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Periodontics II > Midterm > Flashcards

Midterm Flashcards

(57 cards)

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1
Q

Exposure to chronic PD increases an individual’s risk of developing Alzheimer’s disease by how much?

A

4x

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2
Q

In pts with Diabetes High CRP promotes what?

A

insulin release

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3
Q

Pts with Diabetes are how much more likely to have PD?

A

3x

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4
Q

For every 1mm of bone loss from PD, the risk of what, increases 2-3x?

A

Head and Neck Cancers

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5
Q

Pts with higher BMI ten to have higher levels of …

A

CRP

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6
Q

In Obese pts, calorie reduction leads to decreased what?

A

gingival bleeding and rate of PD progression

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7
Q

25% of dental school population require a …

A

medical consultation

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8
Q

When looking at BWs what should be parallel?

A

CEJ and crest of bone

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9
Q

When charting what 3 things do you want in the initial note?

A

Diagnosis, Prognosis, Tx Plan

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10
Q

What is the Diagnosis based on?

A

CAL from CEJ

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11
Q

What is the Tx Plan based on?

A

pocket depths from probing

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12
Q

What is the Radiographic Appearance of Normal Bone Levels?

A

Does NOT come all the way to the level of the CEJ, but should be parallel to it

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13
Q

What type of bone lose is more problematic and why?

A

vertical bone loss because it is a sign of aggressiveness

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14
Q

Type of epithelium is determined by its …

A

associated CT

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15
Q

What is the attachment and keratinization of the Secular Epithelium?

A

unattached and keratinized (but appears non-keratinized)

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16
Q

What are 3 intra-oral findings that have an impact on perio health?

A

Tori, Developmental grooves, Frenum

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17
Q

Mobility is the degree of looseness of a tooth when we move it due to …

A

inflammation and/or bone loss

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18
Q

How do we test/quantify mobility?

A

must use 2 hard instruments

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19
Q

Movement (mobility) in what dimension signals major problems?

A

vertical

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20
Q

What is the Grade of Mobility? < 1mm horizontal movement only?

A

1

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21
Q

What is the Grade of Mobility? >/= 1mm horizontal movement only?

A

2

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22
Q

What is the Grade of Mobility? > 1mm AND depressible (horizontal and vertical movement)

A

3

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23
Q

How do you detect Fremitus?

Study These Flashcards
A

with fingers, earlier than bi-digital mobility

24
Q

What component of the Perio Chart is Periodontal Tx primarily based on?

Study These Flashcards
A

probing depth

25
What component of the Perio Chart is Diagnosis based on?
attachment loss
26
What Class of Furcation has a depression that does NOT catch the probe?
Class I
27
What Class of Furcation has a furcation deep enough to catch the probe but not contiguous with other furcations on the same tooth?
Class II
28
What Class of Furcation has bone loss through and through, but covered with gingival tissue?
Class III
29
What Class of Furcation has bone loss through and through and directly exposed to the oral environment, the gingival margin is apical to the entrance of the furcation?
Class IV
30
When calculating CAL, the level of ... is key and must compare it to the level of the ...
gingival margin; CEJ (ground zero)
31
What is the calculation/measurement for Amount of Attached Gingiva?
MGJ to gingival margin - probing depth
32
What is the Miller Classification for Recession: recession not to MGJ, no interproximal bone or papilla loss, 100% coverage?
Class 1
33
What is the Miller Classification for Recession: REC past MGJ, no IP bone or papilla loss, 100% coverage?
Class 2
34
What is the Miller Classification for Recession: REC past MGJ, IP bone or papilla loss, malposition, partial coverage?
Class 3
35
What is the Miller Classification for Recession: REC past MGJ, several IP bone or papilla loss, malposition, no coverage?
Class 4
36
What is Linear Gingival Erythema associated with?
HIV and Candida Albicans
37
What Periodontal Classification has; probing depth 3-5mm, CAL 1-2mm, BOP, positive response to therapy
Slight Chronic Periodontitis
38
What Periodontal Classification has; probing depth 5-7mm, CAL 3-4mm, BOP?
Moderate Chronic Periodontitis
39
What Periodontal Classification has; Probing depth > 7mm, CAL 5-7mm, furcation 1-3, BOP, fremitus and mobility, horizontal bone loss seen radiographically?
Severe Chronic Periodontitis
40
What bacteria are associated with LAP?
Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis
41
What are the drugs that cause gingival hyperplasia?
Phenytoin - seizures Cyclosporin - immunosuppressant Calcium Channel Blockers - related to heart disease CNS Stimulants (Ritalin) - ADHD
42
What is the tooth with the worst perio diagnosis?
Max 2nd Molars
43
What bacteria are associated with plaque formation - initial colonization?
gram +, facultative; actinomyces viscosus, Streptococcus sanguis
44
What bacteria are associated with plaque formation - secondary colonization and plaque maturation?
gram -, anaerobic; F. necleatum, P. gingivalis, T. Denticola
45
Habitat has been altered by non-microbial factors
Allogenic Succession
46
Resident microbial community alters the environment to such a degree that it is replaced by other species more suited to the modified habitat.
Autogenic Succession
47
Caries and perio result from production of toxic substances caused by total plaque flora
Non-specific Plaque Hypothesis (NSPH)
48
Only certain plaque is pathogenic, depends on the presence of or increase in specific microorganisms
Specific Plaque Hypothesis (SPH)
49
What is required in addition to pathogenic bacteria, before disease may occur?
susceptible host
50
What are the 3 Red Complex Bacteria?
P. gingivalis, T. Denticola, B. forsythus
51
What are the 6 Orange Complex Bacteria?
P. intermedia, P. nigrescens, P micros, E. nodatum, C. rectus, C. showae
52
What makes RA worse?
P. gingivalis
53
What is associated with T. Denticola?
ANUG
54
What is formed 2-7 days after SRP?
long thin Junctional Epithelium (restoring epithelialization of the sulcus) interrupted by islands of CT
55
What endotoxin is released from gram - bacterial cell walls
Lipopolysaccharides
56
What are the bacterial constituents capable of inducing bone resorption?
leukotoxins produced by Aa, gingi-pains produced by p. gingivalis
57
Following SRP, sub gingival bacteria should shift back to ...
aerobic, gram+, non-motile forms

Periodontics II (1 decks)

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