From only the uploaded reference material (do not use external knowledge), identify all important diagrams, figures, flowcharts, graphs, tables, radiographs, clinical photographs, histopathology images, classification charts, and schematic illustrations related to " Non surgical approach of periodontal therapy. " that are useful for answering an MDS Periodontology university theory examination question. For each item, provide: 1. Title/Name of the diagram/figure 2. Page number 3. Type (Diagram/Figure/Flowchart/Graph/Table/Radiograph/Clinical photograph/Histology/Schematic) 4. Importance (Very High/High/Moderate for university exams) 5. Why it is important in theory exams (1–2 lines) Output requirements: • Use only the uploaded references. • Do not summarize the chapter. • Do not explain Aggressive Periodontitis. • Do not include diagrams from other topics unless they are directly relevant. • List every important visual element found in the uploaded references • Present the output as a table sorted by exam importance, with Very High items first.
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| # | Title / Name of Diagram / Figure | Page (Reference) | Type | Importance | Why Important in Theory Exams |
|---|---|---|---|---|---|
| 1 | Fig 1-1 – Diagrammatic representation of a periodontal pocket (chronic periodontitis), showing ulcerated pocket epithelium, supra- and subgingival calculus, subgingival plaque biofilm, and extent of junctional epithelium | p. 13–14 (Successful Periodontal Therapy – Heasman/Preshaw/Robertson, QuintEssentials) | Schematic / Diagram | Very High | Directly illustrates the target site of non-surgical therapy; frequently asked in essays on aims and rationale of SRP, pocket environment, and root surface debridement. |
| 2 | Table 6-1 – Comparison of local delivery systems (Tetracycline fibre/Actisite®, Minocycline gel/Dentomycin®, Metronidazole gel/Elyzol®, Chlorhexidine chip/PerioChip®, Doxycycline polymer/Atridox®) – composition, trade name, resorbability, device type | p. 104 (Successful Periodontal Therapy – QuintEssentials) | Table | Very High | Comprehensive comparative table of all local drug delivery systems; routinely asked in MDS theory as "compare local delivery systems" or "classify and describe controlled-release devices." |
| 3 | Fig. 1.3 – Flowchart depicting the current clinical workflow in management of patients with periodontal diseases and conditions (Newman 14th ed) | p. (line ~673) (Newman & Carranza's, 14th ed) | Flowchart | Very High | Shows the evidence-based treatment sequence from diagnosis through non-surgical, re-evaluation, to surgical or maintenance phases; essential for answering questions on treatment planning and phase therapy. |
| 4 | Fig. 3-1 to Fig. 3-14 – Hand scaling instruments (Chisel scaler, Hoe scaler, File, Trihedral scaler, Gracey curettes 1/2 through 17/18, Universal curette) with blade design, shank angulation, working end orientation | p. 44–55 (Successful Periodontal Therapy – QuintEssentials, Ch. 3) | Diagram / Schematic | Very High | Instrument morphology, blade angulation, and area specificity are standard long-essay topics; Gracey curette series and its design principles are frequently tested. |
| 5 | Table comparing Hand Instruments vs. Ultrasonic/Sonic instruments (access, tissue trauma, healing rate, cementum removal, sharpening requirement) | p. 54–55 (Successful Periodontal Therapy – QuintEssentials, Ch. 3) | Table | Very High | Directly asked in "compare hand and ultrasonic instrumentation" questions; table format helps answer comparison-type essays in a structured manner. |
| 6 | Fig 3-1 – Chisel scaler design and stroke direction | p. 44 (Successful Periodontal Therapy – QuintEssentials) | Diagram | Very High | Instrument design questions on push scalers and correct stroke direction are common in MDS practical/theory exams. |
| 7 | Fig 3-5 to Fig 3-9 – Gracey curettes (area-specific curettes, lower shank angulation, working-end position, adaptation to root surface) | p. 48–51 (Successful Periodontal Therapy – QuintEssentials) | Diagram / Schematic | Very High | Gracey curette design, the concept of "lower shank," and area specificity are core theory topics asked in long essays on SRP technique. |
| 8 | Fig 3-10 to Fig 3-12 – Ultrasonic scaler tip designs and insert types (magnetostrictive vs. piezoelectric, elliptical vs. linear motion, tip configurations for subgingival use) | p. 51–54 (Successful Periodontal Therapy – QuintEssentials) | Diagram / Schematic | Very High | Commonly asked: "describe ultrasonic scalers and compare their mechanisms of action, tip motion and clinical applications." |
