Aggresive Periodontitis Flashcards

1
Q

What are some common features of aggressive periodontitis?

A
  1. Client otherwise healthy
  2. Severe and rapid bone and attachment loss
  3. Familial
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2
Q

T/F: If more than 2 teeth other than first molars or incisors are affected, it is not localized aggressive periodontitis.

A

True

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3
Q

In localized aggressive periodontitis, the CAL is inconsistent with amount of ________ and _________.

A

Plaque and calculus

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4
Q

T/F: There is a robust serum antibody response in generalized aggressive periodontitis.

A

FALSE

Robust in local; poor response in general

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5
Q

T/F: Generalized aggressive periodontitis has more severe inflammation.

A

True

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6
Q

What bacterial agent is associated with localized aggressive periodontitis?

A

A.a.

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7
Q

A.a. Produces _________ which kill PMNs and macrophages.

A

Leukotoxins

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8
Q

How does P. Gingivalis suppress the immune system?

A

Inhibits IL- 8 and decreases chemotaxis of PMNs

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9
Q

T/F: Smoking is a major risk factor for GAP.

A

True

WIll also increase severity and cause poorer response to treatment

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10
Q

T/F: In aggressive periodontitis there will be high levels of prostaglandin E2 in the GCF.

A

True

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11
Q

What is the treatment for aggressive periodontitis?

A
  1. Full mouth srp with systemic antibiotics
  2. Possible surgery
  3. Meticulous supportive therapy
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12
Q

What are some fairly mild clinical features of chronic periodontitis?

A
  1. Changes in gum morphology
  2. BoP
  3. Increased probe depth
  4. CAL
  5. Recession
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13
Q

What are the more severe features of chronic periodontitis?

A
  1. Alveolar bone loss - vertical or horizontal
  2. Furcation involvement
  3. Mobility
  4. Drifting
  5. Tooth loss
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14
Q

T/F: Chronic periodontitis is more prevalent in adults.

A

True

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15
Q

T/F: In chronic periodontitis, subgingival calculus is always seen at disease sites.

A

True

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16
Q

T/F: Chronic periodontitis is normally slow to moderate, but rapid bursts of destruction can occur.

A

True

17
Q

T/F: Chronic periodontitis is typically quite painful.

A

FALSE

Localized dull pain with possible gingival tenderness

18
Q

Localized chronic periodontitis involves what percentage of the mouth?

A

Less than or equal to 30%

19
Q

Can you have general and local periodontitis of different severities?

A

Yes

Ex. Generalized slight with localized moderate chronic periodontitis

20
Q

What are the two biggest risk factors for chronic periodontitis?

A

Smoking and diabetes

21
Q

What are some risk indicators for CP?

A
  1. HIV
  2. Osteoporosis
  3. Infrequent dental visits
22
Q

What are some risk markers/predictors of CP?

A
  1. Furcation involvements
  2. Calculus
  3. History of CAL
23
Q

Bacterial plaque induces gingivitis, but __________ will determine if CP will develop.

A

Host response

24
Q

What percentage of the U.S. population has periodontitis?

A

Over 47%

65 million people

25
Q

T/F: Most people in the U.S. have moderate periodontitis.

A

True

26
Q

Severe periodontitis is the ____ most prevalent disease in the world.

A

6th

27
Q

What is the most important diagnosis tool in diagnosing periodontitis?

A

CAL

28
Q

What are the three goals of treatment?

A
  1. Eliminate etiology
  2. Eliminate or reduce risk factors
  3. Prevent recurrence
29
Q

What is the initial CP therapy?

A
  1. Remove sub and supragingival plaque
  2. Promote oral hygiene
  3. Remove risk factors
30
Q

What is a critical probe depth?

A

Probe depths less than 2.9 mm

At this depth root planing will cause attachment loss

31
Q

If a patient has multiple sites with 6 mm pockets what is the recommendation?

A

Surgery

32
Q

While untreated patients lose approximately 0.6 teeth/year. Those treated lose only ____ teeth/year.

A

< 0.1