SBI+Index

SBI Index ====

==== The purpose of this assessment tool is to evaluate the existence of gingival bleeding in gingival sulcus of individual teeth upon gentle probing by assigning a score of 0–5, and depending of the score allows the clinician to recognize and record the early signs of inflammation of gingival disease. ====
 * Sulcus Bleeding Index ** ====

Four gingival units are scored systematically for each tooth: v Labial and lingual marginal gingiva (M units) v Mesial and distal papillary gingiva (P units)
 * Areas examined: **

v Use your lighting while probing each of the four areas v Hold the probe parallel with the long axis of each tooth for M units and direct the probe toward the col area for P units v Wait 30 seconds after probing before scoring each area v Dry the gingiva gently if necessary to observe color changes
 * Procedure: **


 * Scoring Criteria:**

v Score 0- for healthy appearance of P and M, no bleeding on sulcus probing v score 1- apparently healthy P and M, no bleeding from sulcus on probing. v score 2 - bleeding on probing and change in color caused by the inflammation. No swelling or macroscopic edema. v score 3- bleeding on probing, change in color and slight edematous swelling. v score 4- bleeding on probing, change in color, and obvious edema. v score 5- bleeding on probing, spontaneous bleeding, and change in color, marked swelling with or without ulceration.

v SBI for area Each of the four gingival units (M and P) is scored 0 to 5 v SBI for tooth Scores for the four units are totaled and divided by four v SBI for individual By totaling scores for the individual teeth and dividing by the number of teeth, the SBI is determined. Indices range from 0-5
 * Scoring: **


 * Category- ** Gingivitis


 * When used- ** The SBI index is used when gathering periodontal assessments.

The operator will probe each teeth getting the probe into M and P unit areas. After probing wait 30 seconds may need to gently dry area to check for any changes in color. A number will be assign from 0-5 based on the above criteria to score the area.
 * How it is used- **

Reversible
 * Reversible or irreversible? **

References

Wilkins, Esther M. Clinical Practice of the Dental Hygienist. 10th edition. Baltimore, MD: Lippincott Williams and Wilkins. Pg. 340.