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Periodontics III > 9. New Perio Classification > Flashcards

9. New Perio Classification Flashcards

1
Q

What is Stage I Periodontitis?

A

Initial Periodontitis

*

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2
Q

What is Stage II Periodontitis?

A

Moderate Periodontitis

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3
Q

What is Stage III Periodontitis?

A

Severe Periodontitis with potential for additional tooth loss

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4
Q

What is Stage IV Periodontitis?

A

Severe Periodontitis with potential for loss of the dentition

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5
Q

What is Grade A Periodontitis?

A

Slow rate of progression

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6
Q

What is Grade B Periodontitis?

A

Moderate rate of progression

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7
Q

What is Grade C Periodontitis?

A

Rapid rate of progression

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8
Q

What falls under Other Periodontal Conditions?

A
  • Periodontal Abscesses
  • Endodontic - Periodontic Lesions
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9
Q

What term is replacing Aggressive?

A

Molar/Incisor pattern

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10
Q

What is the most accurate parameter for determining Staging / Severity?

A

Interproximal CAL

  • We will use RBL for staging if we don’t have CAL
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11
Q

What are the 2 “trump cards” that lead to an automatic Stage III diagnosis?

A
  • Vertical Bone Loss > 3mm
  • Furcation involvement of Class II or III
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12
Q

What is the “trump card” that leads to an automatic Stage IV diagnosis?

A
  • < 20 Remaining Teeth (10 opposing pairs)
    • Missing due to periodontitis
  • Secondary Occlusal Trauma (tooth mobility degree > 2)
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13
Q

What Interdental CAL and RBL coresponds to Stage I?

A

CAL = 1 - 2mm

RBL = Coronal third (< 15%)

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14
Q

What Interdental CAL and RBL coresponds to Stage II?

A

CAL = 3 - 4mm

RBL = Coronal third (15% - 33%)

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15
Q

What Interdental CAL and RBL coresponds to Stage III and Stage IV?

A

CAL = > 5 mm

RBL = extending to middle third of root and beyond

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16
Q

What amount of tooth loss due to periodontitis is classified as Stage III?

A

< 4 teeth

17
Q

What amount of tooth loss due to periodontitis is classified as Stage IV?

A

> 5 teeth

18
Q

What is added to the Stage as a descriptor?

A

Extent and Distribution

(based on teeth not sites)

  • Localized (< 30% of teeth involved)
  • Generalized
  • Molar/Incisor pattern
19
Q

Clinicians should initially assume what Grade of disease?

A

Grade B

20
Q

What is the direct evidence of progression used to diagnose Grade B: Moderate Rate?

A

< 2 mm of RBL or CAL over 5 years

21
Q

What Risk Factors make someone Grade B?

A
  • < 10 cigarettes/day
  • HbA1c < 7.0% in pts with Diabetes
22
Q

What is the direct evidence of progression used to diagnose Grade C: Rapid Rate?

A

> 2mm RBL or CAL over 5 years

23
Q

What Risk Factors make someone Grade C?

A
  • > 10 cigarettes/day
  • HbA1c > 7.0% in pts with Diabetes
24
Q

What is considered Indirect Evidence of Progression when determining Grade?

A
  • % bone loss / age
  • Case Phenotype
    • A = heavy biofilm w/ low destruction
    • B = destruction commensurate w/ biofilm deposits
    • C = destruction exceeds expectations given biofilm deposits (rapid progression / early onset ds)
25
Q

What is the diagnosis for pts with reduced periodontum for any reason (recession, CL, hx of PD), as long as PDs are < 3mm?

A

Gingivitis on a reduced periodontium

26
Q

What is the diagnosis for pts with a history of periodontitis, PDs > 4mm with BOP (at the same sites)?

A

Indicates a recurrence of disease, so no longer reduced periodontium but Stage I Periodontitis.

27
Q

What x-rays are needed to diagnosis implant health?

A

At and 1 year after abutment connection

28
Q

What is condition is characterized by:

  • Absence of: erythema (inflammation), BOP, swelling and suppuration
  • NO Bone Loss (< 2 mm)
A

Peri-implant Health

29
Q

What is the main characteristic of Peri-implant Mucositis?

A

BOP on gental probing

erythema, swelling, and/or suppuration may also be present

Increased Probing Depth

30
Q

What is a plaque-associated pathological condition, characterized by inflammation in ther peri-implant mucosa and subsequent progressive bone loss?

A

Peri-Implantitis

31
Q

What are the clinical signs of Peri-Implantitis?

A
  • Inflammation
  • Increased probing depths (> 4-8 mm)
  • Mucosal recession in addition to loss of supportive bone (> 2-3 mm)
32
Q

What is used to diagnosis Peri-Implantitis in the absence of previous examination?

A
  • PD > 6mm
  • BOP
  • Bone Loss > 3mm
33
Q

What is diagnosed as conditions following the normal healing process of tooth loss that leads to diminished dimensions of the alveolar process/ridge, resulting in both hard- and soft-tissue deficiencies?

A

Peri-implant Soft- and Hard-Tissue Deficiences

34
Q

What diagnosis does drug-induced gingival enlargement fall under? What else falls under this diagnosis?

A

Gingivitis - dental biofilm-induced

  • Mediated by systemic or local RFs:
    • Pregnancy / puberty induced gingivitis
    • Mouth breathing
35
Q

What are the forms of Periodontitis?

A
  • Necrotizing Periodontal Disease
    • Necrotizing GIngivitis
    • Necrotizing Periodontitis
    • Necrotizing Stomatitis
  • Periodontitis as Manifestations of Systemic Diseases
  • Periodontitis
    • ​Stage
    • Extent and Distribution
    • Grade
36
Q

What diagnosis do Periodontal Abscesses and Endodontic-Periodontal Lesions fall under?

A

Other Periodontal Conditions Affection the Periodontium

  • Other Periodontal Conditions

Periodontics III (6 decks)

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