Aggresive Periodontitis

Question 1

What are some common features of aggressive periodontitis?

Answer 1

1. Client otherwise healthy
2. Severe and rapid bone and attachment loss
3. Familial

Question 2

T/F: If more than 2 teeth other than first molars or incisors are affected, it is not localized aggressive periodontitis.

Answer 2

True

Question 3

In localized aggressive periodontitis, the CAL is inconsistent with amount of ________ and _________.

Answer 3

Plaque and calculus

Question 4

T/F: There is a robust serum antibody response in generalized aggressive periodontitis.

Answer 4

FALSE

Robust in local; poor response in general

Question 5

T/F: Generalized aggressive periodontitis has more severe inflammation.

Answer 5

True

Question 6

What bacterial agent is associated with localized aggressive periodontitis?

Answer 6

A.a.

Question 7

A.a. Produces _________ which kill PMNs and macrophages.

Answer 7

Leukotoxins

Question 8

How does P. Gingivalis suppress the immune system?

Answer 8

Inhibits IL- 8 and decreases chemotaxis of PMNs

Question 9

T/F: Smoking is a major risk factor for GAP.

Answer 9

True

WIll also increase severity and cause poorer response to treatment

Question 10

T/F: In aggressive periodontitis there will be high levels of prostaglandin E2 in the GCF.

Answer 10

True

Question 11

What is the treatment for aggressive periodontitis?

Answer 11

1. Full mouth srp with systemic antibiotics
2. Possible surgery
3. Meticulous supportive therapy

Question 12

What are some fairly mild clinical features of chronic periodontitis?

Answer 12

1. Changes in gum morphology
2. BoP
3. Increased probe depth
4. CAL
5. Recession

Question 13

What are the more severe features of chronic periodontitis?

Answer 13

1. Alveolar bone loss - vertical or horizontal
2. Furcation involvement
3. Mobility
4. Drifting
5. Tooth loss

Question 14

T/F: Chronic periodontitis is more prevalent in adults.

Answer 14

True

Question 15

T/F: In chronic periodontitis, subgingival calculus is always seen at disease sites.

Answer 15

True

Question 16

T/F: Chronic periodontitis is normally slow to moderate, but rapid bursts of destruction can occur.

Answer 16

True

Question 17

T/F: Chronic periodontitis is typically quite painful.

Answer 17

FALSE

Localized dull pain with possible gingival tenderness

Question 18

Localized chronic periodontitis involves what percentage of the mouth?

Answer 18

Less than or equal to 30%

Question 19

Can you have general and local periodontitis of different severities?

Answer 19

Yes

Ex. Generalized slight with localized moderate chronic periodontitis

Question 20

What are the two biggest risk factors for chronic periodontitis?

Answer 20

Smoking and diabetes

Question 21

What are some risk indicators for CP?

Answer 21

1. HIV
2. Osteoporosis
3. Infrequent dental visits

Question 22

What are some risk markers/predictors of CP?

Answer 22

1. Furcation involvements
2. Calculus
3. History of CAL

Question 23

Bacterial plaque induces gingivitis, but __________ will determine if CP will develop.

Answer 23

Host response

Question 24

What percentage of the U.S. population has periodontitis?

Answer 24

Over 47%

65 million people

Question 25

T/F: Most people in the U.S. have moderate periodontitis.

Answer 25

True

Question 26

Severe periodontitis is the ____ most prevalent disease in the world.

Answer 26

6th

Question 27

What is the most important diagnosis tool in diagnosing periodontitis?

Answer 27

CAL

Question 28

What are the three goals of treatment?

Answer 28

1. Eliminate etiology
2. Eliminate or reduce risk factors
3. Prevent recurrence

Question 29

What is the initial CP therapy?

Answer 29

1. Remove sub and supragingival plaque
2. Promote oral hygiene
3. Remove risk factors

Question 30

What is a critical probe depth?

Answer 30

Probe depths less than 2.9 mm

At this depth root planing will cause attachment loss

Question 31

If a patient has multiple sites with 6 mm pockets what is the recommendation?

Answer 31

Surgery

Question 32

While untreated patients lose approximately 0.6 teeth/year. Those treated lose only ____ teeth/year.

Answer 32

< 0.1