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Flashcards in periodontal dz Deck (37)
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1
Q

most common oral disease and cause of tooth loss

A

periodontal disease

2
Q

mineralized plaque containing bacteria which release endotoxins that cause gingivitis

A

calculus / tartar

3
Q

if gingivitis is left untreated the inflammatory response results in the destruction of what atteachment

A

junctional epithelium and epithelial attachment – at the base of the gingiva sulcus exposing the periodontium

4
Q

list diseases that exacerbate the periodontal disease

A
neutrophil dysfunction
diabetes mellitus 
cushings 
autoimmune 
calicivirus 
xerostomia
5
Q

how does periodontal disease lead to implications such as chronic nephritis, hepatopathies and endocarditis

A

chronic showering of bacteria into circulation

6
Q

T/F

both gingivitis and periodontal disease are reversible

A

false - only ginigivits is

7
Q

clinical signs of periodontal disease

A
halitosis 
accumulation of plaque 
excessive salivation
loose teeth 
low appetite - uncommon
oral discomfort
8
Q

what + attachement loss

A

the recession measurement + pocket depth

9
Q

periodontal stage 0

A

normal gingiva

10
Q

periodontal stage 1

A

ginigivitis only - erythema
bleeds when probed
normal sulcus depth
no attachment loss

11
Q

periodontal stage 2

A

<25% attachment loss
early periodontitis
can be controlled but not reversed

12
Q

periodontal stage 3

A

25 - 50% attachment loss

horizontal and vertical bone loss

13
Q

periodontal stage 4

A

> 50% loss - tooth will be lost

periapical lucencies

14
Q

furcation stage 0

A

no furcation involvement

15
Q

furcation stage 1

A

incipient - probe can enter to depth <1mm - soft tissue only

16
Q

furcation stage 2

A

definite - probe can enter >1 mm - bone loss

17
Q

furcation stage 3

A

through and through - probe passes horizontally through furcations

18
Q

M0

A

normal physiologic mobilitity

up to .2mm

19
Q

M1

A

mild pathologic mobility

.2 - .5 mm

20
Q

M2

A

moderate pathologic mobility

.5 - 1 mm

21
Q

M3

A

severe

>1 mm or any axial movement

22
Q

normal dog sulcus depth

A

1 -3 mm

23
Q

normal cat sulcus depth

A

0 - 1 mm

24
Q

goal of periodnotal treatment

A

prevent development of new lesions at other sites and to prevent further tissue destruction at sites already affects

remove biofilms
minimize attachment loss
maintain adequately attached gingiva

25
Q

1 preventative method

A

mechanical abrasion – aka brush your teeth

26
Q

T/F

antibiotics cure periodontal disease

A

no.

27
Q

top 4 systemic ABx

A

clindamycin - clindoral
clavamox
metronidazole
doxycycline - doxirobe gel

28
Q

how long does clindoral last

A

dogs and cats 7 - 10 days

29
Q

how long does doxirobe gel last

A

dogs only - 3 -6 weeks

30
Q

another name for mouth gag

A

oral speculum

31
Q

T/F

never use scaler sharp tip above the gingival margin

A

false - never below it

32
Q

T/F

work away from the sulcus with the scaler

A

true

33
Q

how many cutting edges on a curette

A

one

34
Q

used to measure sulcus depth

A

periodontal probe

35
Q

used to assess access into pulp cavity and assess for caries lesions

A

periodontal explorer

36
Q

make sure to disinfect oral cavity before cleaning and chart everything
take rads before and after

A

yea h

37
Q

T/F

polish is an essential step

A

true