How do you measure CAL (Clinical Attachment Level or Clinical Attachment Loss? What does CAL mean? Why do you even measure CAL? Let's discover all that through this video!
I cant thank you enough. I felt so dumb not getting it even after it has been somehow explained to me many times in a robotic way. I have my midterm exam tomorrow!
Great explanation. Key concepts: CAL measures periodontal attachment loss from the CEJ assuming a healthy sulcus base is at the CEJ. (Periodontal-> peridontium-> tissues that hold teeth in place). So it reflects how much tissue is still attached keeping the tooth in place. In gum recession, you would have to ADD missing gingiva in order for the gingiva to reach the CEJ. So add the gingival margin measurement from the CEJ to the pocket depth. In overgrowth, you would need to SUBTRACT the excess tissue to view the CEJ, so to speak. So you subtract the gingival margin measurement from the CEJ from the pocket depth measurement. The higher the final number, the more periodontal attachment loss there is. High CAL # means lower attachment level #. They are conversely proportional figures. So a high CAL means more tissue is lost and less tissue remains.
Your explanation was perfect. Using your drawings plus the simple narration really put it together for me. I've been trying to understand this for a while now and I finally get it. Thank you.
I clearly understand and why this makes all the sense. However, how does a hygenist determine the actual clinical attachment loss for every single tooth when you have say 32 teeth to contend with? Determining where the CEJ seems like it can be tricky, and time consuming.. does using the ball tip probe work better for this? I am a returning hygenist and I am studying the concepts that have changed since I last practice. Thank you kindly.
Thanks for the explanation - regardless of recession or overgrowth isnt the CAL is simply the measurement from the CEJ to the bottom of the pocket or am i reading it wrong?
Excellent, simple and informative So what is your suggestion for preventing violation of biological laws during crown prep for pfm and metal desply ,thanks alot
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I cant thank you enough. I felt so dumb not getting it even after it has been somehow explained to me many times in a robotic way. I have my midterm exam tomorrow!
Great explanation.
Key concepts:
CAL measures periodontal attachment loss from the CEJ assuming a healthy sulcus base is at the CEJ. (Periodontal-> peridontium-> tissues that hold teeth in place). So it reflects how much tissue is still attached keeping the tooth in place.
In gum recession, you would have to ADD missing gingiva in order for the gingiva to reach the CEJ. So add the gingival margin measurement from the CEJ to the pocket depth.
In overgrowth, you would need to SUBTRACT the excess tissue to view the CEJ, so to speak. So you subtract the gingival margin measurement from the CEJ from the pocket depth measurement.
The higher the final number, the more periodontal attachment loss there is.
High CAL # means lower attachment level #. They are conversely proportional figures. So a high CAL means more tissue is lost and less tissue remains.
Your explanation was perfect. Using your drawings plus the simple narration really put it together for me. I've been trying to understand this for a while now and I finally get it. Thank you.
I clearly understand and why this makes all the sense. However, how does a hygenist determine the actual clinical attachment loss for every single tooth when you have say 32 teeth to contend with? Determining where the CEJ seems like it can be tricky, and time consuming.. does using the ball tip probe work better for this? I am a returning hygenist and I am studying the concepts that have changed since I last practice. Thank you kindly.
Very Clear Explanation! Thank you!!
You are most welcome!
Very good! Thank you 🙏
Thanks for the explanation - regardless of recession or overgrowth isnt the CAL is simply the measurement from the CEJ to the bottom of the pocket or am i reading it wrong?
Excellent, simple and informative
So what is your suggestion for preventing violation of biological laws during crown prep for pfm and metal desply ,thanks alot
Great question! I love it!
Thank you! Now I understand
You are most welcome!
i don't understand