Exam 3 Flashcards by Aliyah Bennett

What is absent in periodontal health?

 Bleeding on probing
 Erythema
 Edema
 Attachment loss
 Bone loss

How well did you know this?

Not at all

Perfectly

What should be seen in periodontal health?

 Pink color
 Gingival margin encircles CEJ
 Smoothly scalloped contour
 Tapered, flat, or slightly rounded edge
 Pyramidal appearance
 Attached gingiva keratinized, firmly bound
 Firm tissue
 No bleeding

How well did you know this?

Not at all

Perfectly

How does the 2017 AAP/EFP define intact periodontium?

No loss of periodontal tissue

How well did you know this?

Not at all

Perfectly

How does the 2017 AAP/EFP define reduced periodontium?

Preexisting loss of periodontal tissue but not currently undergoing loss of connective tissue/alveolar bone

How well did you know this?

Not at all

Perfectly

What are the 3 categories of periodontal health?

o Periodontal health on intact periodontium
o Periodontal health on reduced periodontium in nonperiodontitis patient
o Periodontal health on reduced periodontium in successfully treated stable periodontitis patient

How well did you know this?

Not at all

Perfectly

What disease is dental biofilm-induced?

Gingivitis

How well did you know this?

Not at all

Perfectly

What disease is non-biofilm induced?

Gingival disease

How well did you know this?

Not at all

Perfectly

o Does not directly cause tooth loss, but must be managed as active disease process
 Inflammatory response of gingival tissue by periodontal pathogens

Biofilm-induced gingivitis

How well did you know this?

Not at all

Perfectly

What are the tissue contours in gingivitis?

 Bulbous papilla
 Blunted papilla
 Cratered papilla

How well did you know this?

Not at all

Perfectly

What is the tissue consistency in gingivitis?

o Tissue spongy with light pressure
o Compressed air readily deflects gingival margin and papillae away from neck of tooth

How well did you know this?

Not at all

Perfectly

What is the tissue texture in gingivitis?

o Smooth and very shiny
o Stretched appearance
o May lose gingival stippling

How well did you know this?

Not at all

Perfectly

What is the position of the gingival margin in gingivitis?

May appear more coronally due to tissue swelling

How well did you know this?

Not at all

Perfectly

How does bleeding work in gingivitis?

o Occurs with gentle probing
o Heavier bleeding as inflammation increases

How well did you know this?

Not at all

Perfectly

Degree to which inflammation has spread

Extent of biofilm-induced gingivitis

How well did you know this?

Not at all

Perfectly

What is the primary parameter percentage score based on?

number of bleeding sites divided by total number of six sites on tooth

How well did you know this?

Not at all

Perfectly

What is the primary parameter percentage score for gingival health?

less than 10%

How well did you know this?

Not at all

Perfectly

What is the primary parameter percentage score for localized gingivitis?

10-30%

How well did you know this?

Not at all

Perfectly

What is the primary parameter percentage score for generalized gingivitis?

over 30%

How well did you know this?

Not at all

Perfectly

Gingivitis only in interdental papilla

Papillary gingivitis

How well did you know this?

Not at all

Perfectly

Gingivitis in the gingival margin and papilla

Marginal gingivitis

How well did you know this?

Not at all

Perfectly

Gingivitis in the gingival margin, papilla, and attached gingiva

Diffuse gingivitis

How well did you know this?

Not at all

Perfectly

What are the treatment objectives for dental biofilm-induced gingivitis on reduced periodontium in nonperidontitis patient?

 Remove etiologic factors
 Reinforce oral hygiene
 Avoid further loss of periodontal tissues
 Minimalize risk of gingivitis converting in periodontitis

How well did you know this?

Not at all

Perfectly

What is irreversible and incurable?

Periodontitis

How well did you know this?

Not at all

Perfectly

What factors may modify biofilm?

