Lecture 8

Question 1

What is periodontal disease and what does it include?

Answer 1

Question 2

What are the two basic categories of periodontal disease?

Answer 2

Question 3

What is the periodontium in health?

Answer 3

Question 4

What is gingivitis?

What are the microscopic changes seen in gingivitis?

Characterized by what clinical changes

Where is the JE and condition?

Condition of supragingival fibers

What kind of pocket is possible?

Answer 4

Question 5

What is a gingival pocket?

Answer 5

Question 6

How is the gingiva enlarged during acute and chronic gingivitis?

Answer 6

Question 7

What is periodontitis?

Where does the inflammation extend?

Development of what type of pockets?

What causes marked changes in connective tissue and junctional epithelium?

Answer 7

Question 8

What is the clinical picture of periodontitis?
Where is the JE?
Supragingival fibers?
Alveolar bone?
Periodontal ligament?

Answer 8

Question 9

What happens to connective tissue and gingival fibers in periodontitis?

Answer 9

Question 10

What happens to the JE in periodontitis?

What happen to the collagen fibers apical to JE?

Answer 10

Question 11

What facilitates the apical migration of the JE onto cementum? This prevents what? Results in what?

Answer 11

Question 12

What happened to the ridges of the JE and sulcular epithelium in periodontitis and what occurs as a result?

Answer 12

Question 13

What happens to the transeptal fibers in periodontitis?

Answer 13

Question 14

what causes a periodontal pocket?

Answer 14

Question 15

The two types of perio pockets difference lies in what?

Answer 15

Question 16

What is a suprabony pocket?

Answer 16

Question 17

What is a infrabony pocket?

Answer 17

Question 18

What leads to destructions of alveolar bone? What is the ultimate cause?

Answer 18

Question 19

Name some bone resorbing factors

Answer 19

Question 20

Causes of bone destruction

Answer 20

Question 21

Alveolar bone height in health

Answer 21

Question 22

Alveolar bone height in periodontitis

Answer 22

Question 23

Bone loss can present in patterns. Varies and depends on what?

Answer 23

Question 24

The pathway of inflammation will determine what?

Answer 24

Question 25

What is the pathway of inflammation for horizontal and vertical bone loss?

Answer 25

Question 26

Bone destruction typically does not occur within ____of plaque mass at the base of the pocket What determines the type of bone loss?

Answer 26

Question 27

A wide crestal septum is what width, what type of teeth have a WCS and what type of bone loss will typically happen here? A narrow crestal septum is what width, what type of teeth have a NCS and what type of bone loss will typically happen here?

Answer 27

Question 28

What are the two type of bone loss?

Answer 28

Question 29

What is the most common type of bone loss?

Answer 29

Horizontal

Question 30

Describe horizontal bone loss

Answer 30

Question 31

Horizontal bone loss produces what type of pockets? The deepest part of the pocket is where? What kind of defect is it?

Answer 31

Question 32

Vertical bone loss occurs in what direction? Describe vertical bone loss What rates does vertical bone loss occur? VBL is more rapid where? What kind of bony defect is it? Results from inflammation traveling from Most occur where? Can also occur?

Answer 32

Question 33

Osseous walls in health and in perio

Answer 33

Question 34

What are the different infrabony defects? How are they classified?

Answer 34

Question 35

Answer 35

Three wall bony defect

Question 36

Answer 36

Two wall bony defect

Question 37

Answer 37

One wall bony defect

Question 38

What is a hemiseptum?

Answer 38

Question 39

What is an interdental crater?

Answer 39

Question 40

Anatomic features affecting bone loss patterns

Answer 40

Question 41

What is defined as attachment loss? Attachment loss spreads and has what pattern?

Answer 41

Question 42

Describe the episodic nature of periodontitis

Answer 42

Question 43

What is a disease site? What are the different types of disease sites?

Answer 43

Question 44

Most accurate way to measure attachment loss

Answer 44

Question 45

What are the different severities of attachment loss?

Answer 45

Question 46

How do we document periodontal condition?

Answer 46