Costley Module 10 ch 16

Question 1

The stages of development of gingivitis and periodontitis are divided into what 4 stages?

Answer 1

Initial lesion
early lesion
established lesion
advanced lesion

Question 2

Natural defense mechanisms respond due to what?

Answer 2

biofilm accumulation near the gingiva

Question 3

The Initial Lesion occurs within ____ to ___ days of irritation from __________

Answer 3

2-4
bacterial accumulation (biofilm)

Question 4

What infiltrates into the gingival sulcus during the initial lesion stage

Answer 4

WBC

Question 5

The Initial Lesion stage comes with increased flow of ______

Answer 5

sulcular fluid

Question 6

The gingiva looks ______ during the initial lesion stage?

Answer 6

normal (maybe slight redness as infection develops)

Question 7

The Early Lesion stage comes with ______ biofilm

Answer 7

Thicker

Question 8

Collagen fiber support to ________ starts to breakdown in the Early Lesion Stage?

Answer 8

gingival margin

Question 9

The epithelium _______ in the Early Lesion Stage?

Answer 9

proliferates

Question 10

There are early signs of _______ during the early lesion stage?

Answer 10

gingivitis

Question 11

Early gingivitis is reversible if?

Answer 11

biofilm is controlled and inflammation reduced.

Question 12

_______ cells are related to areas of chronic inflammation

Answer 12

plasma

Question 13

During the Established Lesion Stage formation of _____ _____ happens

Answer 13

pocket epithelium

Question 14

During the Established Lesion Stage you start to have early _______ formation with ______ on probing

Answer 14

pocket

bleeding

Question 15

Clear evidence of inflammation is present with ______ redness, ______ during probing, and _____ marginal gingiva

Answer 15

marginal
bleeding
spongy

Question 16

Bacteria from ______ biofilm enter the sulcus and provide the source for _____ biofilm

Answer 16

supragingival

subgingival

Question 17

There is _____ ______ destruction during the Advanced Lesion Stage

Answer 17

Alveolar Bone

Question 18

The junctional epithelium migrates ______ during the Advanced Lesion Stage

Answer 18

apically along root surface

Question 19

There is pocket formation, ___, ___ _____ seen in the Advanced Lesion Stage

Answer 19

mobility

bone loss

Question 20

________ disease is NOT a single pathologic entity

Answer 20

Periodontal

Question 21

Definition of a Pocket

Answer 21

A diseased Sulcus

Question 22

What distinguishes a pocket from a sulcus

Answer 22

presence or absence of infection

Question 23

What distinguishes a gingival pocket from a periodontal pocket

Answer 23

The level of attachment on the tooth

Question 24

What is the inner and outer walls of a pocket

Answer 24

inner: tooth surface
outer: sulcular epithelium/pocket epithelium

Question 25

The base of the pocket is the ____ of the attached periodontal tissues

Answer 25

coronal margin

Question 26

The base of a sulcus is the coronal border of the ______ _____

Answer 26

junctional epithelium

Question 27

Pockets are divided into ___ and ___ types

Answer 27

gingival | periodontal

Question 28

A gingival pocket is formed by ____ without ____

Answer 28

gingival enlargement | apical migration of junctional epi

Question 29

The base of the sulcus (healthy) of a fully erupted tooth is near the______

Answer 29

CEJ

Question 30

All gingival pockets are classified as ______ | or coronal to the crest of alveolar bone

Answer 30

supra-bony

Question 31

A Periodontal Pocket is formed as a result of _____ that caused the ______ to migrate apically along the _______

Answer 31

disease/degeneration junctional epi cementum

Question 32

The base of a periodontal pocket is located on?

Answer 32

cementum | or combination of cementum/enamel

Question 33

Periodontal Pockets are classified as _____ or _______

Answer 33

supra-bony | Intra-bony

Question 34

Intra-bony Periodontal Pockets have a base _____ the crest of the alveolar bone level.

Answer 34

below

Question 35

A pocket size is ______ and either follows the contour of the _____ or the _____

Answer 35

narrow tooth calculus

Question 36

You can find _______ and their products, gingival ______ _____, _______ epithelial cells, _______ and ______ exudate in a periodontal pocket

Answer 36

``` Microorganisms sulcular fluid Desquamated Leukocytes WBC Purulent ```

Question 37

The pocket deepens as a result of _______ and _____

Answer 37

continuing irritants | destructive agents in biofilm

Question 38

The ________ detaches which allows the junctional epi to migrate apically

Answer 38

periodontal ligament fibers

Question 39

Subgingival examination is dependent on __ and ____ transmitted by probe / explorer

Answer 39

tactile | auditory

Question 40

Cementum overlaps enamel in _ to _% of teeth

Answer 40

60 | 65

Question 41

Cementum and enamel meet ____ in 30% of teeth

Answer 41

directly

Question 42

A small zone of _ may be between the cementum and enamel in _ to _%

Answer 42

dentin 5 10

Question 43

In a class 1 furcation involvement the _____ can be felt by moving probe side to side

Answer 43

roots on either side

Question 44

In a class 2 furcation involvement or _____ involvement.... the probe can _____ but not _____

Answer 44

moderate enter furcation pass through between roots

Question 45

A class 3 furcation involvement is where a probe can?

Answer 45

pass through entire furcation between roots

Question 46

A class 4 furcation involvement is the same as a class _____ but with?

Answer 46

3 | exposure of roots due to gingival recession

Question 47

What is a pocket that is described as having mucogingival involvement

Answer 47

one that extends to or beyond the MGJ and into the alveolar mucosa

Question 48

Functions of Attached Gingiva: Give support to? Provide attachment for? Withstand the frictional stresses of?

Answer 48

Marginal Gingiva Alveolar mucosa Mastication and toothbrushing

Question 49

The ______ ________ serves as a barrier to keep infection outside the body

Answer 49

junctional epithelium (epithelial attachment)

Question 50

Iatrogenic means?

Answer 50

factors created by professionals during pt. tx.

Question 51

Complicating and risk factors for disease development may be __, __, or ___

Answer 51

etiologic predisposing contributing

Question 52

A factor that is the actual cause of a disease or condition is called?

Answer 52

Etiologic Factor

Question 53

A factor that lends assistance to, supplements, or adds to a condition or disease is called?

Answer 53

Contributing factor

Question 54

A factor that renders a person susceptible to a disease or condition is called?

Answer 54

Predisposing factor

Question 55

Local Factor VS Systemic Factor

Answer 55

Local: is something found in the oral cavity Systemic: is something from a general physical/mental diseases

Question 56

Salivary flow increases as a result of _____

Answer 56

sensory reflex stimulation

Question 57

______ provide spillways for the escape of particles of food

Answer 57

embrasures

Question 58

the __, ___ and _____ aid in natural rinsing process by forcing saliva over and between teeth

Answer 58

lips cheeks tongue

Question 59

What seizure medication causes gingival enlargement?/

Answer 59

Phenytoin

Question 60

What medicine is given as an immunosuppressant for transplant pts. and causes gingival enlargement

Answer 60

Cyclosporine

Question 61

What medication is used to treat angina and ventricular arrhythmias that causes gingival enlargement

Answer 61

Nifedipine

Question 62

What disease has an increased susceptibility to periodontal infections

Answer 62

Diabetes

Question 63

There is greater periodontal attachment loss in pts with _______

Answer 63

osteoporosis