Absence of bleeding on probing An indicator of periodontal stability

Abstract

Lang NP, Adler R, Joss A and Nyman S. Absence of bleeding on probing -An indicator of periodontal stability. J Clin Periodontol 1990; 17: 714-721. Abstract. Following active periodontal therapy, 41 patients were incorporated in a maintenance program for 2 1/2 years with recall intervals varying between 2-6 months. At the beginning of each maintenance visit, the periodontal tissues were evaluated using "bleeding on probing" (BOP). Reinstrumentation was only performed at sites which bled on probing. However, supragingival plaque and calculus was always removed. Pocket probing depths and probing attachment levels were recorded after active treatment and at the conclusion of the study. Progression of periodontal disease was defined by an observed loss of probing attachment of >2 mm. The reliability of the BOP test as a predictor was evaluated by calculating sensitivity, specificity, accuracy, and positive and negative predictive values. While only a 29% sensitivity was calculated for frequent bleeding, the specificity was 88%. The fact that the positive predictive value for disease progression was only 6% and the negative predictive value was 98% renders continuous absence of BOP a reliable predictor for the maintenance of periodontal health.

Halitosis, Oral Health and Quality of Life during Treatment with Invisalign® and the Effect of a Low-dose Chlorhexidine Solution

“…Ansyco GmbH, Karlsruhe, Deutschland). Halimeter ® -Werte zwischen 70 und 110 ppb stellen hierbei den Normbereich dar, ab einem Wert von 150 ppb kann man von manifestem Mundgeruch sprechen [7]; -der modifizierte Gingiva-Index nach Löe & Silness [21] (0 = kei ne Entzündung und Rötung, 1 = l eichte Entzün-dung, leichte Rötung, leichte Schwellung, 2 = mäßige Entzündung mit Rötung, Ödem und Blutung, 3 = schwere Entzündung, Rötung, Ödem, Tendenz zu Spontanblutungen, Ulzerationen); -der modifizierte Plaque-Index nach Silness & Löe [36] (0 = keine Plaque durch Inspektion und Sondierung, 1 = hauchdünner, sondierbarer Plaquefilm, 2 = k ontinuierliche Plaquebedeckung im Sulkusbereich, 3 = d ickere Zahnbeläge, Interdentalraum ausgefüllt); -der Bleeding on Probing Index [17] (0 = keine Blutung, inaktiv; 1 = Blutung, aktiv).…”

“…Die folgenden Messungen und Parameter wurden durchgeführt und untersucht: -die mastikatorisch stimulierte Speichelfließrate (in ml/min, stimuliert durch zweiminütiges Kauen eines Paraffin-Kör-pers); -measurement of volatile sulfur compounds in ppb using the Halimeter ® sulfide monitor (Interscan Corporation, Chatsworth, CA, USA or Ansyco GmbH, Karlsruhe, Germany). Halimeter ® readings between 70 and 110 ppb represent the normal range, above a value of 150 ppb can be described as manifest oral malodor [7]; -the modified gingival index according to Löe & Silness [21] (0 = no inflammation or redness, 1 = slight inflammation, slight redness, slight swelling, 2 = moderate inflammation with redness, edema and bleeding, 3 = severe inflammation, redness, edema, tendency to spontaneous bleeding, ulceration); -the modified plaque index according to Silness & Löe [36] (0 = no plaque based on inspection and probing, 1 = thin, probeable film of plaque, 2 = continuous plaque covering in the sulcus area, 3 = thick dental plaque, interdental space filled); -the bleeding on probing index [17] (0 = no bleeding, inactive, 1 = bleeding, active).…”

The Decision to Extract or Retain Compromised Teeth is not Helped by the Application of a Scoring System

“…They state that deep probing depths with bleeding are an indicator of periodontal disease activity, although there are no current good indicators of ''disease activity.'' They correctly claim that these features may be a predictor of future attachment loss, but without reference to a relevant article such as that by Lang et al, 3 and no consideration as to whether these criteria apply to an individual who has received some therapy or is untreated. Although probing depths are considered, there is surprisingly no consideration of loss of attachment, which is a more appropriate measure of periodontal destruction.…”

Die Rolle zirkulärer septaler Fibrotomie (Circumferential Septal Fiberotomy – CSF) bei der Stabilisierung des kieferorthopädischen Behandlungsergebnisses – eine randomisierte kontrollierte klinische Studie

“…Messungen der Taschentiefe und Rezessionen wurden mittels der Hu-Friedy PGF-GFS Parodontalsonde (Hu-Friedy Chicago, Illinois, USA) an sechs Stellen jedes Zahns vorgenommen. Der BOP-Index wurde an vier Messpunkten jedes Zahns mit leichtem Druck derselben Sonde (0,25 N) erhoben [18]. Nach der anfänglichen Parodontaluntersuchung wurde eine Seite des Unterkiefers vom mittleren Schneidezahn bis zum Eckzahn als randomisierte Testregion definiert.…”