Exam 2; Chronic Periodontitis

Question 1

What are clinical features of chronic periodontitis involving more of the gingiva

Answer 1

changes in gingival morphology
BOP
increased probe depth
attachment loss
gingival recession

Question 2

What is the hallmark of chronic periodontitis

Answer 2

attachment loss

Question 3

What are the clinical features of chronic periodontitis involving more of the whole tooth

Answer 3

alveolar bone loss
furcation involvement
increased tooth mobility
drifting of teeth
tooth loss

Question 4

In which individuals is chronic periodontitis more prevalent

Answer 4

adults

Question 5

Tissue destruction commensurates (corresponds) with what three things

Answer 5

oral hygiene and plaque levels and local/systemic diseases

Question 6

This specific thing is implicated in chronic perio

Answer 6

specific sub gingival species

Question 7

This is invariably present at the disease state

Answer 7

subgingival calculus

Question 8

What is the rate of progression of chronic periodontitis

Answer 8

slow to moderate; rapid bursts of destruction can occur

Question 9

These determine pathogenesis and progression

Answer 9

host factors

Question 10

Untreated diseased sites are what

Answer 10

more likely to sustain further breakdown

Question 11

What are some symptoms of chronic periodontitis

Answer 11

mostly painless
loose teeth
food impaction
drifted teeth/spacing
root sensitivity
bleeding gums

Question 12

How is localized chronic periodontitis categorized

Answer 12

≤ 30% of sites

Question 13

How is generalized chronic periodontitis categorized

Answer 13

> 30% of all sites

Question 14

How is slight chronic periodontitis categorized

Answer 14

1-2 mm of attachment loss

Question 15

How is moderate chronic periodontitis categorized

Answer 15

3-4 mm of attachment loss

Question 16

How is severe chronic periodontitis categorized

Answer 16

5 mm or more of attachment loss

Question 17

What is the typical diagnosis

Answer 17

generalized slight with localized moderate chronic periodontitis

Question 18

This is an environmental, behavioral or biologic factors, which when present increases the likelihood that an individual will develop disease

Answer 18

risk factor

Question 19

This can modify the risk factor (smoking/diabetes)

Answer 19

intervention

Question 20

These are two non-modifiable risk factors

Answer 20

age and gender

Question 21

These are putative risk that have been identified in cross sectional studies but not confirmed longitudinally

Answer 21

risk indicators

Question 22

What are three risk indicators

Answer 22

HIV/AIDS
osteoporosis
infrequent dental visits

Question 23

This is a characteristic associated with elevated risk for disease buy may not be part of the causal chain

Answer 23

risk markers/predictors

Question 24

What are three risk markers/predictors

Answer 24

furcation involvement
calculus
history of attachment loss

Question 25

What was the early studies view on gingivitis and CP

Answer 25

all gingivitis leads to periodontitis but then later thinking that gingivitis and CP are separate

Question 26

bacterial plaque induces gingivitis, but what determines if CP will develop

Answer 26

host response

Question 27

What is todays view of gingivitis and CP

Answer 27

different aspects of the same disease

Question 28

What is the epidemiology of periodontitis

Answer 28

47% of US population has periodontitis | most of it moderate perio

Question 29

What group(s) of people have the highest prevalence of CP

Answer 29

``` men mexican americans adults with less than high school education adults below the poverty level current smokers ```

Question 30

Severe periodontitis is the what most prevalent disease in the world

Answer 30

6th most prevalent

Question 31

What three things are increasing the burden of SP

Answer 31

growing world population increasing life expectancy significant decrease in prevalence of tooth loss

Question 32

This is the mobility of a tooth in occlusion and is used to aid in diagnosis of CP

Answer 32

fremitus

Question 33

What is used to diagnose CP

Answer 33

``` probing depths gingival recession CAL (probing depth + gingival recession) BOP furcation involvement mobility bone defects ```

Question 34

What are the bony defects in diagnosing CP

Answer 34

1 - wall 2 - wall 3 - wall bony defects

Question 35

What are the three goals of treatment for CP

Answer 35

eliminate etiology eliminate or reduce risk factors prevent recurrence

Question 36

What are the three steps of initial periodontal therpay

Answer 36

removal of but sub and supra gingival plaque adequate oral hygiene remove local and systemic risk factors

Question 37

What are the three rationales for periodontal therapy

Answer 37

periodontal treatment of CP is effective non-compliant patients had double the rates of tooth loss untreated patients loss approx. 0.6 teeth/year

Question 38

What are three things associated with probing depth reduction after therapy

Answer 38

gingival recession and gain of clinical attachment pocket shrinkage

Question 39

This outcome of initial therapy indicated that sites with initial shallow pockets tend to lose what

Answer 39

CAL (gingival recession + probing depths) (possible trauma)

Question 40

There is a greater risk for what if presenting multiple sites with residual probing depth ≥ 6mm after active treatment

Answer 40

additional attachment loss | bottom line; you cannot maintain 6mm pockets; surgery