*01/13 - Non-Surgical and Surgical Periodontal Therapy

Question 1

True or false: There is one treatment for all periodontitis cases.

Answer 1

FALSE. “Devotion to a single therapeutic philosophy as the treatment of choice for all periodontitis patients may render the practitioner liable for supervised neglect should the condition continue to deteriorate”

Question 2

Treatment of periodontitis depends on what 3 modalities?

Answer 2

• patient-specific risk factors
• severity of disease
• patient preferences

Question 3

For health:

• probing depths?
• attachment loss?
• inflammation?

Answer 3

• 1-3 mm
• no history of attachment loss
• no clinical signs of inflammation

Question 4

What is it called if a patient has no signs of current disease but have had previous attachment loss? What is the significance of this?

Answer 4

• reduced periodontium

- it is a risk predictor (tend to break down more easily)

Question 5

For gingivitis:

• probing depths?
• attachment loss?
• inflammation?

Answer 5

• 1-3 mm
• no history of attachment loss
• clinical signs of inflammation

Question 6

Plaque-induced gingivitis is characterized by probing depths of ___ mm and ___ with no ___, and tissue that is ___.

Answer 6

• 1-3 mm
• BoP
• no gingival recession
• red and edematous

Question 7

What is the most common form of gingivitis?

Answer 7

plaque-induced gingivitis

Question 8

Non-plaque-induced gingivitis is ___ (easy/difficult) to diagnose and treat, often involves ___ and cannot get rid of ___.

Answer 8

• difficult
• systemic disorders and medications
• clinical signs of inflammation

Question 9

For periodontitis:

• probing depths?
• attachment loss?
• inflammation?

Answer 9

• 4+ mm
• attachment loss
• clinical signs of inflammation

Question 10

What is the most common form of periodontitis?

Answer 10

chronic

Question 11

Aggressive periodontitis involves ___ attachment loss and ___ teeth.

Answer 11

• severe (5+ mm)

- specific

Question 12

What teeth are involved in localized aggressive periodontitis? In general aggressive periodontitis?

Answer 12

• LOCALIZED: incisors and first molars (vertical defects) and less than 2 more teeth
• GENERALIZED: incisors and first molars and more than 2 other teeth

Question 13

What is the difference between localized and generalized chronic periodontitis?

Answer 13

• localized = 30%

- generalized = 30+%

Question 14

How is the severity of chronic periodontitis described?

Answer 14

• slight = 1-2 mm
• moderate = 3-4 mm
• severe = 5+ mm

Question 15

True or false: Periodontitis is associated with systemic diseases and conditions.

Answer 15

true (usually diabetes)

Question 16

What is incidental attachment loss?

Answer 16

gingival recession not due to specific bacteria or typical periodontal disease
ex. impacted wisdom tooth and then remove and then have “attachment loss” on the distal of the second molar

Question 17

What is the difference between peri-implant mucositis and implantitis?

Answer 17

• MUCOSITIS: soft tissue inflammation; no bone loss
• IMPLANTITIS: bone loss

*these are not wound healing complications; they only occur after loading and after the patient have had them awhile

Question 18

What is the general approach to periodontal care? (steps in an appointment)

Answer 18

• perform an examination
• make an initial clinical diagnosis
• identify the risk factors for future progression of the disease
• establish a prognosis
• present treatment alternatives
• obtain informed consent
• treat patient (initial non-surgical therapy, re-evaluation, surgical therapy, periodontal maintenance)

Question 19

A general dentist should refer a patient to a periodontitis for what 3 cases?

Answer 19

• severe chronic periodontitis
• aggressive periodontitis
• necrotizing ulcerative periodontitis