Recession and clinical attachment loss (CAL) are two important factors to consider when assessing gum health in patients. Recession refers to the exposure of the tooth root due to the gum tissue pulling away from the tooth, while CAL measures the distance between the bottom of the gum pocket to the location where the tooth is attached to the surrounding bone.

To measure recession and CAL on the buccal and lingual surfaces of the teeth, a periodontal probe is typically used. Here are the steps to measure recession and CAL:

1. Gather necessary materials: To measure recession and CAL, you will need a periodontal probe, which is a small, thin instrument with markings that indicate millimeters.

2. Begin by examining the teeth: Before measuring recession and CAL, it is important to visually inspect the teeth and gums to identify any areas of recession or inflammation.

3. Measure recession: To measure recession, gently insert the periodontal probe into the gum pocket on the buccal or lingual surface of the tooth. Slide the probe along the tooth until you reach the bottom of the pocket where the gum tissue meets the tooth. Note the depth of recession in millimeters.

4. Measure CAL: To measure CAL, insert the periodontal probe into the gum pocket and slide it along the tooth until you reach the location where the tooth is attached to the bone. Note the distance between the bottom of the pocket and the bone attachment in millimeters.

5. Record your findings: Make detailed notes of the measurements taken on each tooth, including the location of recession and CAL, as well as any other relevant information about the patient’s gum health.

6. Monitor changes over time: Regularly monitoring recession and CAL measurements can help track changes in gum health over time and identify any worsening conditions that may require treatment.

Overall, measuring recession and CAL on the buccal and lingual surfaces of the teeth is an important aspect of assessing gum health in patients. By accurately measuring these factors, healthcare professionals can better understand the extent of gum disease and provide appropriate treatment to prevent further deterioration of oral health.

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