Aggresive Periodontitis Flashcards
What are some common features of aggressive periodontitis?
- Client otherwise healthy
- Severe and rapid bone and attachment loss
- Familial
T/F: If more than 2 teeth other than first molars or incisors are affected, it is not localized aggressive periodontitis.
True
In localized aggressive periodontitis, the CAL is inconsistent with amount of ________ and _________.
Plaque and calculus
T/F: There is a robust serum antibody response in generalized aggressive periodontitis.
FALSE
Robust in local; poor response in general
T/F: Generalized aggressive periodontitis has more severe inflammation.
True
What bacterial agent is associated with localized aggressive periodontitis?
A.a.
A.a. Produces _________ which kill PMNs and macrophages.
Leukotoxins
How does P. Gingivalis suppress the immune system?
Inhibits IL- 8 and decreases chemotaxis of PMNs
T/F: Smoking is a major risk factor for GAP.
True
WIll also increase severity and cause poorer response to treatment
T/F: In aggressive periodontitis there will be high levels of prostaglandin E2 in the GCF.
True
What is the treatment for aggressive periodontitis?
- Full mouth srp with systemic antibiotics
- Possible surgery
- Meticulous supportive therapy
What are some fairly mild clinical features of chronic periodontitis?
- Changes in gum morphology
- BoP
- Increased probe depth
- CAL
- Recession
What are the more severe features of chronic periodontitis?
- Alveolar bone loss - vertical or horizontal
- Furcation involvement
- Mobility
- Drifting
- Tooth loss
T/F: Chronic periodontitis is more prevalent in adults.
True
T/F: In chronic periodontitis, subgingival calculus is always seen at disease sites.
True
T/F: Chronic periodontitis is normally slow to moderate, but rapid bursts of destruction can occur.
True
T/F: Chronic periodontitis is typically quite painful.
FALSE
Localized dull pain with possible gingival tenderness
Localized chronic periodontitis involves what percentage of the mouth?
Less than or equal to 30%
Can you have general and local periodontitis of different severities?
Yes
Ex. Generalized slight with localized moderate chronic periodontitis
What are the two biggest risk factors for chronic periodontitis?
Smoking and diabetes
What are some risk indicators for CP?
- HIV
- Osteoporosis
- Infrequent dental visits
What are some risk markers/predictors of CP?
- Furcation involvements
- Calculus
- History of CAL
Bacterial plaque induces gingivitis, but __________ will determine if CP will develop.
Host response
What percentage of the U.S. population has periodontitis?
Over 47%
65 million people
T/F: Most people in the U.S. have moderate periodontitis.
True
Severe periodontitis is the ____ most prevalent disease in the world.
6th
What is the most important diagnosis tool in diagnosing periodontitis?
CAL
What are the three goals of treatment?
- Eliminate etiology
- Eliminate or reduce risk factors
- Prevent recurrence
What is the initial CP therapy?
- Remove sub and supragingival plaque
- Promote oral hygiene
- Remove risk factors
What is a critical probe depth?
Probe depths less than 2.9 mm
At this depth root planing will cause attachment loss
If a patient has multiple sites with 6 mm pockets what is the recommendation?
Surgery
While untreated patients lose approximately 0.6 teeth/year. Those treated lose only ____ teeth/year.
< 0.1
