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Dental hygiene > Perio 2 > Flashcards

Perio 2 Flashcards

1
Q

State free from inflammatory periodontal disease

A

Allows individual to function normally and avoid consequences (mental or physical) due to current or past disease

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2
Q

Characteristics of periodontal health

A

Absence of
-bleeding on probing
-erythema
-edema
- pt symptoms
-attachment loss
-bone loss

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3
Q

Intact periodontium

A

No loss of periodontal tissue (EVER)

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4
Q

Reduced periodontium

A

Pre existing loss of periodontal tissue but no current activity of loss of CT or alveolar bone

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5
Q

Periodontal health can have

A

Intact or reduced periodontium

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6
Q

Categories of periodontal health

A

1) intact periodontium
2) reduced periodontium
3) reduced periodontium in successfully treated stable periodontitis patients

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7
Q

Common characteristics of gingivitis

A

Bacterial plaque biofilm accumulated at or below gingival margin
Signs of inflammation to the gingiva
No attachment loss
Reversible inflammation

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8
Q

Gingivitis plaque induced modified by systemic conditions

A

Diabetes
Hormones
Pregnancy
Leukemia
Smoking
Malnutrition
Medications

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9
Q

Most common type of periodontal disease

A

Plaque induced gingivitis

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10
Q

The primary strategy for preventing periodontitis

A

Managing gingivitis

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11
Q

Inflammation in children is ____ as in adults

A

Not as intense

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12
Q

____ have fewer pathogenic bacteria in plaque biofilm than ___

A

Children, adults

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13
Q

Children’s immune response is ____ and therefore ___ the same response to plaque biofilm

A

Less developed, do not have

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14
Q

Clinical signs of plaque induced gingivitis

A

-Change in color most evident at gingival margin
-Edema swelling
-bleeding evident upon gentle probing
-tenderness

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15
Q

Papillary gingivitis

A

Involves interdental papillae

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16
Q

Marginal gingivitis

A

Includes interdental papillae plus adjacent gingival margin

17
Q

Diffuse gingivitis

A

Includes interdental papillae,gingival margin, and contiguous attached gingiva

18
Q

Acute gingivitis

A

Short duration, return to health after good patient self care

19
Q

Chronic gingivitis

A

Long lasting, may exist for years without progression

20
Q

Three categories of plaque induced gingivitis

A

1) Intact periodontium (no bone loss)
2) Reduced periodontium (bone loss) in successfully treated stable perio pt
3) reduced periodontium (bone loss) in a non-perio pt

21
Q

Gingivitis on a reduced periodontium in a non perio Pt

A

From ortho, can result in recession

22
Q

Levels of sex hormones cause

A

Bright red tissue, soft, thinly stretched, smooth and bleed easy

23
Q

Pregnancy associated gingivitis

A

Exaggerating inflammation response usually 2nd or 3rd trimester

24
Q

Pyogenic granuloma

A

Most common in maxillary and gingival papillae
Mushroom like growth
Not cancerous
Not painful
Exaggerated response to irritation
Growth bleeds if easily distributed
Regresses after giving birth

25
Q

Hyperglycemia

A

Poorly controlled diabetes

26
Q

Leukemia

A

Plaque biofilm not a prerequisite

27
Q

Smoking

A

Gingival fibrosis is evident

28
Q

Malnutrition

A

Lack of vitamin C

29
Q

Gingivitis with diabetes

A

Inflammatory response of the gingiva to plaque with a poorly controlled blood glucose level
Reduction in gingival inflammation may result in Reduction of insulin
Often seen in children with poorly controlled type 1

30
Q

Gingivitis with Blood Dyscrasias- Leukemia

A

Often the 1st clinical sign is oral changes
Enlarged tissue, Bleeding, Swollen, red-deep purple, spongy, shiny, tear easy, Bleed with little provocation
Changes begin in papilla

31
Q

Drug influenced gingival enlargement

A

Increase in the size of the gingival resulting from systemic medications
Within the first 3 months, irregular pattern starting in the papillae, Anterior is more effected, Severity depends on the ability to remove plaque, Increase in cervical areas fluid and bleeding, with no attachment loss

32
Q

Drug influenced gingivitis

A

Exaggerated inflammatory response to dental plaque and a systemic medcation

33
Q

Meticulous plaque control ____ but

A

Can… will not eliminate gingival overgrowth

34
Q

Medications most commonly associated with Gingival enlargement

A

Anticonvulsants- Seizure
Calcium channel blockers- Hypertension
Immunosuppressants- lowered immune response

35
Q

Gingival enlargement has a higher prevalence

A

In children that is first observed in the interdental papilla

36
Q

Malnutrition groups that are most a risk for plaque induced gingivitis

A

Infants, Institutionalized elderly, Alcoholics

37
Q

Vitamin deficiencies

A

Ascorbic acid deficiency gingivitis = low levels of vitamin C
Vitamin A = Healthy sulcular epithelium
Vitamin B complex = healthy mucosal tissues

38
Q

Ascorbic acid deficiency

A

Bright red, Swollen, Ulcerated, Bleeds easily

Dental hygiene (20 decks)

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