Overview of non-surgical and surgical therapy Flashcards Preview

SP 16 - Perio Exam 1 > Overview of non-surgical and surgical therapy > Flashcards

Flashcards in Overview of non-surgical and surgical therapy Deck (15)
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1
Q

T/F - It is wise for a practitioner to devote themselves to a single therapeutic philosophy when treating periodontitis

A

False - In fact, if they do this, they can be liable for supervised neglect should the condition continue to deteriorate

2
Q

What are the signs of gingival health?

A

PD of 1-3mm
No history of CAL
No clinical signs of inflammation

3
Q

What do we call a patient with no signs of current disease, but have had previous attachment loss?

A

Health on a reduced periodontium

4
Q

Characteristics of Gingivitis

A

1-3mm PDs
No history of attachment loss
Clinical signs of inflammation

5
Q

Signs of Dental plaque-induced gingivitis

A

Characterized by PD of ≤ 3 mm and BoP
No gingival recession
Red and edematous soft tissue

6
Q

What other things can cause gingivitis (other than dental plaque?)

A

Involvement of systemic disorders and medications

These are often difficult to diagnose and treat

7
Q

Characteristics of Periodontitis

A

≥4mm PD
Clinical attachment loss
Clinical signs of inflammation

8
Q

What are the two major types of periodontitis?

A

Chronic

Aggressive

9
Q

How do you determine the extent of chronic periodontitis?

A

> 30% of sites = generalized

10
Q

How do you determine the severity of chronic periodontitis?

A
Slight = 1-2 mm CAL
Moderate = 3-4 mm CAL
Severe = ≥5 mm CAL
11
Q

How do you determine the extent of aggressive periodontitis?

A
Localized = Molars and incisors + 1-2 other teeth
Generalized = 3+ teeth other than molars and incisors
12
Q

Gingival recession

A

Incidental attachment loss

13
Q

Peri-implant mucositis

A

Gingivitis-like disease surrounding implants

No CAL

14
Q

Peri-implantitis

A

Periodontitis-Lied disease surrounding implants

CAL

15
Q

What are the steps to approach periodontal care?

A

1) Perform an exam
2) Make an initial clinical exam diagnosis
3) Identify the risk factors for future progression
4) Establish a prognosis
5) Present treatment alternatives
6) Obtain informed consent
7) Treat the patient:
- initial non-surgical therapy (refer if needed)
- reevaluation
- periodontal maintenance