Module 9

Question 1

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

Answer 1

Loss of Attachment of JE

Question 2

In perio the JE migrates where?

Answer 2

to the cementum

Question 3

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

Answer 3

tooth loss

Question 4

What is the inflammatory route in Horizontal Bone Loss?

Answer 4

Gingival Connective Tissue
Alveolar Bone
PDL

Question 5

What is the inflammatory route in Vertical Bone Loss?

Answer 5

Gingival Connective Tissue
PDL
Alveolar Bone

Question 6

A Grade 3 furcation involvement goes _____mm through the furcation?

Answer 6

3

Question 7

A Grade 4 furcation involvement goes ________mm through the furcation?

Answer 7

Through and Through

Question 8

A Gingivitis pocket is acturally termed a?

Answer 8

Pseudo pocket (due to inflammation not bone loss)

Question 9

What type of pocket is seen in horizontal bone loss?

Answer 9

Suprabony

Question 10

Vertical bone loss has a _______ pocket?

Answer 10

infrabony

Question 11

What are the 3 major categories of Periodontitis?

Answer 11

Chronic
Aggressive
Less-common

Question 12

What kind of Periodontitis is most commoon?

Answer 12

Chronic

Question 13

Chronic Perio was first called?

Answer 13

Adult Perio

Question 14

What age does Chronic Perio USUALLY occur?

Answer 14

> 35

Question 15

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

Answer 15

pocket depths
bleeding on probing
firm

Question 16

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

Answer 16

CAL Clinical Attachment Loss

Question 17

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

Answer 17

F-

1-2 mm is typically found in all adult population

Question 18

Mild:
Mod:
Sev:
Bone Loss Levels

Answer 18

1-2
3-4
5 or >

Question 19

Localized Chronic Perio affects ___% of mouth?

Answer 19

<30

Question 20

Chronic Perio is usually _____ and progresses ______?

Answer 20

painless

slow/mod pace

Question 21

What precedes chronic perio?

Answer 21

plaque-induced gingivitis

Question 22

What does Recurrent Perio mean?

Answer 22

Have new signs and symptoms AFTER perio therapy is performed.

Question 23

What does Refractory Perio mean?

Answer 23

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

Question 24

What is the correct term for Early Onset Perio?

Answer 24

Aggressive Perio

Question 25

Aggressive Perio usually affects what age group?

Answer 25

<30

Question 26

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

Answer 26

A.A.

Question 27

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

Answer 27

E2 | 1B

Question 28

Aggressive Perio has an _______ disease progression?

Answer 28

episodic

Question 29

Episodic disease progression means?

Answer 29

acute destruction phases as well as intermittent innactive phases

Question 30

Localized Aggressive Perio usually affects what age group?

Answer 30

puberty

Question 31

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

Answer 31

1st molars and/or incisors | + < 2 other teeth not above

Question 32

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

Answer 32

Vertical bone loss on 1st molars and/or incisors

Question 33

What age does Generalized Aggressive Perio USUALLY affect?

Answer 33

> 30 but can be older

Question 34

Generalized Aggressive Perio affects what and how many teeth?

Answer 34

1st molars and or incisors | + 3 or more other teeth

Question 35

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

Answer 35

Perio as a manifestation of a systemic disease

Question 36

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

Answer 36

Neutropenia Leukemia HIV/AIDS

Question 37

NUP stands for?

Answer 37

Necrotizing Ulcerative Perio

Question 38

NUP can cause loss of attachment in what time frame?

Answer 38

days

Question 39

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

Answer 39

punched-out cratered ulcer

Question 40

NUP is covered by a _____ that is ______ colored?

Answer 40

pseudomembrane | yellow/white/gray

Question 41

The 1st lesions of NUP usually affect what teeth?

Answer 41

Mand. Anterior

Question 42

What are 3 systemic signs of NUP?

Answer 42

Swollen lymph nodes Fever Mallaise

Question 43

What anatomic factor can cause the JE to migrate?

Answer 43

Enamel Pearls

Question 44

What tooth has a palato-lingual groove?

Answer 44

MX lateral incisors

Question 45

What is the most common muco-gingival deformity?

Answer 45

Recession