| 9 | Fig. 1.1 (a–d) – Clinical photographs of plaque-induced gingivitis, generalized severe gingivitis, generalized severe periodontitis, and peri-implant bone loss | p. 2 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | Very High | Illustrates the spectrum from plaque-induced gingivitis to periodontitis; used in answering theory questions on clinical endpoints of non-surgical therapy and before/after assessment. |
| 10 | Fig. 1.26 – Schematic showing attachment loss caused by subgingival biofilm accumulation and host immune response | p. 17 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Schematic | Very High | Central to understanding why debridement (non-surgical therapy) targets the biofilm-host interface; frequently referenced in pathogenesis-to-treatment essays. |
| 11 | Fig. 2.1 – Pocketing preventing brush/floss access (probing depth barrier to plaque removal) | p. 27 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Schematic / Clinical photograph | Very High | Illustrates the rationale for professional root surface instrumentation when patient self-care fails beyond 3–4 mm; core concept in "indications for SRP" essays. |
| 12 | Fig. 2.3 & Fig. 2.4 – Heavy supragingival calculus (lower anterior) and subgingival calculus preventing plaque removal | p. 27 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | Very High | Direct visual evidence for calculus as a barrier to plaque control; used in essays on "role of calculus in periodontal disease" and "indications for scaling." |
| 13 | Fig. 1.2 (a) – Diagram of gingival attachment anatomy (junctional epithelium, connective tissue attachment, alveolar bone crest, cementum, periodontal ligament) | p. 3 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram / Schematic | Very High | Anatomical basis for understanding tissue response following non-surgical therapy (new attachment, reattachment); tested in essays on healing after SRP. |
| # | Title / Name of Diagram / Figure | Page (Reference) | Type | Importance | Why Important in Theory Exams |
|---|---|---|---|---|---|
| 14 | Fig 2-1 – Range of manual toothbrushes available on the market | p. 28 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | High | Used to illustrate diversity of toothbrush design for oral hygiene instruction (OHI), a key component of hygiene phase of non-surgical therapy. |
| 15 | Fig 2-2 – Specialist toothbrushes (children's, single-tufted/interspace, orthodontic) | p. 29 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | High | Required for theory questions on customizing OHI for special patient groups; interspace brushes are specifically relevant to furcation and recession sites in periodontitis. |
| 16 | Fig 2-3 – Powered toothbrushes (oscillating, side-to-side, compact head designs) | p. 30 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | High | Frequently asked: "compare manual vs. powered toothbrushes for plaque removal" and "what evidence supports powered toothbrush use in periodontal patients." |
| 17 | Fig 2-6 to Fig 2-9 (series) – Interdental cleaning aids (dental floss/tape, Superfloss, interspace brushes, interdental brushes, woodsticks, chemical plaque control agents) | p. 33–41 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph / Diagram | High | Interdental plaque control tools and their selection criteria are standard short-essay topics in the hygiene phase of non-surgical therapy. |
| 18 | Fig 2-9 – Chemical plaque control agents (chlorhexidine, QACs, phenols, Listerine, triclosan, sanguinarine, zinc salts) | p. 40–41 (Successful Periodontal Therapy – QuintEssentials) | Table / Diagram | High | Classification and evidence for chemical plaque control (especially CHX) is regularly tested; "gold standard" CHX claim supported here is a key exam fact. |
| 19 | Fig 3-16 – Pressure points when undertaking periodontal instrumentation (hand positions, carpal tunnel vulnerability zones) | p. 56 (Successful Periodontal Therapy – QuintEssentials) | Diagram / Schematic | High | Occupational health/ergonomics in periodontal instrumentation is an emerging exam topic; relevant for "complications of SRP" and operator ergonomics essays. |
