compliance.

Recommendations

• Stage PD per tooth (PD0–PD4, Box 5) combining clinical findings with dental radiographs (AVDC 2019); staging without radiographs is "very inaccurate"

  Expert consensus (Dental Guidelines Committee)

• Grade mobility (M0–M3) and furcation exposure (I–III) on every multirooted tooth under GA

  Expert consensus

• Probe and record 6 points circumferentially per tooth, systematically from the first incisor distally; chart with modified Triadan

  Expert consensus

• Use OHI (Gawor) on conscious patients for the preliminary plan; TMPS under GA for accurate whole-mouth assessment

  Expert consensus

• Treat bleeding on probing as the earliest sign (grade II gingivitis); judge therapy need by inflammation, not calculus

  Expert consensus

• Thorough oral examination "MUST be part of every dental procedure", charted contemporaneously in the medical record

  Expert consensus

• Box 4/5 absent from English capture, verified via official Russian translation (pp. E73–E74); furcation grades from Figure 114 caption [verify Box 3 against PDF]

  [verify] flag carried

Related drugs in this reference (0)

No indication text currently matches this condition by name. Try a broader condition or search the drug reference directly. Absence of a match does not establish that treatment is unavailable.