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Advanced Periodontology > Ch 18 perio > Flashcards

Ch 18 perio Flashcards

1
Q

What is the prediction or forecast of the extent and duration of disease and its response to tx

A

Prognosis

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2
Q

this is influenced by the pathogenesis of the disease and by individual pt factors, including overall health, risk factors and compliance

A

Prognosis

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3
Q

why is prognosis a major consideration in tx planning

A

all tx should be based on which intervention is expected to provide the best outcomes

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4
Q

is the expected outcome for the pt. It is determined on the basis of the specific risk factors that the individual pt presents

A

overall prognosis

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5
Q

why is healing and resolution of perio disease be altered for individuals with systemic diseases and conditions?

A

Because these pts respond differently to bacterial infection

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6
Q

individuals with this is less likely to follow the course of healing that one would expect- regeneration and repair of perio tissue over the days and weeks after tx

A

Systemic disease and conditions

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7
Q

overall prognosis is sometimes referred to as

A

global prognosis

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8
Q

once the overall prognosis is analyzed and determined, then what can be determined

A

individual tooth prognosis

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9
Q

To determine the overall case prognosis the following questions need to be addressed

A
  • should tx be undertaken?
  • Is tx likely to succeed (retain the teeth and provide good function)
  • If prosthetic replacements will be made, can the periodontally treated teeth support the burden?
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10
Q

The dental hygienist must consider prognosis as either

A

short-term or long-term

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11
Q

This usually refers to survival of the teeth for 5 years or less

A

Short-term prognosis

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12
Q

The factors considered in making an overall prognosis for patients with periodontal disease include

A
  • Age
  • Systemic health
  • Smoking
  • Type of perio disease
  • oral conditions (Including inflammation and bone levels)
  • Attitude and perceptions of the pt
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13
Q

Usually involves assessing the likelihood of maintaining a tooth or teeth for a longer time frame (>5 years)

A

long-term prognosis

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14
Q

Many clinicians consider what the most critical factors in the lasting success of perio tx

A

The attitude, perceptions, and cooperation of the pt

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15
Q

What are some systemic diseases and conditions that influence the host ability to respond to perio disease

A

Diabetes, neutrophil defects, and factors associated with immunosuppression such as human immunodeficiency virus (HIV) infection or organ transplantation

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16
Q

What are the global prognosis

A
  • Excellent
  • Good
  • Far
  • Poor
  • Questionable
  • Hopeless
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17
Q

Which global prognosis has no bone loss, excellent condition, no systemic considerations, good pt cooperation

A

Excellent

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18
Q

Which global prognosis adequate remaining perio support and ease of maintenance, adequate patient cooperation

A

Good

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19
Q

Which global prognosis is attachment loss and furcation involvement (Class 1), pt cooperation likely, systemic factors controlled

A

Fair

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20
Q

Which global prognosis is attachment loss and furcation involvement that can only be maintained with difficulty (Class 2 or 3 ), tooth mobility, presence of systemic factors

A

Poor

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21
Q

Which global prognosis has poor-crown to root ratio, poor root form, root proximity, Class 2 or 3 furcation, mobility, presence of systemic factors

A

Questionable

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22
Q

Which global prognosis has advanced bone loss, inadequate attachment, uncontrolled environmental/systemic factors, tooth should be extracted

A

Hopeless

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23
Q

This does not only affect the severity of disease but also the healing potential of the oral tissues.

A

Smoking

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24
Q

Pt who ___ do not respond as well to perio therapy

A

Smoke

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25
Q

what type of periodontitis is generally good to tx

A

Chronic periodontitis

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26
Q

The prognosis of the individual teeth is evalvated first on the basis of what?

A

the overall prognosis and then the status of each tooth

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27
Q

What do you look at for each individual tooth prognosis

A 
Pocket depths and attachment loss
Mobility
Amount and location of furcation involvement
Tooth morphologic features
Bone levels
General condition of the tooth
Ability to modify etiologic factors
28
Q

what can harbor pathogenic plaque biofilms and are associated with increased inflammation

A

pockets depths, particularly persistent deep pockets

29
Q

what generally reflect loss of attachment to the tooth, a further indication that the tooth is weakened and an indicator of a less favorable prognosis

A

Deep pockets

30
Q

What is also associated with deep pockets and persistent inflammation

A

Bleeding

31
Q

This is associated with less favorable periodontal outcomes but is not confirmed as a risk factor. It is caused by inflammation in the periodontal ligament and bone loss

A

Mobility

32
Q

Can result from loss of support for the tooth (bone and clinical attachment loss) or trauma from occlusal

A

Mobility

33
Q

If mobility is the direct result of loss of support for the tooth, than the prognosis is

A

Less favorable

34
Q

This has a negative effect on the prognosis for an individual tooth

A

Furcation

35
Q

Access for scaling and root planing and homecare is difficult to obtain; therefore these areas can continue to harbor pathogenic plaque biofilm.