Study These Flashcards

 Puberty
 Menstrual cycle
 Pregnancy
 Oral contraceptives
o Sex and steroid hormones

Temporary increase in gingival inflammation associated with increased steroid hormone levels - Exaggerated response to relatively little plaque biofilm

Gingivitis associated with puberty

Only modest observable inflammatory changes during ___ ?

ovulation

o Increased hormones trigger gingival crevicular fluid flow o High inflammation in response to even minimal plaque biofilm

Gingivitis associated with pregnancy

What might Pregnancy-associated pyogenic granuloma form?

 Pregnancy tumor  Overgrowth of tissue

What contained higher doses of hormone concentrations that were associated with gingival inflammation?

Older oral contraceptives

Presence of abnormally high concentration of glucose in circulating blood

Gingivitis associated with hyperglycemia

Inflammatory response of gingiva to plaque biofilm exacerbated by high blood glucose levels

Gingivitis associated with hyperglycemia

Cancer of body’s blood-forming tissues

Leukemia

What is the exaggerated inflammatory response of gingiva to plaque biofilm?

 Bleeding tissue enlargement  Swollen, spongy, shiny, red

What is gingival fibrosis?

Formation of abnormal amount of fibrous tissue

What is associated with gingival fibrosis?

Smoking

What can a Vitamin C deficiency cause?

-Scurvy -Delayed healing

What is vitamin C essential for?

-Collagen and fibrous tissue for normal matrices in teeth -Bone -Cartilage -Connective tissue -Skin

What is associated with gingivitis for vitamin C?

Malnutrition

What causes progressive caries, taste disorders, halitosis, and inflammation of oral mucosa, tongue, and gingiva?

Hyposalivation

What systemic medications are associated with drug-influenced gingival enlargements?

 Anticonvulsants  Calcium channel blocking agents  Immunosuppressants

What's a sign that gingival enlargement is drug-influenced?

Overgrowth of gingival tissue within 3 months of taking medication

What are some nonbiofilm-induced gingival disease conditions?

o Genetic/developmental disorders o Specific infections o Inflammatory and immune conditions and lesions o Reactive processes o Neoplasms o Endocrine, nutritional, and metabolic diseases o Traumatic lesions o Gingival pigmentation

Rare benign oral condition involving slow, progressive enlargement of attached gingiva

Hereditary gingival fibromatosis

 Caused by specific bacterium not commonly found in the typical bacterial plaque biofilm  Manifest as ulcerations, chancres, or mucous patches

Infections of bacterial origin

What are some infections of a bacterial origin?

Neisseria gonorrhea treponema pallidum STDs

What are nonbiofilm-induced allergic reactions usually caused by?

Flavoring agents

What are some gingival signs of an allergic reaction?

Flaking Peeling of gingiva

 Uncommon, acute immune inflammatory disorder  Causes large, symmetrical erythematous papules resembling a target in a circular pattern

Erythema multiforme

* Purplish, itchy, flat-topped bumps on skin * Lacy white patches * Painful sores * Etiology unknown, thought to be autoimmune * Affects skin, hair, nails, and mucous membranes

Oral Lichen Planus

What are lacy white patches in the mouth?

Whickham’s striae

What are the six types of clinical manifestations?

* Papular * Reticular * Plaque-type * Erythematous * Ulcerative * Bulbous lesions

What are some treatments of an allergic reaction?

o Advise patient to change brands/flavors of gum, toothpaste, or mouthwash o Biopsy

any tumor-like enlargement situated on gingiva or alveolar mucosa

Epulis

new growth, benign or malignant

Neoplasm

What is an example of a premalignant neoplasm?

Leukoplakia

What is an example of a malignant neoplasm?

leukemia

What are some traumatic lesions?

-Physical insult -Chemical insult -Thermal insult

What are some chemical insults?

Hydrogen peroxide chlorhexidine

What are some physical insults?

 Frictional keratosis  Toothbrush  Factitious injury (self-harm)

Exam 3 Flashcards

(59 cards)