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Perio 1 2020 > 11/15/16 Disease > Flashcards

11/15/16 Disease Flashcards

1
Q

When measuring the severity of disease with clinical attachment loss how much loss is considered slight disease?

A

1-2 mm CAL

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2
Q

When measuring the severity of disease with clinical attachment loss how much loss is considered moderate disease?

A

3-4 mm CAL

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3
Q

When measuring the severity of disease with clinical attachment loss how much loss is considered severe disease?

A

Greater than 5 mm CAL

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4
Q

If you have greater than 30% of sites that have experienced destruction via periodontal disease what type of periodontitis do you have?

A

-Generealized

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5
Q

If you have less than 30% of sites that have experienced destruction via periodontal disease what type of periodontitis do you have?

A

-Localized

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6
Q

What are five things that non-plaque induced gingivitis can result from?

A
  • Viruses
  • Fungi
  • Allergic reactions
  • Autoimmune reactions
  • Trauma
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7
Q

What are the two main categories of gingivitis?

A
  • Plaque induced

- Non plaque induced

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8
Q

What type of gingivitis results from the interplay between plaque bacteria and the hosts defense system?

A

-Plaque induced

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9
Q

What is primarily responsible for the inflammation that results from plaque induced gingivitis?

A

Body’s response in the presence of bacteria

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10
Q

T/F
Plaque induced gingivitis can occur in an area where there had been attachment loss previously but is stable and not progressing.

A

True

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11
Q

What are medications that are associated with gingivitis?

A
  • Phenytoin (dilantin)
  • Cyclosporin
  • Calcium channel blockers (Nifedipine)
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12
Q

What term replaced adult periodontitis?

A

-Chronic periodontitis

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13
Q

What type of periodontitis is slowly progressing?

A

-Chronic periodontitis

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14
Q

How much attachment loss is found in slowly progressing periodontitis (chronic periodontitis)?

A

.1 mm per year

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15
Q

What is the most common form of periodontitis?

A

-Chronic periodontitis

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16
Q

T/F

Chronic periodontitis can be modified by systemic diseases

A

True

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17
Q

If you have loss of periodontal attachment from the cemento-enamel junction and the presence of gingival inflammation that extends beyond the marginal gingiva into the connective tissue what do you have?

A

-Periodontitis

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18
Q

What two things must you have for periodontitis?

A
  • Loss of attachment from CEJ

- Gingival inflammation extending into Connective tissue

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19
Q

T/F

The drifting of the central incisors could be indicative of periodontitis

A

True

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20
Q

If you can see the CEJ from periodontal disease would you expect mobility?

A

yes

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21
Q

What is the term that replaced early-onset periodontitis?

A

-Aggressive periodontitis

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22
Q

Most cases of aggressive periodontitis is found in what type of people?

A

-Younger patients

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23
Q

What type of gingivitis has any of the following: Bacterial, viral, fungal, or genetic origin?

A

Non-plaque induced

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24
Q

What type of gingivitis can be caused by traumatic lesions?

A

-Non-plaque induced

25
Q

What type of gingivitis can be caused by manifestations of systemic conditions?

A

Non-plaque induced

26
Q

What type of gingivitis can be caused by foreign body reactions?

A

Non-plaque induced

27
Q

What type of gingivitis can be modified by systemic factors, medications, and malnutrition?

A

Dental plaque induced

28
Q

What type of gingivitis is associated with dental plaque only?

A

Dental plaque induced

29
Q

What type of periodontitis has rapid attachment and bone loss?

A

-Generalized aggressive periodontitis

30
Q

T/F

Generalized aggressive periodontitis has a familial aggregation

A

True

31
Q

What type of periodontitis has poor serum antibody response to infecting bacteria?

A

-Generalized aggressive periodontitis

32
Q

In generalized aggressive periodontitis how many teeth have attachment loss?

A

-3 or more permanent teeth

33
Q

In generalized aggressive periodontitis you have attachment loss affect more than three permanent teeth other than what teeth?

A
  • 1st molars

- incisors

34
Q

If periodontitis is limited to just the 1st molars or incisors what type of periodontitis do you have?

A

-Localized aggressive periodontitis

35
Q

Where does most periodontal disease occur?

A

-Healthy people

36
Q

When does localized aggressive periodontitis occur?

A

-Circumpubertal adolescents

37
Q

What is a periodontal pocket?

A

-Unhealthy sulcus

38
Q

T/F

A periodontal pocket is determined by probing depth alone

A

False

It is not determined by probing depth alone

39
Q

Where does the probe tip touch the tooth in healthy individuals?

A

-Near the CEJ

40
Q

What is and ideal sulcus depth?

A

1-3 mm depth

41
Q

T/F

Localized aggressive periodontitis has a robust antibody response to infecting bacteria

A

True

42
Q

T/F

Amounts of microbial deposits are inconsistent with the severity of periodontal destruction

A

True

43
Q

What two types of bacteria are associated with aggressive periodontitis in North America?

A
  • A.a.

- P.g. (P. gingivalis)

44
Q

What features do you find on a Marquis probe?

A

-Markings in bands at 3, 6, 9, and 12 mm

45
Q

What are the basic forms of necrotizing periodontal disease?

A
  • Necrotizing Ulcerative gingivitis (NUG)

- Necrotizing Ulcerative periodontitis (NUP)

46
Q

How does pain relate to NUG and NUP?

A

It is rapid onset

47
Q

Where is the classis location of ulceration and necrosis in NUG and NUP?

A

-Marginal gingiva (papilla)

48
Q

What do NUG and NUP have to do with systemic resistance with bacteria?

A

-They have a decreased systemic resisitance

49
Q

If you have Fetid breath what type of Necrotizing periodontal disease do you have?

A

-NUG

50
Q

What are 5 factors that are associated with NUG?

A
  • Emotional stress
  • Heavy cigarette use
  • Lack of sleep
  • Poor diet
  • Immunosuppression
51
Q

When does NUG convert to NUP?

A

Attachment loss

52
Q

T/F

NUP is usually associated with severe immuno-supression and patients with protein-energy malnutrition

A

True

53
Q

What do you find with periodontal abscesses?

A
  • Fistula (also periapical lesion)
  • Swelling
  • Neutrophils
54
Q

Where do you find gingival abscesses?

A

-Localized to the gingiva only

55
Q

Where do you find periodontal abscesses?

A

-Tissue adjacent to the periodontal pocket

56
Q

Where do you find periocoronal abscesses?

A

-Associated with crown of a partially erupted tooth

57
Q

If you have a periodontal abscesses what should you do for treatment?

A

-Use antibiotics without scaling and root planing

58
Q

If you see a fistulas tract you may not know where it is coming from so how could you find out?

A

-Use a gutta percha and push it along the fistulas tract then take a radiograph

Perio 1 2020 (9 decks)

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