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Perio 1 Midterms > 1989 Periodontics > Flashcards

1989 Periodontics Flashcards

1
Q

Evolution of the classificaton systems of periodontal disease over the last 50 years

1977

A

Juvenile periodontitis
Chronic periodontitis

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2
Q

Evolution of the classificaton systems of periodontal disease over the last 50 years

1986

A

Juvenile periodontitis
- prepubertal
- localized juvenile
- generalized juvenile

Adult periodontitis

Necrotizing ulcerative gingivo-periodontitis

Refractory periodontitis

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3
Q

Evolution of the classificaton systems of periodontal disease over the last 50 years

1989

A

Early onset periodontitis
A. Perpubertal
- localized
- generalized
B. Juvenile periodontitis
- localized
- generalized
- rapidly progressive
C. Rapidly periodontitis

Adult periodnotitis

NUP

Refractory periodontitis

Periodontitis associated with systemic disease

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4
Q

Evolution of the classificaton systems of periodontal disease over the last 50 years
1999

A

Gingival disease
A. Dental plaque induced
B. Non-plaque induced

Aggressive periodontitis
A. Localized
B. Generalized

Chronic periodontitis

Necrotizing periodntal disease
A. Necrotizing ulcerative gingivitis
B. Necrotizing ulcerative periodontitis

Periodontitis as a manifestation of systemic disease

Abscesses of the periodntium

Periodntitis associated with endodontic lesions

Developmental or acquired deformities and conditions

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5
Q

Evolution of the classificaton systems of periodontal disease over the last 50 years

2018

A

Gingival diesease and conditions

Periodontiotis classified according tog to a 2-vector system on the basis of stage and grade

Necrotizing periodntal disease

Periodontitis as a manifestation of systemic disease

Other conditions affecting the periodontium

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6
Q

A most prevalent form of periodontitis

Clinically significant after age 30

A

Adult periodontitis

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7
Q

Early onset periodontitis

A

A. Prepubertal
- localized
- generalized
B. Juvenile periodontitis
- localized
- generalized
C. Rapidly aggressive periodontitis

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8
Q

Extremely rare category of periodontits

During or soon after the eruption of deciduous teeth

A

Perpubertal periodontitis

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9
Q

Causes of prepubertal periodontitis

A

Abnormalities in host defense

Family history of periodontitis

Microorganisms predominating in the gingival pockets

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10
Q

Localized attachment loss of alveolar bone loss ONLY in the primary dentition in an otherwise healthy child

Appears to arise around or before 4 years of age

Abnormal cementumformation and defective PDL attachment

A

Localized prepubertal periodontitis

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11
Q

During or soon after te eruption of the primary teeth

Results in severe gingival inflammation and generalized attachment loss, tooth mobility and rapid alveolar bone loss

A

Generalized prepubertal periodontitis

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12
Q

Primary teeth in generalized prepubertal periodontitis may be lost by __ years of age

A

3

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13
Q

Treatment for localized and generalized prepubertal periodontitis

A

Dental curttage
Root planing
Oral hygiene instruction
Restoration of decayed teeth
Removal of primary teeth that have lost bony support
Antibiotics

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14
Q

Uncommon form of periodontitis seen in children and adolescents

A

Juvenile periodontitis

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15
Q

Characterized by rapid and severe loss of alveolar bone around more than one permanent tooth, USUALLY FIRST MOLARS AND INCISORS

A

Localized juvenile periodontitis

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16
Q

Etiology of localized juvenile PerioD

A

Colonization of atinobacillus actinomycetemcomitans

Neutrophil dysfunction

Familial distribution

17
Q

The treatment for localized juvenile periodontitis

A

Patient ED
Oral hygiene instructions
Selective extraction
Scaing and root planning of teeth
Surgical curettage odf PDL pocket
Tetracycline

18
Q

Occurs at or around puberty in older juveniles and young adults

All or most of teeth are affected

A

Generalized juvenile perioD

19
Q

Etiology of generalized juvenile periodontitis

A

Microorganism associated ( porphyromonas gingivalis )
Neutrophil dysfunction
Familial distribution

20
Q

Two phaes of generalized juvenile perioD

A

Destructive phase and non destructive phase

21
Q

Generalized juvenile perioD is frequently associated with ____ syndrome

A

Down syndrome

Papillon lefevre syndrome

22
Q

Systemic condiiton may predispose patient to generalized juvenile perioD, include:

A

Chronic neutrophil defect
Leukocyte adherence deficiency

23
Q

Treatment for GJP

A

Medical histories updated and reviewed
PE
Oral hygiene instruction
Periodic scaling and curettage
Antibiotic therapy
Surgical pocket elimination
Extraction of al teeth and replacement with CD
Follow up

24
Q

Extensive bone loss in a short period of time

May begin in puberty and 30-35years of age

A

Rapidly progressive periodontitis

25
Q

Etiology of rapidly progressve periodontits

A

Immunocompromised host

Defects in neutrophils and monocytes

Bacterial flora: actinobaccilus, capnocytophaga, porphyromonas gingivalis

26
Q

Clinical characteristics of rapidly progressive periodontitis

Highly inflammed gingiva
Bleeds easily and has mulberry like surface
Amount of plaque is variable

A

Acute phase

27
Q

Clinical characteristics of rapidly progressive periodontitis

Normal gingival appearance
Advanced bone loss
Deep periodontal pockets

A

Quiescent phase

28
Q

Clinical characteristics of rapidly progressive periodontitis

Malaise
Weight loss
Depression

A

Active phase

29
Q

Systemic involvement of rapidly progressive periodontitis

A

Down syndrome
Diabetes mellitus
Neutropenia
Crohn’s disease
Agranulocytosis

30
Q

Treatment for rapid progressive periodontitis

A

Scaling
Open or closed curettge
Antibiotic therapy
Osseous grafts

31
Q

Occurs when the infections leads to attachment loss

This destroys the ligaments which anchor teeth in their sockets

A

Necrotizing ulcerative periodontitis

32
Q

Periodontitis associated with systemic disease:

Systemic disease that predispose to rapid rates of periodontitis

A

Down syndrome
Papillon lefevre syndrome
HIV
Diabetes

33
Q

Characterized by low plaque scores and low responsiveness to periodontal therapy.

Patient has a history of antibiotic therapy and therefore have a high incidence of resistance in the subgingival microflora

A

Refractory periodontitis

Perio 1 Midterms (4 decks)

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