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
What type of gingivitis can be caused by manifestations of systemic conditions?
Non-plaque induced
26
What type of gingivitis can be caused by foreign body reactions?
Non-plaque induced
27
What type of gingivitis can be modified by systemic factors, medications, and malnutrition?
Dental plaque induced
28
What type of gingivitis is associated with dental plaque only?
Dental plaque induced
29
What type of periodontitis has rapid attachment and bone loss?
-Generalized aggressive periodontitis
30
T/F | Generalized aggressive periodontitis has a familial aggregation
True
31
What type of periodontitis has poor serum antibody response to infecting bacteria?
-Generalized aggressive periodontitis
32
In generalized aggressive periodontitis how many teeth have attachment loss?
-3 or more permanent teeth
33
In generalized aggressive periodontitis you have attachment loss affect more than three permanent teeth other than what teeth?
- 1st molars | - incisors
34
If periodontitis is limited to just the 1st molars or incisors what type of periodontitis do you have?
-Localized aggressive periodontitis
35
Where does most periodontal disease occur?
-Healthy people
36
When does localized aggressive periodontitis occur?
-Circumpubertal adolescents
37
What is a periodontal pocket?
-Unhealthy sulcus
38
T/F | A periodontal pocket is determined by probing depth alone
False | It is not determined by probing depth alone
39
Where does the probe tip touch the tooth in healthy individuals?
-Near the CEJ
40
What is and ideal sulcus depth?
1-3 mm depth
41
T/F | Localized aggressive periodontitis has a robust antibody response to infecting bacteria
True
42
T/F | Amounts of microbial deposits are inconsistent with the severity of periodontal destruction
True
43
What two types of bacteria are associated with aggressive periodontitis in North America?
- A.a. | - P.g. (P. gingivalis)
44
What features do you find on a Marquis probe?
-Markings in bands at 3, 6, 9, and 12 mm
45
What are the basic forms of necrotizing periodontal disease?
- Necrotizing Ulcerative gingivitis (NUG) | - Necrotizing Ulcerative periodontitis (NUP)
46
How does pain relate to NUG and NUP?
It is rapid onset
47
Where is the classis location of ulceration and necrosis in NUG and NUP?
-Marginal gingiva (papilla)
48
What do NUG and NUP have to do with systemic resistance with bacteria?
-They have a decreased systemic resisitance
49
If you have Fetid breath what type of Necrotizing periodontal disease do you have?
-NUG
50
What are 5 factors that are associated with NUG?
- Emotional stress - Heavy cigarette use - Lack of sleep - Poor diet - Immunosuppression
51
When does NUG convert to NUP?
Attachment loss
52
T/F | NUP is usually associated with severe immuno-supression and patients with protein-energy malnutrition
True
53
What do you find with periodontal abscesses?
- Fistula (also periapical lesion) - Swelling - Neutrophils
54
Where do you find gingival abscesses?
-Localized to the gingiva only
55
Where do you find periodontal abscesses?
-Tissue adjacent to the periodontal pocket
56
Where do you find periocoronal abscesses?
-Associated with crown of a partially erupted tooth
57
If you have a periodontal abscesses what should you do for treatment?
-Use antibiotics without scaling and root planing
58
If you see a fistulas tract you may not know where it is coming from so how could you find out?
-Use a gutta percha and push it along the fistulas tract then take a radiograph