Aggressive Periodontitis

Question 1

aggressive perio is a bacterial infection characterized by ___ destruction of PDL and supporting bone

Answer 1

rapid

Question 2

what is patients response to therapy when they have aggressive perio

Answer 2

they have a poor response

Question 3

male/females more commonly have aggressive perio?

Answer 3

females

Question 4

at what age can chronic perio occur? dentition?

Answer 4

can occur at any age and is seen in both primary and permanent dentition

Question 5

tissue destruction is _______ with presence of local etiologic factors

Answer 5

inconsistent

Question 6

what is aggressive perio previously known as?

Answer 6

juvenile periodontitis

Question 7

_____ amounts of bacterial plaque are evident

Answer 7

small

Question 8

is it possible to have a genetic link and immune deficiency in aggressive perio?

Answer 8

yes

Question 9

can the tissue appear clinically normal?

Answer 9

yes

Question 10

interlekin ___ genotype is a genetic marker

Answer 10

1

Question 11

elevated proportions of what 3 things?

Answer 11

AA bacteria
PGE2
cytokine IL-beta

Question 12

____ or ______ have abnormalities

Answer 12

neutrophils or phagocytes

Question 13

localized onset of aggressive perio is around _____

Answer 13

puberty

Question 14

localized perio has a rapid tissue destruction around what teeth?

Answer 14

permanent first molars and incisors

Question 15

localized perio is associated with ____ baceria and immune dysfunction of ______

Answer 15

aa bacteria

leukocytes or PMNs

Question 16

how many teeth are involved in a quad with localized perio

Answer 16

no more than 2 teeth in a quad

Question 17

generalized perio is frequently associated with what 2 bacteria

Answer 17

AA and P. gingivalis

Question 18

in generalized perio, interproximal attachment loss affects at least ____ permanent teeth other than 1st molars

Answer 18

3

Question 19

___ amounts of plaque that seems inconsistent with amount of perio destruction

Answer 19

small

Question 20

type 1 inflammation appearance of GAP

Answer 20

• gingival tissues may appear actuely inflamed, ulcerated, and fiery red
• occurs in the destructive phase of disease progression

Question 21

type 2 inflammation appearance of GAP

Answer 21

• gingival tissues appear pink
• deep pockets
• periods of inactivity

Question 22

is it possible to have aggressive perio with good daily self-care by patient?

Answer 22

yes

Question 23

can children be affected with aggressive perio?

Answer 23

yes

Question 24

can we assume that young patients are healthy patients?

Answer 24

no

Question 25

_____ is very important given the severity and rapid progression of agggressive perio

Answer 25

early detection

Question 26

what xrays should be taken for caries screening and marginal bone loss

Answer 26

bitewings

Question 27

what is the method of choice for screening adolescents and adults

Answer 27

periodontal probing

Question 28

if the patient has a systemic disease and periodontitist what would they be classified as?

Answer 28

periodontitis as a manifestation of system disease

Question 29

what treatment is used for patients with aggressive perio

Answer 29

- antimicrobial therapy - removal or control of local factors - surgical debridement of soft tissue

Question 30

what are treatment goals

Answer 30

- slow down disease progression - hope for significant reduction in gingival inflammation - reduce dental plaque - prevent further bone loss and attachment loss

Question 31

what are long-term outcomes

Answer 31

- patient practices good oral hygiene | - patient completes scheduled recall appointments every 3 months

Question 32

how can we tell if areas are not responding?

Answer 32

- increasing tooth mobility - plaque levels not compatible with health - increasing attachment loss - inflamed gingival tissues

Question 33

other less common forms of periodontitis

Answer 33

- periodontitis as a manifestation of systemic disease - necrotizing periodontal disease - abscesses of periodontitis - developmental or acquired deformities and conditions - occlusal trauma

Question 34

manifestations of systemic disease with blood disorders

Answer 34

1. leukemia 2. acquired neutropenia 3. blood clotting disorders 4. HIV patients 5. LGE (aids)

Question 35

manifestations of systemic disease with genetic disorders

Answer 35

1. down syndrome 2. familial neutropenia 3. leukocyte adhesion deficiency syndrome 4. papillon-lefevere 5. Chediak-higashi syndrome 6. histocytosis-rare 7. glycogen storage disease 8. infantile genetic agranulocytosis 9. cohen syndrome 10. ehlers-danlos syndrome 11. hypophosphatasia

Question 36

acquired neutropenia characteristics

Answer 36

destruction of all teeth | ulcerations and necrossis of marginal gingiva

Question 37

immune dysfunction interferes with what?

Answer 37

body's resistance to bacterial infection

Question 38

familial and cyclic neutropenia characteristics

Answer 38

decrease in neutrophils

Question 39

characteristics of down syndrome

Answer 39

perio seen around incisors and molars

Question 40

leukocyte adhesion deficiency characteristics

Answer 40

defect in the number of receptors on PMN-increase susceptibility to infectious disease

Question 41

characteristics of papillon-lefevre syndrome

Answer 41

occurs before puberty; early loss of deciduous and permanent teeth in order of eruption

Question 42

another name for papillon-lefevre syndrome

Answer 42

palmar-plantar hyperkeratosis

Question 43

characteristics of chediak-higashi syndrome

Answer 43

localized destruction. rare genetic disease. generalized severe gingivitis, excessive loss of alveolar bone , extremely susceptible to bacterial infections

Question 44

systemic diseases associated with PMN dysfunction

Answer 44

1. acquired neutropenia 2. down syndrome 3. chediak-higashi syndrome 4. leukocyte adhesion deficiency syndrome

Question 45

blood disorders that contribute to perio

Answer 45

1. aids/HIV infection 2. leukemia 3. acquired neutropenia

Question 46

generalized destruction of alveolar bone in 6 year old includes

Answer 46

1. down syndrome 2. chediak-higashi 3. prepubertal systemic condition

Question 47

characteristics of ehlers-danlos syndrome

Answer 47

types 4 and 8 are most important | connective tissue disorder; defective collagen synthesis

Question 48

characteristics of hypophosphatasia

Answer 48

decreased serum alkaline phosphatase, severe loss of alveolar bone, and premature loss of anterior deciduous teeth