DEPARTMENT OF PERIODONTICS

VISHNU DENTAL COLLEGE, BHIMAVARAM.

TOPIC: ANALYSIS OF PLASMA HOMOCYSTIENE LEVELS IN PATIENTS WITH
CHRONIC PERIODONTITIS BEFORE AND AFTER NONSURGICAL PERIODONTAL
THERAPY BY USING HIGH PERFORMANCE LQUID CHROMTOGRAPHY

EXAMINATION CHART

Sl. No:
OP No:
Name:
Age/Sex:
Address/Ph.no:

Chief complaint:

Medical History:

Past Dental Therapy:

Date:

Personal history:
a) OralHygienehabits:

b) Adverse habits:

BASELINE:
CLINICAL PARAMETERS:
1. Plaque Index(Silness and Loe,1964):

Plaque Score = Total score/Total no. of teeth examined

2. Gingival Index (Loe and Silness,1963):

G.I. Score = Total score/Total no. of teeth examined

3.Gingival Bleeding Index: By Ainamo And Bay (1975):

3
3

4
4

Total Positive Scores =

Total Negative Scores =
Gingival Bleeding Index = Sum of positive scores x 100
Number of margins scored

4. Probing Depth:
Probing depth
8
8
Probing Depth

7
7

6
6

5
5

4
4

3
3

2
2

1
1

1
1

2
2

5
5

6
6

7
7

8
8

5. Clinical Attachment Level:

Clinical
Attachment
Level

8
8

7
7

6
6

5
5

4
4

3
3

2
2

1
1

1
1

2
2

3
3

4
4

5
5

6
6

7
7

8
8

Clinical
Attachment

BIOCHEMICAL PARAMETERS:
5. Plasma Homocystiene Level:

Clinical Diagnosis:

3 MONTHS AFTER NON- SURGICAL PERIODONTAL THERAPY:

CLINICAL PARAMETERS:
1. Plaque Index (Silness and Loe,1964):

Plaque Score = Total score/Total no. of teeth examined

2. Gingival Index (Loe and Silness,1963):

G.I. Score = Total score/Total no. of teeth examined

3. Gingival Bleeding Index: Ainamo And Bay (1975):

Total Positive Scores =

Total Negative Scores =
Gingival Bleeding Index = Sum of positive scores x 100

Number of margins scored

4. Probing Depth:
Probing depth
8
8

7
7

6
6

5
5

4
4

3
3

2
2

1
1

1
1

2
2

3
3

4
4

5
5

6
6

7
7

8
8

5
5

4
4

3
3

2
2

1
1

1
1

2
2

3
3

4
4

5
5

6
6

7
7

8
8

Probing Depth

5. Clinical Attachment Level:

Clinical
Attachment
Level

8
8

7
7

6
6

Clinical
Attachment

BIOCHEMICAL PARAMETERS:
5. Plasma Homocystiene Level: