Perio test: Types of PD

Question 1

Age

Answer 1

Chronic - 35+
Aggressive - 20-35
Pre-pubertal - under 11
LAP - 11-19
NUG -15-35

Question 2

Calculus

Answer 2

Chronic- moderate to abundant
Aggressive - Less to moderate
Pre-pubertal - Less
LAP - Moderate
NUP - Less

Question 3

Disease progression

Answer 3

Chronic - slow
Aggressive - Rapid
Pre-pubertal - Rapid
LAP - Rapid
NUP - Rapid

Question 4

Distribution

Answer 4

Chronic - ALL (etiologic factors)
Aggressive - Generalized (Random)
Pre - pubertal - Primary Molars and primary incisors
LAP - 1st molars and incisors (no more that 2 other teeth)
NUP - Gingival…?

Question 5

Prevalence

Answer 5

Chronic - >50%
Aggressive - 5%
Pre-pubertal - XXXXXXX
LAP - 0.5%
NUP - ?

Question 6

Type found racially (african americans)

Answer 6

LAP

Question 7

Familial tendencies

Answer 7

Chronic - XXXXXXX
Aggressive - XXXXX
Pre-Pubertal - YES
LAP - YES
NUP - XXXXXXX

Question 8

Gender! only 1

Answer 8

Chronic is more SEVERE in men!!! not prevalent

Question 9

PMN defects/Macrophage

and Association to other systemic diseases

Answer 9

Chronic - NO
Aggressive - YES
Pre-pubertal - YES
LAP - Yes
NUP - YES

Question 10

Response to therapy

Answer 10

Chronic - Very good
Aggressive - varied
Pre-pubertal - poor
LAP - Good
NUP - varied

Question 11

LAP treatment (3)

Answer 11

SRP, systemic tetracycline, and (regenerative therapy.)

Question 12

Especially associated with WBC disorders

Answer 12

GAP

Question 13

GAP describing bone loss and inflammation

Answer 13

Rapid bone loss (duh)

Inflammation is varied.

Question 14

*NUG prognosis

Answer 14

Prognosis is GOOD, NOT NUP!

Question 15

NUG symptoms (3)

Answer 15

No bone loss, PAIN, Fetor Oris.

Question 16

Treatment for NUP includes

Answer 16

Systemic treatment (this is a more aggressive step)

Question 17

*****ANY time a young patient has same symptoms as older person it is worse for the younger patient!

Question 18

NUG Risk factors

Answer 18

(Same as NUP)

Question 19

Prognosis overview Good (2)

Answer 19

• under 20% bone loss

- Patient cooperation (plaque control)

Question 20

Prognosis overview Fair (2)

Answer 20

• 20-40% moderate

- CLASS 1 furcation

Question 21

Prognosis overview Poor (2)

Answer 21

• Advanced 40%-60%

- Class 2 (or class 3)

Question 22

Prognosis overview Questionable (5)

Answer 22

• Superadvanced (=60%)
• Class 2 or 3 furcation AND mobility
• Poorly formed roots
• Root proximity (eh?)

Question 23

Prognosis overview Hopeless (3)

Answer 23

• SUPERDUPER advanced bone loss - near APEX
• Threatens adjacent teeth
• Loss of function (comfort)