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Flashcards in Diagnosis and Classification Deck (37)
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1

What three things contribute to periodontal diseases?

1-Microbial plaque
2-Geentic/host factors
3-Acquired/environmental factors

2

Assessing the risk factors for disease progression leads to what?

Prognosis

3

What should be included in the history and physical examination?

1-chief complaint
2-risk history
3-medical and dental history
4-Extraoral/intraoral exam
5-clinical exam
6-Radiographic exam (as needed)
7-supplemental diagnostic tests (as needed)

4

Before measuring the level of attachment loss, what should you do?

Describe the absence or presence of inflammation

5

Radiographs and attachment levels indicate what happened in the _______ whereas signs of inflammation, erythema, etc. are indicative of whats happening ________

Past, Now

6

The periodontal probe is used to measure what?

Probing depths (not pocket depths)

7

The UNC 15 probe has what measurement scale?

marked every mm for 15 mm. dark sections to show 4, 9 and 14 mm

8

A probe with mm markings only at certain levels (1,2,3,5,7,8,9 and 10) is called what?

Williams marking (the school uses Michigan "O" with williams marking

9

Marked bands that are several mm in width with no there markings are what type of probe?

Color-coded probe

10

What is the ideal probing depth of a healthy sulcus?

1 to 3 mm (probe should tough teeth near the CEJ)

11

Attachment level looks at the relationship of the osseous crest height to what?

the CEJ

12

Adult periodontitis is now called what?

Chronic periodontitis

13

early onset periodontitis is now called what?

Aggressive periodontitis

14

Instead of periodontitis being associated with systemic disease it is considered to be what?

A manifestation of systemic disease

15

Necrotixing ulcerative periodontitis is now called what?

Necrotizing periodontal disease

16

What are the two main categories of gingivitis?

1-plaque induced (interaction between plaque and hosts defense system)
2-non-plaque induced (Small percentage of cases, allergic reactions, fungi, autoimmune etc.)

17

When is root planning used?

To manage periodontitis

18

Any bleeding on probe is a good sign of what?

Inflammation

19

Why are longitudinal records important when determining if inflammation and attachment loss are periodontitis or not?

Attachment loss may be due to previous conditions and the current plaque is only causing gingivitis not periodontitis

20

What are 3 medications associated with gingivitis?

1-Phenytoin (Dilantin for epilepsy)
2-Cyclosporin (transplants)
3-Calcium channel blockers

21

How do you determine if gingivitis is generalized or localized?

-less than 30% of sites is localized
-more than 30% of sites is generalized

*percentages are also true for periodontitis

22

Wickams striae are white lines on the oral mucosa associated with what?

Lichen Planus

23

How much clinical attachment is present in Slight periodontitis?

1-2 mm CAL

24

How much clinical attachment is present in Moderate periodontitis?

3-4 mm CAL

25

How much clinical attachment is present in Severe periodontitis?

5 mm of CAL or more

26

What slow progressing, plaque induced form of periodontitis is most common?

Chronic Periodontitis

27

What two things must be present in the same location at the same time for periodontal disease?

1-Loss of periodontal attachment from CEJ
2-Presence of gingival inflammation extending beyond the marginal gingiva into the connective tissue

28

What are three examples of things to help patients be aware of before periodontal therapy?

1-May increase motility of teeth
2-May be more sensitive to hot or cold on exposed roots
3-Receeding gums

29

What term replaced the term "early onset periodontitis"?

Aggressive periodontitis

30

What relatively rare oral disease with rapid/episodic attachment loss, and familial aggregation is seen in clinically healthy individuals (usually younger than 30)?

Generalized aggressive periodontitis

*attachment loss affecting 3 or more permanent teeth other than 1st molars/incisors.