Chronic Perio Flashcards
(26 cards)
Subgingival calculus color
Brown
Supragingival calculus color
Chalky
Dark brown gingiva suggests
It’s been there for a long time and there has been recession
How much has to be mineralized to show up on radiograph
60%
How much bone has to be dimneralized to show up on radiograph
60% deminizeralized
Alveolar bone loss can be
Vertical or horizontal
Chronic periodontitis is mostly seen in
Adults but many be seen in children
Tissue destruction commensurate with
Oral hygiene and plaque levels and local/systemic factors
_____ is invariably present at disease sites
Subgingival calculus
Chronic periodontitis rate of progression
Slow to moderate
.2 mm per year
5 years to lose 1 mm
______ determine pathogenesis and progression
Host factors
Symptoms of CP
Mostly painless Loose teeth Food impaction Drifted teeth Root sensitivity Bleeding gums
When CP does have pain it is
Localized dull pain
Itchy gums
Stick toothpicks
Severity: Slight
1-2 mm Aloss
Severity: Moderate
3-4 mm Aloss
Severity: Severe
5 mm or more ALoss
Localized CP
<30% of sites
Of 128 sites
Generalized CP
> 30% of sites
Risk Determinant
Non-modifiable Factors
- Age
- Gender
Risk Indicators
Putative risk factors that have been identified in cross sectional studies but not confirmed longitudinally
- HIV
- Osteporisis
- Infrequent Dental visit
Risk Markers
Characteristics associated with elevated risk for disease but many not be part of the causal chain
- furcation
- Calculus
- History of attachment loos
Bacteria plaque induce gingivitis but ______ determines if CP will develop
Host response
% of US population has periodontitis that has moderate or sever pd
64%
Continuous model
Slow continuous destruction
-Constant rate
