AAP DX

Question 1

STAGES

Answer 1

Stage 1: is often the initial transition from gingivitis to periodontitis, showing early signs of attachment loss.

Stage II: disease progression begins to affect tooth support (3-4mm CAL) however treatment is simple, involving removal of bacteria and monitoring to arrest progression.

Stage III: entails significant damage to attachment apparatus, and the potential of tooth loss due to deep periodontal lesions that extend to the middle portion of the root. Management could be complicated by factors such as furcation, infrabony defects, localised ridge defects (complicates implant placement). Even though there is a chance of tooth loss, at this stage treatment does not require complex restoration of masticatory function. Patients will require non surgical periodontal treatment to prevent tooth loss. Note: patients with history of periodontal tooth loss indicates complexity of disease and management.

Stage VI: is advanced damage to the periodontium, there is significant tooth loss, complications (mobility, secondary occlusal trauma, sequelae of tooth loss, drifting and bite collapse) that result in major masticatory dysfunction and complex rehabilitation

Question 2

GRADE

Answer 2