Flashcards in Chronic Periodontitis Deck (11):
What is the definition of periodontits?
Loss of attachment and bone
Starts as plaque induced gingivitis
What are the characteristics of chronic periodontitis?
-Most prevalent in adults
-Destruction consistent with presence of local factors.
-Subgingival calculus frequent
-Slow to moderate progression, but can have periods of rapid.
What are the classifications of chronic periodontitis? (Localized and General. Slight, Moderate, and Severe).
Localized: Less than 30% of teeth
Generalized: More than 30%
Slight: 12 mm Clinical Attachement Loss (CAL)
Moderate: 3-4 mm CAL
Severe: >=5 mm CAL
What is the biggest etiology for getting chronic periodontitis? How does it progress?
Progresses in an asynchronous model
What is treatment of Chronic periodontitis?
-Preventing formation/eradication of plaque.
-Removal of sub and supra gingival plaque.
-OHI very important!
What is the definition of Aggressive periodontitis?
-Rare, Severe, rapidly progressing
-Often characterized by early age of manifestation.
-Except for periodontitis, patient otherwise healthy.
What are some secondary features of aggressive periodontitis?
-Amounts of microbial deposits are inconsistent with severity of tissue destruction.
-Progression of attachment loss and bone may be self-arresting.
What is the classification of localized aggressive periodontitis?
-robust serum antibody response to infecting agents.
-Localized First molar/incisor presentation with interproximal attachment loss on at least two permanent teeth.
What is the classification of generalized aggressive periodontitis?
-Usually affecting persons under 30 yrs.
-Poor serum antibody response
-Pronounced episodic nature of destruction of attachment and alveolar bone.
-Generalized interproximal attachment loss affecting at least 3 permanent teeth other than first molars and incisors.
What is important regarding AA?
Has a toxin that kills leukocytes and they are capable of invading into the tissue.