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Perio Final > Initial Examination and Clinical Diagnosis > Flashcards

Initial Examination and Clinical Diagnosis Flashcards

1
Q

A comprehensive periodontal exam for daily practice provides what?

A

Adequate/accurate baseline data
Initial diagnosis/therapy
Re-evaluations (via baseline data)

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2
Q

What are the components of a Comprehensive Exam?

A

Health History
Data on Risk Factors
Radiographic Exam/Treatment
Clinical Charting

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3
Q

What are the components of health history?

A 
Basic Info
Chief Complaint
Medical History
Dental History
Family History
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4
Q

What are the components of Data on Risk Factors?

A

Primary Local Factors

Primary Systemic Factors

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5
Q

What are components of primary local factors?

A

Bacteria (species and plaque retentive areas)

Patient compliance to OHI and maintenance programs (an informed patient decreases the gap between wants and needs)

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6
Q

What are primary systemic factors

A

Smoking
Diabetes
Genetics

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7
Q

What do we want to have for Radiographic Exam/Treatment

A

Full set of PA radiographs

Patients old radiographs/charts (helps show progression)

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8
Q

What are the components of clinical charting?

A 
Probe depths
Gingival recession (+) or hyperplasia (-)
BOP
Plaque (tells us if it's plaque induced)
Suppuration (pus)
Mobility and fremitus
Furcations
Amount of attached and keratinized gingiva
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9
Q

What is the Diagnosis of Periiodontal Problems based on?

A
  • Probe depths + Gingival recession = CAL
  • Ammount of keratinized tissue, BOP, furcations, mobility
  • Fremitus (mobility on occlusion)
  • Bony defects (horizontal, vertical, walled)
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10
Q

What are the types of perio probes (that we use)

A

CPITN (used for PSR)

Williams

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11
Q

CPITN probe measurements

A
  1. 5
  2. 5
  3. 5
  4. 5
  5. 5
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12
Q

WIlliams probe measurements

A 
1
2
3
5
7
8
9
10
(skips 4 and 6)
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13
Q

3 catergories of perio diagnosis

A

Health
Gingivitis
Periodontitis

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14
Q

Signs of healthy gingiva

A

Probe depths ≤ 3mm
No history of CAL
No inflammation

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15
Q

If a patient has no current disease, but has a history of periodontal disease (CAL), what are they labeled as?

A

Health on a reduced periodontium

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16
Q

What are the types of gingivitis? Which is more common

A

Plaque-induced**

Non-plaque induced

17
Q

Non-plaque induced gingivitis

A

Difficult to diagnose/treat

Due to systemic disease and/or medication etiology

18
Q

Signs of gingivitis

A

Probe depths ≤ 3mm
No history of CAL
Inflammation via plaque or other causes

19
Q

Signs of periodontitis

A

Probe depths ≥ 4mm
CAL
Inflammation (unless it’s GAP)

20
Q

What are the types of periodontitis?

A

Chronic Periodontitis

Aggressive Periodontitis

21
Q

How do you measure the severity of chronic periodontitis?

A 
Slight = 1-2mm
Moderate = 3-4mm
Severe = 5+ mm
22
Q

How do you measure the extent of chronic periodontitis?

A

Localized = 30% of sites

23
Q

What are some characteristics of Aggressive Periodontitis?

A

Specific sites
Non-plaque induced
Familial history - genetically predisposed and have the right bacteria
Must have at least 1 1st molar to be considered AP

24
Q

Localized Aggressive Periodontitis

A

≤2 permanent teeth besides 1st molars and incisors

25
Q

Generalized Aggressive Periodontitis

A

≥ 3 permanent teeth besides first molars and incisors

26
Q

How do we know aggressive periodontitis is non-plaque induced?

A

The amount of CAL does not correlate to the amount of plaque present

27
Q

Signs of Localized Aggressive Periodontitis

A

Puberty-20 years old
High/robuts serum-antibody response
Little gingival inflammation

28
Q

Signs of Generalized Aggressive Periodontitis

A

Under 30 years old (usually)
Episodic destruction of CAL/Bone
Poor/little serum-antibody response
Lots of gingival inflammation

29
Q

Glickman’s Classification

A 
Classification of furcation involvement
Class I
Class II
Class III
Class IV
30
Q

Class I furcation

A

Not seen on radiograph

Just a catch in the probe

31
Q

Class II furcation

A

Seen radiographically
aka a Cul-de-sac furcation
Does not go all the way through

32
Q

Class III furcation

A

Through and through furcation

33
Q

Class IV furcation

A

When the furcation can be seen clinically

Perio Final (7 decks)

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