Exam 1; Classification and Epidemiology of Periodontal Disease Flashcards Preview

AU14 Periodontology > Exam 1; Classification and Epidemiology of Periodontal Disease > Flashcards

Flashcards in Exam 1; Classification and Epidemiology of Periodontal Disease Deck (57):
1

True or False
The definitions of health, illness, and disease have varied with the times

True

2

The successful management of periodontal disease depends in the ability of a clinician to do what three things

accurate diagnosis of periodontal disease
predict the affect of the systemic status of the patient on the course of the disease
confirm the prediction with assessment of therapeutic outcomes

3

This is a diverse family of complex and distinct pathological entities found within the periodontium that are the result of etiologies

periodontal disease

4

What are the two periodontal diseases that different depending on the severity of destruction

gingival diseases
destructive periodontal disease (periodontitis)

5

This is the study of disease origin and spread and pattern of disease development

epidemiolog

6

This is the number of cases of a disease or condition per population at risk at a particular point in time

prevalence

7

This is the number of new cases of a disease or condition over a specified period of time

incidence

8

What is the attachment level

the distance from the CEJ to the JE

9

What are the three characteristics common to all gingival diseases

clinical signs and symptoms associated with stable attachment levels on a periodontium with no loss of attachment
reversiblility of the disease by removing the etiologies
possible role as a precursor to attachment loss around teeth

10

What are the five clinical signs on inflammation common to all gingival diseases

enlarged gingival contours due to edema or fibrosis
color transition to a red and/or bluish-red hue
elevated sulcular temperature
bleeding upon stimulation
increased gingival exudate

11

Gingival diseases modified by systemic factors associated with what three things

the endocrine system
blood dyscrasias
medications
nutrition

12

What are some endocrinotropic gingival diseases

puberty-assocaited
menstrual cycle-associated
pregnancy-associated
diabetes mellitus-associated

13

What two things are associated with leukemia-associated gingivitis

gingival lesions are primarily found in acute leukemia
reductions in dental plaque can limit the severity of a lesion

14

What are two gingival diseases modified by medications

drug influenced gingival enlargements
oral contraceptive associated gingivitis

15

What three things are involved with gingival disease modified by nutrition, specifically ascorbic acid-deficiency gingivitis

malnourished individuals have compromised host defense systems making them susceptible to infectious diseases
the precise role of nutrition in periodontal diseases remains elucidated
human studies have failed to show relationship between periodontal diseases and nutrition

16

Are males or females more likely to have gingival inflammation (50%;40%)

Men

17

What is the main indicator that changes the diagnosis from gingival diseases to periodontitis-like

presence or absence of attachment loss

18

What are the five clinical manifestations of chronic periodontitis

pocket formation
loss of attachment
bleeding/suppuration
bone loss
tooth mobility and drifting

19

In which group of people id chronic periodontitis most prevalent

adults, but can occur in children and adolescents

20

Destruction in chronic periodontitis is consistent with what

local factors

21

This is a frequent finding in chronic periodontitis

subgingival calculus

22

Chronic periodontitis has what type of microbial pattern

a variable one

23

What is the progression of chronic periodontitis

slow to moderate progression; may have periods of rapid progression

24

Chronic periodontitis can be associated with local predisposing factors and may be modified by and/or associated with what two things

systemic diseases
environmental factors such as smoking or stress

25

What two things can chronic periodontitis be classified upon

extent and severity

26

What two categories on extent can chronic periodontitis be classified as

localized (≤30)
generalized (>30%)

27

What are the three categories of classifying the severity of chronic periodontitis

slight (1mm-2mm CAL)
moderate (3mm-4mm CAL)
severe (> 5mm CAL)

28

This was formally known as pre-pubertal, localized/generalized juvenile, early-onset periodontitis and can be identified as localized or generalized

aggressive periodontitis

29

What are the three common features of aggressive periodontitis

systemically healthy
rapid attachment loss and bone destruction
familial aggregation

30

What are 6 secondary features of aggressive periodontitis

generally but may not be universally present
microbial deposits are inconsistent with the amount of periodontal destruction
elevated AA and P. gingivalis
phagocyte abnormalities
hyper-responseive macrophage phenotype
progression may be self-arresting

31

What kind of serum antibody response to infecting agents is there in localized aggressive periodontitis

robust

32

What are the restraints of diagnosing LAP

inter proximal 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

33

What is the type age of those affected by generalized aggressive periodontitis

usually patient under 30

34

What kind of serum anti body response to infecting agents is there in generalized aggressive periodontitis

poor

35

Generalized aggressive periodontitis has pronounced episodic nature of what

destruction of attachment and bone

36

What are the retrains of diagnosing GAP

generalized inter proximal attachment loss affecting at least 3 permanent teeth other than first molars and incisors

37

Periodontitis is a manifestation of systemic diseases associated with what two hematologic disorders

acquired neutropenia
leukemias

38

What three things are associated with the periodontium involving down syndrome

severe inflammation
accelerated attachment loss
PMN chemotaxis and killing defects

39

Typically, genetic disorders involving periodontitis have which symptoms

rapid periodontal destruction around primary and permanent teeth

40

This necrotizing periodontal disease is limited to gingival tissues

necrotizing ulcerative gingivitis (NUG)

41

This necrotizing periodontal disease is a lesion confined to the periodontal tissues

necrotizing ulcerative periodontitis (NUP)

42

What is the prevalence of necrotizing periodontal disease in developing and developed countries

very rare in developed countries
relevant in developing countries

43

What are the early clinical signs of necrotizing periodontal disease

necrotic lesion of the papilla initially then progressing to gingival margin
punched out appearance
spontaneousbleeding
pain

44

What are the advanced lesion signs on necrotizing periodontal disease

lack of deep pockets
merging of papillary and marginal involvement
crater formation
involvement of PDL and alveolar bone
(NUG --> NUP)

45

in NUPs the involvement of palatal mucosa leads to what

necrotizing stomatitis

46

In NUPs there is involvement with these "glands"

regional lymph nodes

47

NUP is typically related to what

severely compromised immune system (HIV, malnutrition, etc.) and may develop into a life-threatening situation

48

What systemic symptoms are there with NPD

fever and malaise
moderate elevation of temperature

49

What becomes of the membranes involving NPDs

white membranes of desquamated cells, bacteria, and saliva proteins
membrane can be easily removed

50

These types of abscess of the periodontium have localized acute/inflammation/vital pulp

gingival and pericoronal abscesses

51

This type of abscess of the periodontium have localized, acute, or chronic inflammation/vital pulp

periodontal

52

This abscess is located in the crown of a partially erupted tooth

pericoronal

53

This abscess is located in moderate/deep pockets and may lead to bone destruction

periodontal

54

This abscess is located in margins and inter-denal tissues

gingival

55

What is the prevalence of chronic periodontal diseases

adult = 20%
seniors = 50%

56

What is the prevalence of aggressive periodontal diseases

localized = 0.2%-2.6%
generalized = 0.13%

57

What are the two general etiological factors distinguishing periodontal diseases

plaque induced
non-plaque induced