> Gingival Recession Classification (P D Miller) ‘Class I: Marginal tissue recession, which does not extend to the mucogingival junction (MGJ), There is no periodontal loss (bone or soft tissue) in the interdental area, and 100% root coverage may be expected. # Class Il; Marginal tissue recession, which extends to or beyond the MGJ. There is no periodontal loss of bone or soft tissue in the interdental area, and 100% root coverage may be expected. © Class IIL: Marginal tissue recession, which extends to or beyond the MGJ. Bone or soft tissue loss in the interdental area is present or there is a malposition of the teeth, which makes 100% root coverage difficult. Partial root coverage may be expected. «Class IV: Marginal tissue recession, which extends to or beyond the MGJ. The bone or soft tissue loss in the interdental area and/or malposition of teeth is so severe that root coverage cannot be expected. v Indices ~ The following two indices are recorded at any periodontal exam, re-evaluations, case ‘completes and maintenance visits: - Modified Plaque Index - (Modified from Podshadley Index) 1. Use Teeth - # 8, 24 + four 1* molars: 3, 14, 19 & 30 2. Ifa central is missing, select the next most anterior tooth, Ifa 1* molar is missing, the next most posterior tooth is selected. If there is no posterior tooth, then the score for the contra- lateral tooth is used. Score buccal surfaces for max. & lingual for mand, 4, Plaque scores range from 0 to 5 areas per tooth ~ the tooth surface is divided into three equal vertical sections and the middle section is equally divided into three sections ~ Use disclosing solution, 5. The score of | is assigned for every section where plaque is present. There are 6 teeth and 5 maximum sections per tooth for a maximum total of 30. Formulate a percentage for the Modified Plaque Index based on the amount of plaque present. Ideal is 0% #3 Buccal __ [#19 Lingual | #8 Facial = #24 Lingual [414 Buccal = #30 Lingual = | Total Score = | 30 | MPI= % ‘© Bleeding Index ~ Modified Mubleman/Carranza Text Bleeding Index a, All bleeding points are circled on the charting b. The number of bleeding points per tooth are calculated ~ maximum of 6 per tooth (6 probings) c. A percentage is calculated: # of bleeding points # of teeth times 6 areas per tooth 4, Ois ideal, but 10% or less is desirable.