What is normal clinical attachment level?

The mean value of clinical attachment loss was obtained and divided into 4 groups: a clinical attachment of <1 mm (normal group), a clinical attachment of 1 – 3 mm (mild group), a clinical attachment of 3 – 5 mm (moderate group) and a clinical attachment of ≥5 mm (severe group).

How do you calculate clinical attachment level?

When recession of the gingival margin is present, the CAL is calculated by adding the probing depth to the gingival margin level.
When the gingival margin is coronal to the CEJ, the CAL is calculated by subtracting the gingival margin level from the probing depth.

What is the meaning of clinical attachment?

Introduction. Clinical attachment is defined as a work placement carried out in a hospital or team, where a doctor shadows another col- league to find out about their work and how the National Health Service (NHS) works (British Medical Association, 2015).

What does clinical attachment loss mean?

periodontal disease
Clinical attachment loss which is also known as CAL, is the presence of periodontal disease. Periodontal disease, or gum disease, is a set of inflammatory conditions which affect the tissues that surround the teeth. In the more serious form, the condition is called periodontitis.

Is clinical attachment loss reversible?

Clinical attachment loss is an indicator of destructive periodontal disease, which means that the damage incurred from clinical attachment loss is irreversible.

Is recession clinical attachment loss?

Clinical attachment loss is apparent with pocketing and with no gingival recession, or recession with no pocketing, or both pocketing and recession. Again, the objective of therapy is to coach the patient in daily techniques to prevent or minimize accumulation of biofilm in the mouth.

Does clinical attachment loss mean bone loss?

These observations indicate that attachment loss precedes radiographic evidence of crestal alveolar bone loss during periods of periodontal disease activity.

What is plaque index?

The plaque index assesses the amount of dental plaque visible on the vestibular and lingual surfaces of all teeth, except the third molars. The bacterial plaque developer solution was used to define cumulative amounts of plaque with criteria from 0 to 5 [24].

Why is clinical attachment important?

A clinical attachment will help you prepare for working in the NHS. It allows you to gain an overview of medical processes and systems in the NHS, by observing a consultant in a relevant speciality at work. This will be following a risk assessment, and at under the supervision of the consultant.

Why is clinical attachment loss important?

How to calculate and interpret clinical attachment level?

However, this can generate confusion. If clinical attachment loss is defined as the extent of the periodontal support that has been destroyed around a tooth, then, in health, one might assume that this should be expressed as zero millimeters.

How is the attachment level of a tooth determined?

The clinical attachment level (CAL or AL) is determined by measuring the distance between the apical extent of the probing depth and a fixed reference point on the tooth, most commonly either the apical extent of a restoration and/or the cemen-toenamel junction (CEJ).

What do you mean by clinical attachment loss?

Clinical attachment loss is a sign of destructive (physiologically irreversible) periodontal disease. Connective tissue attachment loss refers to the pathological detachment of collagen fibers from cemental surface with the concomitant apical migration of the junctional or pocket epithelium onto the root surface.

What is the baseline attachment level ( Cal )?

Similarly, baseline mean clinical attachment level (CAL) was 6.05 mm in the test group and 6.03 mm in the control group. The examination consisted of the assessments of the plaque index (PI)10 and bleeding upon probing (BOP).11 Probing pocket depth (PPD) and clinical attachment level (CAL) were also recorded on six sites per tooth (mesiobuccal,…