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Flashcards in Module 9 Deck (45)
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1
Q

What is the MAIN reason/sign differing Perio from Gingivitis?

A

Loss of Attachment of JE

2
Q

In perio the JE migrates where?

A

to the cementum

3
Q

Perio is the #1 reason for ________ _________ in adults?

A

tooth loss

4
Q

What is the inflammatory route in Horizontal Bone Loss?

A

Gingival Connective Tissue
Alveolar Bone
PDL

5
Q

What is the inflammatory route in Vertical Bone Loss?

A

Gingival Connective Tissue
PDL
Alveolar Bone

6
Q

A Grade 3 furcation involvement goes _____mm through the furcation?

A

3

7
Q

A Grade 4 furcation involvement goes ________mm through the furcation?

A

Through and Through

8
Q

A Gingivitis pocket is acturally termed a?

A

Pseudo pocket (due to inflammation not bone loss)

9
Q

What type of pocket is seen in horizontal bone loss?

A

Suprabony

10
Q

Vertical bone loss has a _______ pocket?

A

infrabony

11
Q

What are the 3 major categories of Periodontitis?

A

Chronic
Aggressive
Less-common

12
Q

What kind of Periodontitis is most commoon?

A

Chronic

13
Q

Chronic Perio was first called?

A

Adult Perio

14
Q

What age does Chronic Perio USUALLY occur?

A

> 35

15
Q

A person with chronic perio and pale pink gingiva will still have ____ and _____ but the tissue will be ______?

A

pocket depths
bleeding on probing
firm

16
Q

The estimate of the extent of the loss of the supporting structures of a tooth is termed?

A

CAL Clinical Attachment Loss

17
Q

T/F attachment loss is not normally seen in the adult population?

A

F-

1-2 mm is typically found in all adult population

18
Q

Mild:
Mod:
Sev:
Bone Loss Levels

A

1-2
3-4
5 or >

19
Q

Localized Chronic Perio affects ___% of mouth?

A

<30

20
Q

Chronic Perio is usually _____ and progresses ______?

A

painless

slow/mod pace

21
Q

What precedes chronic perio?

A

plaque-induced gingivitis

22
Q

What does Recurrent Perio mean?

A

Have new signs and symptoms AFTER perio therapy is performed.

23
Q

What does Refractory Perio mean?

A

You have aditional attachment loss AFTER therapy and DESPITE good OH and maintenance appts.

24
Q

What is the correct term for Early Onset Perio?

A

Aggressive Perio

25
Q

Aggressive Perio usually affects what age group?

A

<30

26
Q

Aggressive Perio is seen with an elevated number of ________ bateria?

A

A.A.

27
Q

Aggressive Perio is often found with elevated production of prostaglandin __ and Interleukin ___?

A

E2

1B

28
Q

Aggressive Perio has an _______ disease progression?

A

episodic

29
Q

Episodic disease progression means?

A

acute destruction phases as well as intermittent innactive phases

30
Q

Localized Aggressive Perio usually affects what age group?

A

puberty

31
Q

What teeth and how many teeth are affected in Localized Aggressive Perio?

A

1st molars and/or incisors

+ < 2 other teeth not above

32
Q

What is a GOOD radiographic sign of Localized Aggressive Perio if the patient presents with healthy gingiva clinically?

A

Vertical bone loss on 1st molars and/or incisors

33
Q

What age does Generalized Aggressive Perio USUALLY affect?

A

> 30 but can be older

34
Q

Generalized Aggressive Perio affects what and how many teeth?

A

1st molars and or incisors

+ 3 or more other teeth

35
Q

What kind of perio would someone have thats cause is a systemic condition NOT plaque?

A

Perio as a manifestation of a systemic disease

36
Q

What are some examples of systemic diseases that can CAUSE perio alone?

A

Neutropenia
Leukemia
HIV/AIDS

37
Q

NUP stands for?

A

Necrotizing Ulcerative Perio

38
Q

NUP can cause loss of attachment in what time frame?

A

days

39
Q

A person with NUP would have ___/___ papilla and have rapid ____ formation?

A

punched-out
cratered
ulcer

40
Q

NUP is covered by a _____ that is ______ colored?

A

pseudomembrane

yellow/white/gray

41
Q

The 1st lesions of NUP usually affect what teeth?

A

Mand. Anterior

42
Q

What are 3 systemic signs of NUP?

A

Swollen lymph nodes
Fever
Mallaise

43
Q

What anatomic factor can cause the JE to migrate?

A

Enamel Pearls

44
Q

What tooth has a palato-lingual groove?

A

MX lateral incisors

45
Q

What is the most common muco-gingival deformity?

A

Recession