A

Furcation

36
Q

% of mandibular molars may have cervical enamel projections

A

25%

37
Q

% of maxillary molars may have cervical enamel projections

A

20%

38
Q

% of maxillary lateral incisors have lingual grooves

A

6%

39
Q

% of maxillary central incisors have lingual grooves

A

3%

40
Q

Bone level is important for individual teeth because

A

it defines the amount of support remaining for the tooth. Greater bone loss will result in more mobility

41
Q

Most often prognosis is what

A

determined and the ideal tx plan is formulated in the nest interest of the pt with the intent to preserve all teeth for as long as possible

42
Q

All pts deserve to know what

A

the tx options and how decisions may alter their oral health in the future

43
Q

In the end, who is the one who accepts the treatment or chooses to modify it.

A

The pt

44
Q

what is categorized into groups of diseases are generally similar signs, symptoms, and outcomes

A

periodontal disease

45
Q

Is a reversible disease caused by bacterial plaque biofilm. It can occur around teeth with or without attachment loss

A

Gingivitis associated with dental plaque only

46
Q

The prognosis is considered ____, provided that all contributing factors can be eliminated and the tissue can be returned to a state of health.

A

Good `

47
Q

An _____ prognosis is reserved for gingival disease in which no attachment loss has occurred; consequently, healing the gingival inflammation completely restores the oral condition.

A

excellent

48
Q

Plaque-Induced gingival disease modified by medication, what are the meds

A

phenytoin, nifedipine, and oral contraceptives

49
Q

what is the prognosis of plaque-induced gingival disease modified by medications

A

fair to good

50
Q

The prognosis of gingival disease modified by malnutrition depends on what

A

the severity and duration of the deficiency

51
Q

What is the prognosis of gingival disease modified by malnutrition

A

range from hopeless to good

52
Q

the prognosis for chronic periodontitis is generally ___ if the inflammation is controlled

A

good

53
Q

occurs as localized or generalized forms and is related to loss of attachment and bone destruction in otherwise healthy patients

A

Aggressive periodontitis

54
Q

It is found as a family trait

A

Aggressive periodontitis

55
Q

which form of aggressive perio usually appears around the age of puberty and is amenable to periodontal tx and systemic antibiotic therapy, With proper tx it has a good to excellent prognosis

A

localized

56
Q

which form of aggressive perio is usually seen in young adults and often has other associated risk factors, such as smoking, and possibly systemic alteration in host defenses. The prognosis has a fair to poor or even questionable

A

generalized

57
Q

is primarily caused by bacterial plaque biofilm with secondary factors such as stress or poor nutrition.

A

Necrotizing ulcerative gingivitis (NUG)

58
Q

is amenable to periodontal treatment with the prognosis dependent on managing both the systemic condition and the manifestations of the local periodontal disease.
In general, the prognosis for this disease is good.

A

NUG

59
Q

one straightforward way to assess the results of tx is to wht

A

monitor tooth loss in pts with treated perio disease

60
Q

The prognosis for aggressive forms of periodontal disease is:
A. unable to be determined
B. better than that for chronic perio
C. less favorable than that for chronic perio
D. exactly the same as the individual tooth

A

less favorable than that for chronic perio

61
Q

Global prognosis is the same as the individual tooth prognosis for all pts. The individual tooth prognosis can differ from the overall prognosis

A

The first statement is false, and the second statement is true

62
Q 
When pts successful complete periodontal therapy and are compliant with maintenance care, what is the expected rate of tooth loss over 10 years?
A. one per year 
B. five to six per year 
C. one per 10 years 
D. five to sic per 10 years
A

one per 10 years

63
Q 
In general, the most critical element is determining prognosis is 
A. the attitude of the pt
B. dental hygiene care history 
C. the type of perio disease 
D. the pathogenesis of the disease
A

the attitude of the pt

64
Q

Age is a significant factor in determining the overall prognosis because
A. older ppl are less likely to cooperate with tx
B. younger ppl are less likely to cooperate with tx
C. an older individual with significant perio destruction Is likely to be more significant to disease
D. a younger individual with significant perio destruction is likely to be more susceptible to disease

A

an older individual with significant perio destruction Is likely to be more significant to disease

65
Q

what are some oral conditions that should be analysis

A

heavy deposits of plaque biofilm and calculus and severity of inflammation

66
Q

what indicates how much support for the tooth has been lost

A

clinical attachment loss

67
Q

what is caused by inflammation in the perio ligment and bone loss

A

mobility

Advanced Periodontology (6 decks)

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