| 20 | Fig 3-17 & Fig 3-18 – Hexagonal vs. silicone ergonomic instrument handles | p. 56 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | High | Illustrates ergonomic instrument design rationale; useful for essays on "modern advances in periodontal instruments." |
| 21 | Fig 3-15 – ODU explorer (fine tip, shank similar to Gracey 1/2) | p. 55 (Successful Periodontal Therapy – QuintEssentials) | Diagram | High | The ODU explorer for subgingival tactile assessment of root surfaces is tested in theory questions on instruments used during and after SRP. |
| 22 | Fig. 3.35 & Fig. 3.36 – Sullivan Brushing Technique (SBT) showing bristle angulation, sulcular penetration, short back-and-forth vibratory stroke | p. 53–54 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram / Clinical photograph | High | Toothbrushing technique diagrams are asked in questions on "describe a toothbrushing technique for a periodontal patient"; SBT is specifically for patients with deep pockets. |
| 23 | Fig. 3.37 – Scrubbing motion causing gingival recession and root abrasion | p. 54 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram | High | Illustrates the consequence of incorrect brushing technique; used in essays on OHI and complications of mechanical plaque control. |
| 24 | Fig. 3.38 – Improper access to lingual sulcus of mandibular molars with standard 45° brush angulation | p. 54 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Schematic | High | Highlights a commonly missed area in self-care; useful in OHI and patient education theory questions. |
| 25 | Fig. 3.12 & Fig. 3.13 – Bleeding on probing (BOP) demonstrated with horizontal probe sweep; varying BOP intensity as indicator of inflammation severity | p. 41–42 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | High | BOP is a key non-surgical therapy monitoring parameter; required for essays on clinical outcome measures and re-evaluation after SRP. |
| 26 | Fig. 3.9 & Fig. 3.10 – Intraoral camera for demonstrating plaque and calculus | p. 41 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | High | Patient motivation and demonstration tools form part of the hygiene phase; intraoral camera use in OHI is a modern clinical question. |
| 27 | Fig 5-1 to Fig 5-5 – Local risk factors: furcation involvement (Hamp classification diagrams/probing, furcation ridges, root concavities) | p. 74–85 (Successful Periodontal Therapy – QuintEssentials, Ch. 5) | Diagram / Clinical photograph | High | Furcation management as part of non-surgical therapy is a high-yield MDS topic; classification and instrumentation challenges are regularly examined. |
| 28 | Fig 5-19 – Overhanging amalgam restorations and resultant alveolar bone loss | p. 89 (Successful Periodontal Therapy – QuintEssentials) | Radiograph | High | Iatrogenic local risk factors (overhangs) and their management as part of Phase I therapy are standard theory topics. |
| 29 | Fig 5-18 – Instanding incisors resulting in plaque stagnation and gingival inflammation | p. 88 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | High | Illustrates tooth-arch relationship as a local risk factor requiring OHI modification within non-surgical therapy. |
| 30 | Fig. 4.19 & Fig. 4.20 – Six-point periodontal probing diagram and correct probe position at base of sulcus/pocket | p. 83–84 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram / Schematic | High | Probing technique is directly related to non-surgical therapy monitoring; "describe the correct probing technique" is a standard exam question. |
| 31 | Fig. 4.3 (a–d) – Patient positioning (Upright, Semisitting, Supine, Trendelenburg) for instrumentation | p. 73–74 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram | High | Patient and operator positioning is tested in "describe the clinical setup for root surface instrumentation" questions. |
| 32 | Fig 4-1 to Fig 4-5 (Heasman/QuintEssentials, credited to Laura Andrew) – Instrument design schematics (blade, shank, handle anatomy; cutting edge identification; correct blade-to-tooth angulation) | p. 44–52 (Successful Periodontal Therapy – QuintEssentials, Ch. 3, credited illustrators) | Schematic | High | Detailed instrument anatomy schematics are used to answer "describe the parts of a periodontal instrument" and "what is the correct angulation for scaling?" |
| 33 | Fig. 1.4 – Periodontology and implant dentistry as integral part of personalized/precision connected health (Newman 14th ed, showing patient-centred algorithm) | p. (line ~864) (Newman & Carranza's, 14th ed) | Schematic / Flowchart | High | Contextualizes non-surgical therapy within modern evidence-based, precision periodontics framework; relevant for contemporary long essays. |
