Perio Voice Threads Flashcards
2017 Periodontal Classification we use determines:
Peri-implant health Peri-mucositis Peri-implantitis Peri-implant Hard/Soft tissue deficiencies
Healthy Gingival Conditions color, consistency, amount of bleeding, margins/papilla and probe depths
uniformly pink or pale pink Firm, stippled Less than 10% bleeding sites Margins are knife edged, flat, papilla is peaked Probing depths are within 1-3mm, with no apical migration of the JE, no CAL.
When is someone classified as health on a reduced peridoontium?
After completion of successful treatment of a patient with periodontitis
Someone classified as health on a periodontium can be ______ or un______ based on bleeding sites
stable or unstable
True or False: You still stage and grade a patient who is classified as health on a periodontium
True
True or False: A patient with gingivitis can revert back to health, but a
periodontitis patient remains a periodontitis patient for life– even after successful therapy.
TRUE
Dental biofilm induced Gingivitis from:
○ Associated with biofilm alone
○ Systemic or local risk factors can mediate
○ Drug-influenced gingival enlargement
Non-dental biofilm induced Gingivitis from:
○ genetic/developmental ○ Specific infections ○ Inflammatory, immune conditions ○ Reactive processes ○ Neoplasms ○ Endocrine, nutritional, metabolic diseases ○ Traumatic lesions ○ Gingival pigmentation
when there is generalized moderate or severe gingival inflammation in the absence of periodontitis, perform a:
D4346
Indications a patient needs a D4346
swollen, inflamed gingiva, generalized
suprabony pockets, and moderate to severe bleeding on
probing
True or False: You base your classification of a D4346 patient on their bleeding on probing, as well as bleeding when doing the prophylaxis, scaling and root planing, or debridement procedures.
FALSE - Only base it on moderate to severe bleeding on probing. Should not be reported in conjunction with prophylaxis, scaling and root planing, or debridement procedures.
Staging of a Perio patient is based on
•Severity
- Complexity
- PD & furcation involvement
- Extent & distribution
- Generalized or localized
- Molar/incisor
Severity of Periodontitis based on
•Interdental CAL, % bone loss, & tooth loss
Complexity of Periodontitis based on
•PD & furcation involvement
Extent and Distribution of Periodontitis based on
- Generalized or localized
* Molar/incisor
True or False: Complexity factors may shift patients to a higher stage.
TRUE ex: Furcations
Stages do/do not change but grades can/cannot.
Stages DO NOT change, but grades can.
The original complexity factors should
always be considered in disease maintenance and management. Grading CAN be modified based on the presence of risk factors
If bone levels in the coronal 3rd of the tooth when looking at RBL - what % RBL?
between 0-30%
If bone levels in the middle third of the tooth root - what % RBL?
30-60%
If bone levels in the apical third of the tooth root - what % RBL?
60-100%
Periodontitis grade CAN or CANNOT be modified based on the presence of risk factors
Grading CAN be modified based on the presence of risk factors
Considerations when grading a patient:
•Progression •Responsiveness •Impact on systemic health •Stable or unstable •Grade Modifiers (Risk Factors) -Smoking -Diabetes
Ex of calculating % bone loss to age - Bone loss % is 40% and age is 50
take 40/50 = .80 –> Grade B moderate
Instrument used for moderate to heavy calc, specific to anterior or posterios, supra or subging
Sickle Scalers
