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Periodontal Screening Guide

The document describes the Periodontal Screening and Recording (PSR) system for assessing periodontal disease. It outlines the 5 codes (0 to 4) used to indicate the health of gums and bone, with deeper probing depths assigned higher numbers. Codes 3 and 4 trigger more extensive clinical exams. The document provides an example PSR chart documenting the codes found in different mouth sections.

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116 views3 pages

Periodontal Screening Guide

The document describes the Periodontal Screening and Recording (PSR) system for assessing periodontal disease. It outlines the 5 codes (0 to 4) used to indicate the health of gums and bone, with deeper probing depths assigned higher numbers. Codes 3 and 4 trigger more extensive clinical exams. The document provides an example PSR chart documenting the codes found in different mouth sections.

Uploaded by

ainun sweety
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PERIODONTAL SCREENING AND RECORDING

Periodontal Screening and Recording


(PSR) System
Criteria for Assigning PSR Codes
Code 0
• Color-coded reference mark is
completely visible in the deepest sulcus
or pocket of the sextant.
• No calculus or defective margins on
restorations are present.
• Gingival tissues are healthy with no
bleeding evident on gentle probing.

Code 1
• Color-coded reference mark is
completely visible in the deepest sulcus
or pocket of the sextant.
• No calculus or defective margins on
restorations are present.
• Bleeding IS present on probing.

Code 2
• Color-coded reference mark is
completely visible in the deepest sulcus
or pocket of the sextant.
• Supragingival or subgingival calculus
and/or defective margins are detected.
PERIODONTAL SCREENING AND RECORDING

Code 3
• Color-coded reference mark is partially
visible in the deepest sulcus or pocket
of the sextant.
• This code indicates a probing depth
between 3.5 and 5.5 mm.

Code 4
• Color-coded reference mark is not
visible in the deepest sulcus or pocket
in the sextant.
• This code indicates a probing depth of
greater than 5.5 mm.

Code *
The * symbol is added to the code of a sextant
exhibiting any of the following abnormalities:
• furcation involvement
• mobility
• mucogingival problems
• recession extending into the colored area
of the probe
Pictured here is an example of a sextant that
has teeth with furcation involvement. There-
fore, the symbol should be recorded next to
the sextant code.
PERIODONTAL SCREENING AND RECORDING

Implications of PSR Codes


Code Further Clinical Documentation
Code 0, 1, or 2 in all sextants No further documentation needed
Code 3 in one sextant Comprehensive periodontal assessment of sextant with 3 code
Code 3 in two or more sextants Comprehensive periodontal assessment of entire mouth
Code 4 in one or more sextants Comprehensive periodontal assessment of entire mouth

Documenting PSR Codes


For a PSR completed on May 14, 2004, the PSR box chart would look like the chart shown
below.

On this sample PSR chart, the following codes have been entered:

• Maxillary right posteriors  Code 3

• Maxillary anterior sextant  Code 2

• Maxillary left posteriors  Code 1

• Mandibular right posteriors  Code 3

• Mandibular anterior sextant  Code 3

• Mandibular left posteriors  Code 4 plus the * symbol to indicate one of the following problems:
furcation involvement, mobility, mucogingival problems, or recession extending into the colored
area of the probe.

Adapted from Nield-Gehrig JS. Fundamentals of Periodontal Instrumentation & Advanced Root Instrumentation, 5th ed.
Baltimore: Lippincott Williams & Wilkins, 2004.

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