| 34 | Badersten studies graph/data – Clinical outcomes following non-surgical treatment (pocket depth reduction at different initial pocket depths after SRP; comparison of single vs. multiple visit SRP) | p. 20–22 (Successful Periodontal Therapy – QuintEssentials, Ch. 1) | Graph / Table | High | The Badersten studies provide the evidence base for non-surgical therapy; exam questions on "evidence for SRP" and "factors affecting response to non-surgical treatment" rely on this data. |
| # | Title / Name of Diagram / Figure | Page (Reference) | Type | Importance | Why Important in Theory Exams |
|---|---|---|---|---|---|
| 35 | Fig 4-1 (Carranza 10th) – Normal gingiva clinical photograph | p. (line ~4909) (Carranza's Clinical Periodontology, 10th ed) | Clinical photograph | Moderate | Baseline reference for recognizing return to gingival health after non-surgical therapy; used in before/after comparison essays. |
| 36 | Fig 2-6 & Fig 2-7 – Interspace and interdental brushes in use | p. 35–36 (Successful Periodontal Therapy – QuintEssentials) | Clinical photograph | Moderate | Details of interproximal cleaning aids for furcation-involved and recession sites; supports answers on adjunctive plaque control devices. |
| 37 | Fig. 2.5 – Tooth anatomical irregularities (enamel projections, root concavities, developmental grooves as barriers to plaque removal) | p. 27 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Schematic | Moderate | Supports theory questions on "local factors complicating non-surgical debridement" and limitations of SRP. |
| 38 | Fig. 2.2 – Pocketing associated with implant-supported prosthesis (barrier to plaque removal around implant) | p. 27 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | Moderate | Relevant for non-surgical management of peri-implant disease; increasingly tested as implants become standard practice. |
| 39 | Fig. 3.11 – Plaque collected on a periodontal probe shown to patient for motivation | p. 41 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph | Moderate | Patient motivation technique during non-surgical therapy; supports short-answer questions on OHI reinforcement methods. |
| 40 | Fig. 3.49 – Rubber tips (narrow Butler type vs. wide Oral-B type) for interproximal/furcation plaque displacement | p. 65 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph / Diagram | Moderate | Illustrates rubber-tip stimulators and their adaptation to different embrasure sizes; relevant for OHI device selection questions. |
| 41 | Fig. 3.50 – Interproximal brushes (coated and uncoated wires, handles, inserts, subgingival range) | p. 65 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Clinical photograph / Diagram | Moderate | Supports answers on correct interproximal brush selection in periodontal patients. |
| 42 | Fig 5-19 – Overhanging restorations radiograph showing bone loss | p. 89 (Successful Periodontal Therapy – QuintEssentials) | Radiograph | Moderate | Radiographic evidence of local risk factor management within non-surgical phase. |
| 43 | Figure 1-4 (Perry/Dental Hygienist) – Complete set of early 20th century periodontal instruments | p. 10 (Periodontology for the Dental Hygienist, 4th ed) | Clinical photograph | Moderate | Historical context of scaling instruments; supports introduction to "history of non-surgical therapy" in theory essays. |
| 44 | Fig. 4.22 & Fig. 4.23 – Appropriate probing pressure (thumb pad depression) and circumferential probing technique | p. 84–85 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram / Clinical photograph | Moderate | Directly supports questions on "describe correct periodontal probing technique before and after non-surgical therapy." |
| 45 | Fig. 4.5 & Fig. 4.6 (Levi) – Operator clock-face positioning diagram for right- and left-handed clinicians | p. 73–74 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram | Moderate | Operator-patient positioning is a standard practical/theory question in clinical periodontology MDS examinations. |
| 46 | Fig. 3.8 (Levi) – Correct angulation of toothbrush on cervical-lingual of mandibular molars | p. 53 (Non-Surgical Control of Periodontal Diseases – Levi et al.) | Diagram | Moderate | Supports detailed OHI instruction technique answers, particularly for commonly missed areas in a periodontitis patient. |