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AU17: Perio > Risk Assesment/Treatment Planning > Flashcards

Risk Assesment/Treatment Planning Flashcards

(49 cards)

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1
Q

What is a risk determinant?

A

A substitute term for risk factor - but cannot be modified

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2
Q

What are some risk determinants in the periodontium?

A
  1. Genetic factors
  2. Age (older > younger)
  3. Gender (men > women)
  4. Socioeconomic status
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3
Q

What is a risk indicator?

A

A probable risk factor - but has not been confirmed in longitudinal studies

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4
Q

What are some risk indicators in the periodontium?

A
  1. Microbiota
  2. Inflammation
  3. HIV/AIDS
  4. Osteoporosis
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5
Q

What are risk predictors?

A

May not be part of the causal chain - but are associated with elevated risk for disease

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6
Q

T/F: Risk predictors are useful in identifying likely interventions.

A

False

Good for identifying who is at risk

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7
Q

What are some risk predictors in the periodontium?

A
  1. Hx of PD
  2. BoP
  3. Fewer teeth
  4. Periodontal support in relation to age
  5. Calculus
  6. Furcations
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8
Q

What is a prognostic factor?

A

An environmental, behavioral or biological factor that directly effects the outcome of therapy

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9
Q

What are some prognostic factors in the periodontium?

A
  1. Extent and severity of disease
  2. Level of oral hygiene
  3. Infrequent dental visits
  4. Smoking
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10
Q

T/F: Once risk assessment is complete, you should immediately modify the treatment plan.

A

False

Risk assessment -> prognosis -> treatment plan -> patient education

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11
Q

Compare an etiologic factor with a risk factor.

A

Etiologic - contributes to cause of disease

Risk - associated with increased change of developing disease

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12
Q

What is a mucogingival defect?

A

When sulcus depth is at or apical to the mucogingival junction

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13
Q

Differentiate between Class I️, II, and III furcation involvements.

A

I️ - catch with no radiolucency
II - catch with radiolucency
III - through and through

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14
Q

Differentiate between class I️, II, and III mobility.

A

I️ - 1mm
II - 2mm or in two directions
III - 3mm or in three directions

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15
Q

T/F: All craters are two walled defects.

A

True

But all two walled defects are not craters

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16
Q

What determines if tissue regeneration will work in a vertical bone loss?

A

Number of remaining walls

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17
Q

T/F: If a patient has a reduced periodontia then they are always diagnosed with periodontitis.

A

False

Can be healthy/gingivitis on top of stable but reduced periodontia

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18
Q

What are the three requirements in order to move forward with a treatment plan?

A
  1. Data collection (initial exam)
  2. Diagnosis
  3. Prognosis
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19
Q

What are the short and long term goals of a periodontal treatment plan?

A

Short - eliminate bacterial plaque, and eliminate infectious/inflammatory processes

Long - reconstruction of healthy dentition that is functional and esthetic

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20
Q

Goals of treatment are to have BoP be less than _____ and to have no probe depths greater than or equal to _____.

21
Q

What are the major goals in treatment for control of risk factors?

Study These Flashcards
A
  1. Proper plaque control
  2. Smoking cessation
  3. Proper control of diabetes
22
Q

What are the four phases of therapy?

Study These Flashcards
A
  1. Systemic phase
  2. Initial (hygiene phase)
  3. Corrective phase
  4. Maintenance phase
23
Q

After initial treatment during the initial phase, how long should you wait before reevaluation?

Study These Flashcards
A

4-6 weeks

45 days for collagen regrowth and 2 weeks for JE regrowth

24
Q

At what phase of therapy would periodontal surgery, implant surgery, endo, or restorative work be completed?

Study These Flashcards
A

Corrective phase

25
What phase of therapy involves patient education and oral hygiene instruction?
Initial phase
26
Extraction of hopeless teeth, scaling and root planing, and antibiotic therapy are all part of the __________ phase of treatment.
Initial
27
What would the recall schedule be like for a typical PD patient in the maintenance phase?
Every 3 months
28
When is the prognosis established?
After diagnosis and before treatment plan
29
T/F: Individual tooth prognosis can be determined before the overall prognosis.
FALSE Overall prognosis must be determined first!
30
T/F: Age, systemic factors, patient compliance all fall into factors affecting individual tooth prognosis.
False Overall
31
What are the five possible prognosis classifications in the McGuire and Nunn system?
Very good, good, fair, poor, hopeless
32
Give prognosis for 25% attachment loss and/or class I️ Furcation involvement.
Good
33
Give prognosis for 50% attachment loss.
Fair
34
Give prognosis for easily accessible Grade II Furcation involvement.
Fair
35
If there is over 75% attachment loss the prognosis is _________.
Hopeless
36
If there is over 50% attachment loss the prognosis is _________.
Poor
37
If tooth mobility is class II+ and there are grade II/III Furcation involvements the prognosis is ___________.
Hopeless
38
A patient with slightly under 50% attachment loss but has many systemic/environmental complications would have a prognosis of ________.
Poor
39
Root proximity gives a prognosis of _______.
Hopeless
40
In patients with similar clinical features, a prognosis is normally better in (older/younger) patients?
Better in older patients Likely not aggressive
41
T/F: Pocket depth is less important in prognosis than level of attachment.
True
42
T/F: More walls = a worse prognosis in vertical defects.
False More walls = better prognosis
43
T/F: If a tooth has a vertical defect effecting only one side (ex. just mesial but not distal) the bone height of the unaffected side should be used when determining prognosis.
True
44
T/F: Smoking cessation can effect prognosis.
True
45
T/F: Prognosis is poor for teeth with shorter roots and larger crowns.
True
46
What are some anatomic factors that can cause a worse prognosis?
CEPs, enamel pearls, bifurcation ridges, root concavities, short roots
47
T/F: Aggressive periodontitis would have a fair prognosis.
Poor
48
Patients with periodontitis as a manifestation of systemic disease present with a ___________ prognosis.
Fair-poor
49
T/F: NUG patients have a good prognosis unless _________.
There are repeated episodes - downgraded to fair

AU17: Perio (15 decks)

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