Classification Flashcards
Periodontist is diagnosed by
Attachment loss
Continuation of symptoms of gingivitis
Bone loss
Does bone loss=periodontist
No not all attachment loss is indicative of periodontist
Plaque based etiology needed
Quantifying the difference between localized or generalized chronic periodontist
Less than 30% of SITES localized
Gingival recession involves
Both bone loss and attachment loss but not driven but inflammation
Gingival health on intact periodontium
Absence of BOP
Absence of erythema and edema
No symptoms, attachment loss and bone loss
Bone levels range from 1-3 mm apical tot he cementon enamel junction
Gingival health on a reduced periodontium
Reduced periodontium can be seen in two scenarios
A stable periodontitis patient remains at higher risk for recurrent disease
Non periodontitis patients do not have increased risk for periodontitis
Absence of BOP erythema edema and symptoms
Gingival health following treatement of gingivitis on an intact periodontium
Absence of BOP
Absence of erythema and edema
No patient symptoms and attachment and bone loss
Gingival health following successful treatment of periodontitis
Absence of BOP erythema edema and patient symptoms in presence of reduced clinical attachment and bone levels
Gingival health is _____ bleeding WITH probing depths ____
<10%
<3mm
Staging
Severity of disease at presentation
Complexity of disease management
Grading
Provides supplemental information
Biological features of the disease
Bone should be
2 mm apical to CEJ
3 Types of periodontitis
Necrotizing periodontitis
Periodontitis as a direct manifestation of systemic diseases
Periodontitis
Stages of periodontitis
Stage 1 initial 2 mm AL
Stage 2 Moderate 3-4 mm AL
Stage 3 Severe w. Tooth loss 5mm AL
Stage 4 Severe w. Loss of dentition 5mm AL
Ascorbic Acid Deficiency Gingivitis
Malnourished individuals have a compromised host defense system which may make individuals susceptible to infectious disease
Chronic periodontitis
Pocket formation Loss of attachment Bleeding/suppurations Bone Loss Tooth Mobility and drifting
_____ a frequent finding in chronic periodontitis
Subgingival calculus
Which periodontitis is more likely to be seen in children
Aggressive
Aggressive periodontitis common features include
Systemically healthy
Rapid attachment loss and bone destruction
Familial aggregation
Secondary features of aggressive periodontitis
Microbial deposits are inconsistent with amount of perio destruction
Elevated A. A. And P. Gingivalis
Phagocyte abnormalities
Hyper responsive macrophage phenotype
Elevated levels of PGE2 and IL1b
Progression may be self arresting
Local aggressive periodontist has what presentation
First molar/incisor
-interproximal attachment loss on at least 2 permanent teeth
One of which is a molar
Involving no more than 2 teeth other than first molars and incisors
Generalized Aggressive periodontitis usually affects persons under
30 but patients may be older
Generalized Aggressive periodontitis presents as
Generalized interproximal attachment loss affecting at least 3 permanent teeth other than first molars and incisors
Papillon-Lefevre Syndrome
Rapid periodontal destruction around primary and permanent teeth witch occurs before puberty
AR
