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Periodontology > Week 2: Periodontal Assessment > Flashcards

Week 2: Periodontal Assessment Flashcards

(63 cards)

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1
Q

systemic conditions that contribute to periodontal assessment

A
  • AIDS
  • leukemia
  • diabetes
  • hormonal fluctuations
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2
Q

how many times more likely are you to have severe periodontitis if you have uncontrolled/undiagnosed DM?

A

3x

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3
Q

Exaggerated systemic inflammation, insulin resistance, impair tissue repair

A

IAGE-RAGE

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4
Q

true/false? diabetes and periodontitis is a two way road; each influences the other

A

true, diabetes impacts periodontitis while periodontitis makes D.M. more difficult to control

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5
Q

do systemic medications impact periodontal disease?

A

yes, they do

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6
Q

do systemic conditions cause periodontal disease or amplify host response to periodontal disease?

A

AMPLIFY, does not cause

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7
Q

are smoking or diabetes a grade modifier in staging/grading?

A

both are

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8
Q

key A1C number for uncontrolled diabetes

A

7.0

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9
Q

why are diabetes and periodontitis associated?

A

high blood glucose in gingival crevicular fluid which allows bacteria to thrive

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10
Q

there is a ____ function in host response (______ cells specifically)

A

reduced, PNMs

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11
Q

key terms/broad ideas to be reminded of when associating diabetes and periodontitis

A
  • high blood glucose
  • poor wound healing
  • interleukin
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12
Q

cancer of WBC and begins in bone marrow (usually)

A

leukemia

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13
Q

leukemia-associated gingivitis presents as (3 things)…

A
  • inflammation of gingiva
  • gingival enlargement
  • oral infections
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14
Q

oral complications of leukemia therapy (chemotherapy/radiation)

A
  • oral mucositis

- xerostomia

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15
Q

red band of severe erythema, not associated with CAL, clinical manifestation of AIDS

A

linear gingival erythema (LGE)

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16
Q

oral manifestations of HIV/AIDS

A
  • hairy leukoplakia
  • candidiasis
  • herpes simplex
  • herpes zoster
  • recurrent aphthous ulcers
  • kaposi sarcoma
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17
Q

pyogenic granuloma is a…

A

pregnancy tumor (benign)

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18
Q

examples of times that hormonal fluctuations occur…

A

puberty, pregnancy, menopause

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19
Q

examples of genetic factors

A
  • down syndrome

- neutropenia

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20
Q

genetic condition in which patients are immunocompromised, high plaque scores/BOP/bone loss

A

neutropenia

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21
Q

condition with dry gums, dry mouth, increased bleeding with women in menopause

A

menopausal gingivostomatitis

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22
Q

Down Syndrome impacts on periodontal health: rapid destruction d/t…

A
  • immune response
  • impaired PMNs
  • poor oral self-care
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23
Q

drugs that cause gingival overgrowth

A

anticonvulsant
Ca channel blocker
immunosuppressive

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24
Q

drugs that cause gingival inflammation

A

antihypertensive

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25
drugs that cause increase biofilm formation
anti-anxiety
26
many medications cause _______
xerostomia
27
psychosocial/SES aspects that impact periodontal disease
LASO - low SES - access to care - stress - oral health literacy
28
lifestyle/social behaviors (page 1)
smoking, smokeless tobacco, alcohol, recreational drug use
29
smoking and periodontal disease are ____ correlated
positively
30
lifestyle/social behaviors (page 2)
oral self care habits, diet/nutrition, obesity
31
lack of quality ___ can lead to increased risk in PD
protein
32
calculus is a ___ risk factor for PD because bacteria lives ____ ____ surface
local, inside rough
33
does calculus cause PD?
No, it is a risk factor
34
local contributing factors for periodontal disease
calculus, tooth morphology, malocclusion, caries, orthodontic appliances, poor restorations
35
Dental Hx considerations in periodontal disease
- CC - previous PD care - existing restorations - occlusion/malocclusion - alignment - orthodontic care
36
diseases that are infection-mediated destruction of tooth-supporting tissues, inflammation of the periodontium
periodontal disease
37
systematic collection of objective and subjective data that DH analyzes to determines current/potential needs of patients
assessments
38
DH process of care
assessment, diagnosis, planning, implementation, evaluation, documentation
39
redness histology
increased blood supply, dilation and stagnation of blood
40
swelling (edema) histology
flow of fluids, accumulates in tissues
41
bleeding histology
BV dilate thin
42
exudate histology
permeability of vessels allows fluid through
43
loss of stippling histology
thin epithelium, edema in CT
44
loss of stippling histology
thin epithelium, edema in CT
45
estimate of true periodontal support around tooth, measured with probe, determined by fixed point (CEJ)
clinical attachment loss
46
BOP indicates ____ disease
active
47
BOP of __% or less generally indicates
10
48
CAL (clinical attachment loss) is the measurement between...
CEJ, base of pocket
49
with gingival overgrowth, you need to ____ number from CAL
subtract
50
probing depth measurement +/- gingival margin level =
CAL
51
with gingival recession, ___ numbers to get CAL
add
52
probe depth = 4mm recession = 3mm CAL = __
7
53
probe = 6mm gingival margin above CEJ = 2mm CAL = ___
4
54
(free gingival groove to mucogingival margin) - pocket depth = _____
attachment
55
different grades of mobility
grade 0, 1/2, 1, 2, 3
56
classes of furcations
I, II, III, IV
57
furcation class with loss of attachment, furca clearly visible clinically
Class IV
58
furcation class where you can just start to feel furcation
Class I
59
normal bone loss is ___mm apical to the ____ _____
1-3 mm, junctional epithelium
60
an individual is __ ____ when exposed to a known disease-causing factor
at risk
61
a factor that increases the likelihood that an individual will develop the disease (not necessarily cause)
risk factor
62
types of risk levels
patient, mouth, tooth, site level
63
A1C __________ to 7 is a concern
greater than or equal to

Periodontology (9 decks)

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