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Periodontology > Aggressive Periodontitis > Flashcards

Aggressive Periodontitis Flashcards

1
Q

aggressive perio is a bacterial infection characterized by ___ destruction of PDL and supporting bone

A

rapid

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2
Q

what is patients response to therapy when they have aggressive perio

A

they have a poor response

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3
Q

male/females more commonly have aggressive perio?

A

females

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4
Q

at what age can chronic perio occur? dentition?

A

can occur at any age and is seen in both primary and permanent dentition

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5
Q

tissue destruction is _______ with presence of local etiologic factors

A

inconsistent

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6
Q

what is aggressive perio previously known as?

A

juvenile periodontitis

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7
Q

_____ amounts of bacterial plaque are evident

A

small

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8
Q

is it possible to have a genetic link and immune deficiency in aggressive perio?

A

yes

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9
Q

can the tissue appear clinically normal?

A

yes

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10
Q

interlekin ___ genotype is a genetic marker

A

1

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11
Q

elevated proportions of what 3 things?

A

AA bacteria
PGE2
cytokine IL-beta

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12
Q

____ or ______ have abnormalities

A

neutrophils or phagocytes

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13
Q

localized onset of aggressive perio is around _____

A

puberty

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14
Q

localized perio has a rapid tissue destruction around what teeth?

A

permanent first molars and incisors

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15
Q

localized perio is associated with ____ baceria and immune dysfunction of ______

A

aa bacteria

leukocytes or PMNs

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16
Q

how many teeth are involved in a quad with localized perio

A

no more than 2 teeth in a quad

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17
Q

generalized perio is frequently associated with what 2 bacteria

A

AA and P. gingivalis

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18
Q

in generalized perio, interproximal attachment loss affects at least ____ permanent teeth other than 1st molars

A

3

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19
Q

___ amounts of plaque that seems inconsistent with amount of perio destruction

A

small

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20
Q

type 1 inflammation appearance of GAP

A
  • gingival tissues may appear actuely inflamed, ulcerated, and fiery red
  • occurs in the destructive phase of disease progression
21
Q

type 2 inflammation appearance of GAP

A
  • gingival tissues appear pink
  • deep pockets
  • periods of inactivity
22
Q

is it possible to have aggressive perio with good daily self-care by patient?

A

yes

23
Q

can children be affected with aggressive perio?

A

yes

24
Q

can we assume that young patients are healthy patients?

A

no

25
Q

_____ is very important given the severity and rapid progression of agggressive perio

A

early detection

26
Q

what xrays should be taken for caries screening and marginal bone loss

A

bitewings

27
Q

what is the method of choice for screening adolescents and adults

A

periodontal probing

28
Q

if the patient has a systemic disease and periodontitist what would they be classified as?

A

periodontitis as a manifestation of system disease

29
Q

what treatment is used for patients with aggressive perio

A
  • antimicrobial therapy
  • removal or control of local factors
  • surgical debridement of soft tissue
30
Q

what are treatment goals

A
  • slow down disease progression
  • hope for significant reduction in gingival inflammation
  • reduce dental plaque
  • prevent further bone loss and attachment loss
31
Q

what are long-term outcomes

A
  • patient practices good oral hygiene

- patient completes scheduled recall appointments every 3 months

32
Q

how can we tell if areas are not responding?

A
  • increasing tooth mobility
  • plaque levels not compatible with health
  • increasing attachment loss
  • inflamed gingival tissues
33
Q

other less common forms of periodontitis

A
  • periodontitis as a manifestation of systemic disease
  • necrotizing periodontal disease
  • abscesses of periodontitis
  • developmental or acquired deformities and conditions
  • occlusal trauma
34
Q

manifestations of systemic disease with blood disorders

A
  1. leukemia
  2. acquired neutropenia
  3. blood clotting disorders
  4. HIV patients
  5. LGE (aids)
35
Q

manifestations of systemic disease with genetic disorders

A
  1. down syndrome
  2. familial neutropenia
  3. leukocyte adhesion deficiency syndrome
  4. papillon-lefevere
  5. Chediak-higashi syndrome
  6. histocytosis-rare
  7. glycogen storage disease
  8. infantile genetic agranulocytosis
  9. cohen syndrome
  10. ehlers-danlos syndrome
  11. hypophosphatasia
36
Q

acquired neutropenia characteristics

A

destruction of all teeth

ulcerations and necrossis of marginal gingiva

37
Q

immune dysfunction interferes with what?

A

body’s resistance to bacterial infection

38
Q

familial and cyclic neutropenia characteristics

A

decrease in neutrophils

39
Q

characteristics of down syndrome

A

perio seen around incisors and molars

40
Q

leukocyte adhesion deficiency characteristics

A

defect in the number of receptors on PMN-increase susceptibility to infectious disease

41
Q

characteristics of papillon-lefevre syndrome

A

occurs before puberty; early loss of deciduous and permanent teeth in order of eruption

42
Q

another name for papillon-lefevre syndrome

A

palmar-plantar hyperkeratosis

43
Q

characteristics of chediak-higashi syndrome

A

localized destruction. rare genetic disease. generalized severe gingivitis, excessive loss of alveolar bone , extremely susceptible to bacterial infections

44
Q

systemic diseases associated with PMN dysfunction

A
  1. acquired neutropenia
  2. down syndrome
  3. chediak-higashi syndrome
  4. leukocyte adhesion deficiency syndrome
45
Q

blood disorders that contribute to perio

A
  1. aids/HIV infection
  2. leukemia
  3. acquired neutropenia
46
Q

generalized destruction of alveolar bone in 6 year old includes

A
  1. down syndrome
  2. chediak-higashi
  3. prepubertal systemic condition
47
Q

characteristics of ehlers-danlos syndrome

A

types 4 and 8 are most important

connective tissue disorder; defective collagen synthesis

48
Q

characteristics of hypophosphatasia

A

decreased serum alkaline phosphatase, severe loss of alveolar bone, and premature loss of anterior deciduous teeth

Periodontology (28 decks)

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