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Flashcards in Module 16 Deck (47):
0

What are the structures involved in the periodontium

Gingiva
PDL
Cementum
Alveolar Bone

2

In health the Crest of Alveolar Bone (alveolar crest) is __ to ___mm apical to the CEJ

1.5
2.0
(book answer)

3

In health, the width of the PDL is ____mm

0.5

4

Is the alveolar crest less or more radiopaque in the posterior region compared to the anterior region

less

5

With periodontal disease, the gingiva exhibit?

varying degrees of inflammation

6

The gingiva may appear __, ____, and ___ during periodontal disease

swollen
red
bleeding

7

During periodontal disease, the alveolar crest appears ___, and _____ is seen

indistinct
bone loss

8

Clinical information provides information about ___ while dental images permit evaluation of ______

soft tissues (gingiva)
bone

9

A thorough clinical assessment must include ______

periodontal probing

10

Dental images provide an overview of the amount of bone _____ and indicate the __, ___, and ____ resulting from periodontal disease

present
pattern
distribution
severity of loss

11

What type of image, and what imaging technique are recommended to evaluate extent of periodontal disease

Periapical image
Paralleling technique

12

The bisecting technique can cause a ____ of bone levels due to vertical angulation problems

dimensional distortion

13

Horizontal BWX shouldn't be used along to document ____ to ____ periodontal disease

moderate
severe

14

The vertical BWX is best used for ___ and __ purposes

post-tx
follow up

15

Furcation involvement may not be detected on a dental image because of?

superimposition of buccal and lingual bone

16

Bone loss is often ___ advanced than is visible on films

more

17

The amount of bone loss can be estimated as the difference between the ____ and __

physiologic bone level
height of remaining bone

18

Bone loss is described in terms of the _____, _____, and _____ of loss

pattern
distribution
severity

19

The pattern of bone loss can be described as ___ or _____

horizontal
vertical

20

What is used as a reference in determining the pattern of bone loss

CEJ of adjacent teeth

21

Horizontal bone loss occurs in a plane __ to the CEJ's

parallel

22

Vertical bone loss is also called?

Angular bone loss

23

The distribution of bone loss is described as __ or ____

localized
generalized

24

localized bone loss occurs in ____ areas and is less than ______% of the sites involved

isolated
30%

25

Generalized bone loss occurs ____ with ____ than 30% of the sites involved

evenly throughout arches
more

26

Severity of bone loss is described as _, ___, or _____

slight
moderate
severe

27

The severity of bone loss is measured by the ______

CAL clinical attachment loss

28

The CAL is measured with a _____ and is the measurement of the distance from the __ to the ___

Probe
CEJ
base of sulcus/perio pocket

29

Slight bone loss =
Moderate bone loss =
Severe bone loss =

1-2 mm
3-4mm
5mm or more

30

Horizontal bone loss is associated with ___ pockets

supra-boney

31

Vertical bone loss is associated with ___ pockets

infra-boney

32

If you see furcation involvement on an x-ray but can't PROBE the furcation you should start thinking about?

possibility of an endodontic lesion

33

What is a phenomenon seen in early periodontal disease where the PDL space widens at the crest of the interproximal septum.

Triangulation

34

Class I periodontal disease is called?

Gingivitis

35

Class II periodontal disease is called?

mild/slight periodontitis

36

Class III periodontal disease is called?

moderate periodontitis

37

Class IV periodontal disease is called?

severe/advanced periodontitis

38

Class I perio:
There is _____ bone loss?
The crestal lamina dura is ____, and has a measurement of ____ to _____mm apical to the CEJ?

No
Intact
1-2mm

39

Clinically: Class I perio
___ may or may not be present, and only ___is affected

bleeding
gingival tissues

40

Class II perio:
There is ____ bone loss with ____ crestal changes. The crestal lamina dura appears_____?
There is less than _____% bone loss, with a measurement of _____ to ____mm apical to the CEJ

Horizontal
mild
unclear and fuzzy
(incipient loss)

41

Clinically: Class II perio
_____ may occur during probing. There are ___ from attachment loss as well as localized areas of ___

bleeding
pocket depths
areas of recession

42

Class III perio:
There is ___ to ___% bone loss in a _____pattern and ____ distribution?
The alveolar crest measurement is ____ to _____mm apical to the CEJ?
You may also see _____ involvement?

30-50%
Horizontal/vertical
(localized/generalized)
4-6mm
furcation

43

Clinically: Class III
pocket depths and attachment loss up to _____mm. __, ____ and __ may also be present

6
recession
furcation
slight mobility

44

Class IV periodontal disease:
There is greater than __% bone loss with a ___ pattern? The alveolar crest measurement is ___mm apical to the CEJ?
You get more _____ involvement?

50
horizontal/vertical
6+
furcation

45

Clinically: Class IV
pocket depths and attachment loss is greater than _____mm?
_____ involvement and ___ are more severe

6
furcation
mobility

46

Effects of certain ____, ____ used, and various medical conditions are all risk factors to periodontal disease

medications
tobacco

47

An irregular border of alveolar crest may indicate___ ,____ ___ bone loss

faster
more active