8. Occlusal Trauma

Question 1

4

What is the effect of increased magnitude of occlusal force on the periodontium?

Question 2

4

Increased magnitude of occlusal forces has what effect on alveolar bone?

Question 3

5

The PDL best accomodates occlusal forces that are in which direction?

Question 4

5

What two directions of occlusal forces can injure the periodontium?

Question 5

6

Are constant or intermittent occlusal forces more damaging?

Question 6

7

What is occlusal trauma?

Question 7

7

Tissue injury to the ____, ______, and _____ results when occlusal forces exceed the adaptive capacity of the periodontium.

Question 8

7

The ____ injury is called occlusal trauma.

Question 9

8

Does occlusal trauma have visible histology?

Question 10

9

What is the definition of traumatic occlusion or traumatic occlusal force?

Question 11

10

What are two things seen histologically with occlusal trauma?

Question 12

11

Are dental implants able to adapt to occlusal forces? Why?

Question 13

11

What happens when dental implants encounter traumatic occlusal forces?

Question 14

12

What causes acute occlusal trauma?

Question 15

12

What are two examples of acute occlusal trauma causes?

Question 16

12

What are three symptoms of acute occlusal trauma?

Question 17

15

Is chronic or acute occlusal trauma more common than acute

Question 18

15

Chronic occlusal trauma develops gradually from occlusal changes such as:

1. ____
2. _____
3. _____
4. ____
5. ______

Question 19

17

What is the definition of Primary Occlusal Trauma?

Question 20

17

Does the tooth have any attachment or bone loss in Primary Occlusal Trauma?

Question 21

17

Are occlusal forces excessive or normal in Primary Occlusal Trauma?

Question 22

18

What is the definition of Secondary Occlusal Trauma?

Question 23

18

In Secondary Occlusal Trauma, the tooth has a _______ to withstand occlusal forces.

Question 24

18

Are occlusal forces normal or excessive in Secondary Occlusal Trauma?

Question 25

23 What effect does occlusal trauma have on the PDL?

Question 26

23 What type of defects are there in bone when occlusal trauma has occured?

Question 27

23 What effect does occlusal trauma have on the lamina dura?

Question 28

23 What is fremitus as a result of occlusal trauma?

Question 29

24 How do you check for fremitus?

Question 30

26 What is a Class 1 mobility scale measurement?

Question 31

26 What is a class II mobility scale measurement?

Question 32

26 What is a class III mobility scale measurement?

Question 33

27 What is stage I, II, and III of tissue response to increased occlusal forces?

Question 34

28 What is most susceptible to injury from excessive occlusal forces?

Question 35

28 What is the effect of injury from occlusal force on mitotic acitivity, proliferation of fibroblasts, collagen formation, and bone formation?

Question 36

29 When can repair from occlusal forces occur?

Question 37

29 What is removed and what is formed in Stage II, the repair stage?

Question 38

31 What is the result of the adaptive remodeling stage on the PDL?

Question 39

31 What defects are seen in bone during the adaptive remodeling stage?

Question 40

31 Are teeth mobile in the adaptive remodeling stage?

Question 41

32 What effect does hypofunction have on the PDL?

Question 42

32 What effect does hypofunction have on the PDL fibers?

Question 43

32 What affect does hypofunction have on the alveolar bone?

Question 44

32 What effect does hypofunction have on bone height?

Question 45

33 What impairs the reversibility of traumatic lesions?

Question 46

34 The dental biofilm initiates ____ and ______.

Question 47

34 Is margingal gingiva affected by Occlusal trauma?

Question 48

34 Does occlusal trauma case periodontal pockets or gingivitis?

Question 49

34 Occlusal trauma can ____ the periodontal destruction induced by periodontitis.

Question 50

35 Occlusal trauma does NOT cause pocket formation, but what can it do in the presence of plaque-induced periodontitis?

Question 51

36 What are 2 factors that could lead to pathological tooth migration associated with periodontal disease?

Question 52

38 Is drifting the same thing as pathologic tooth migration?

Question 53

38 What does drifting of teeth not result from?

Question 54

38 Drifting of teeth is a common sequela when ______.

Question 55

39 Drfiting can lead to ____, which leads to ____, which can lead to _____.

Question 56

41 What is a genetic disorder associated with Periodontitis that results in defective transendothelial migration?

Question 57

41 What is a genetic disorder associated with Periodontitis that results in impaired killing of microorganisms by neutrophils?

Question 58

41 What are 7 genetic disorders associated with Periodontitis?

Question 59

42 Is there a genetic component to chronic periodontitis?

Question 60

42 What makes periodontitis a multi-factorial disease?

Question 61

43 What does MyPerioID test for? What does it report?

Question 62

45 What does PerioPredict test for?

Question 63

47 Small effect of ____ polymorphism makes up a tiny fraction of genetic component of risk for chronic periodontitis.

Question 64

49 Do smokers have an increased or decreased expression of clinical inflammation?

Question 65

49 Do smokers have increased or decreased bleeding on probing?

Question 66

50 What is the major risk factor for periodontitis prevalence, extent, and severity?

Question 67

50 How do pocket depth, attachment loss, bone loss, and tooth loss present in smokers vs. non-smokers?

Question 68

51 Former smokers are ____ times more likely to have periodontitis.

Question 69

51 Smokers having less than 9 cigarettes per day are ___ times more likely to have periodontitis.

Question 70

51 Heavy smokers smoking more than 31 cigarretes per day are ___ times more likely to have periodontitis.

Question 71

52 Smoking is associated with _____ in young adults aged 19-30.

Question 72

52 On average, smokers are ___ times more likely to have periodontitis than non-smokers.

Question 73

54 What is the disease severity of those who smoke cigars and pipe smokers compared to smokers and non-smokers?

Question 74

55 WIth E-cigarretes, inhalation of flavorings is associated with ______, also known as _____.

Question 75

56 E-cigarettes may promote a unique _____.

Question 76

57 Can E-cigarretes be used as an aid to smoking cessation?

Question 77

58 How does cannabis use affect probe depths, clinical attachment loss, and odds of severe periodontitis?

Question 78

59 CBD (Cannabidiol) may promote _______ by increasing gingival fibroblast production and inhibiting ____.

Question 79

60 Chewing tobacco is associated with what two pathologies?

Question 80

62 Smokers may have increased numbers of what 7 bacteria?

Question 81

63 Effects of smoking on immune response are impaired ____, _____, and ____.

Question 82

63 Smoking results in decreased _____ production for immune response.

Question 83

63 What are three tissue destructive enzymes that have increased release in smokers?

Question 84

64 What effect does smoking have on blood vessels and blood flow?

Question 85

64 Smokers have less _____ concentration in gingival tissues.

Question 86

65 What is seen in smokers following scaling and root planing?

Question 87

65 What is seen in smokers when bone grafts are done?

Question 88

65 There is ___ the risk of increased risk of implant complications and failure in smokers.

Question 89

66 What are the 5 A's for smoking cessation?

Question 90

67 What are two medicines that may help with smoking cessation?