Ch. 3 introduction to periodontal disease Flashcards

1
Q

Periodontum is composed of (4)

A
  • gingiva/gum
  • cementum
  • periodontal ligament
  • alveolar bone
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2
Q

The function of the periodontum

A

to anchor teeth to the bones of the jaw

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3
Q

etiology of periodontal disease ? (3)

A

bacterial

  • gain access to space between tooth and gingiva
  • proliferate producing inflammation and destruction of tissues
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4
Q

Bacteria can or cannot cause periodontal disease by themselves

A

can not

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5
Q

What do bacteria need to be able to cause periodontal disease? (4)

A
  • susceptible person (genetic disposition)

- adequate environemnt: tobacco/stress/poor oral hygiene

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6
Q

Which diseases are associated with greater severity of periodontal disease? (2)

A
  • diabetes

- heart disease

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7
Q

The first sign to appear in the early stages of periodontal disease is…

A

gingivitis

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8
Q

What symptoms occur with gingivitis? (3)

A
  • redness
  • inflammation
  • bleeding when brushing or spontaneously
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9
Q

What are the signs of when gingivits progresses into periodontitis? (7)

A
  • retraction of the gingiva (longer teeth)
  • mobility of teeth
  • diastemas
  • sensitivity to cold
  • pain
  • halitosis
  • abcess and fistula
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10
Q

The principal sign of periodontal disease distinguishing it from gingivitis is… (2)

A
  • loss of tissue and bone (attachment)

- causes the creation of periodontal pocket

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11
Q

How do we diagnose periodontal disease?

A

using periodontal probe to measure periodontal pockets

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12
Q

cementum is only found in the

A

roots

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13
Q

enamel is only found in the

A

crown

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14
Q

In the patients first visit, ________ is done and the
values obtained will be written down in the periodontal
chart and then….

A
  • periodontal probing

- value is a reference during and after treatment to determine if disease has been established or not

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15
Q

Periodontal chart is replaced every… why? (2)

A

6 months

-to compare values before during and after treatment

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16
Q

What are the complementay diagnostic tests?

A
  • panormaic x ray

- periapical x-ray

17
Q

How frequent is gingivitis?

A
  • most frequent disease in humans at all ages

- 75% of 20-25 year olds

18
Q

How frequent is periodontisis?

A

not common

  • 1/1000 cases in yound people
  • frequency increases with age
  • 10% at 30-40
  • 25-30% at 50-60
19
Q

How Long Does It Take to Lose a Tooth after the First Signs

A

You will use your tooth 5 years after the first sign

20
Q

How Do you Treat Periodontal Disease (Mechanically)?

A

SRP - Scaling

Root Planing

21
Q

Objective of Treating Periodontal Disease?

A

Eliminate Bacterial Biofilm

22
Q

How Do you Treat Periodontal Disease (Antibiotics)?

A

Bacterial Cultivation and Antibiogram

23
Q

How Do you Treat Periodontal Disease (Surgical)?

A

Advanced Surgical Treatment is provided if SRP does not work