Last Minute Things Flashcards
(12 cards)
How does poorly controlled diabetes affect periodontal disease?
Impaired immune function means reduced ability to fight infection
Increased glucose in saliva fuels bacterial growth
Poor wound healing means periodontal tissues take longer to recover
So risk and severity of periodontal disease increases especially if HbA1c >7%
How does periodontal disease affect diabetes?
Gum disease causes inflammation
Inflammation impairs insulin signalling, making it harder for the body to regulate glucose
So periodontal disease can worsen glycemic control and increase insulin resistance
Treating periodontal disease will improve glycemic control
How does pregnancy affect periodontal disease?
Increased oestrogen and progesterone increases blood flow to gums and enhances inflammatory response to plaque
Results in gingivitis
Mixed association to low birth weight, pre-eclampsia, but routine tx is safe
Keep good OH
What does bleeding from the gingival margin indicate?
Inadequate OH
What does bleeding from the base of the pocket indicate?
Active periodontal disease
What is periodontal health?
<10% BoP and all PPD sites ≤3mm
What defines a non-engaging pt?
Insufficient improvement ion OH - <50% improvement in plaque and marginal bleeding scores
Plaque >20% and bleeding >30%
What is a stable perio status?
BoP<10%
PPD ≤4mm
No BoP at 4mm sites
What is a remission perio status?
BoP≥10%
No PPD ≤4mm
No BoP at 4mm sites
What is an unstable perio status?
PPD≥5mm or PPD ≥4mm and BoP
What does AMCUR stand for?
Acting
Making a decision
Communicating a decision
Understanding a decision
Retaining the memory of a decision
What are the principles of the Adults with Incapacity Act
Most benefit to the pt
Minimum necessary intervention
Take account wishes of adult
Consultation with relevant adults
Encourage adult to exercise residual capacity
