Chapter 10

Question 1

What are the steps in the decision tree for periodontal health?

Answer 1

1. Does the clinical assessment indicate health or disease?
2. If disease, is it gingivitis or periodontitis?
3. What type of gingivitis? OR What type of periodontitis?

Question 2

What over and hidden signs may indicate disease?

Answer 2

Overt: Color, contour, consistency
Hidden: Bone loss, purulence

Question 3

What might we see that initially indicates disease but is actually health?

Answer 3

Non-inflammatory conditions like recession from toothbrushing

Question 4

What signs do we look for when determining if disease is gingivitis or periodontitis?

Answer 4

• No attachment loss points to gingivitis
• Attachment loss indicates periodontitis

Question 5

What are the steps in the decision tree for implants?

Answer 5

1. Does the clinical assessment indicate health or disease?
2. If disease, does the inflammation stay confined to the peri-implant soft tissue or extend to bone?
3. Soft tissue damage indicates peri-implant mucositis, soft tissue + bone damage indicates peri-implantitis

Question 6

What other findings should be noted aside from “gingivitis” or “periodontitis” when describing the overall perio condition of the pt.?

Answer 6

• Recession
• Aberrant frenum attachment
• Occlusal trauma
• Minimal keratinized tissue
• Gingival enlargement

Question 7

What is the definition of stage I perio?

Answer 7

Initial periodontitis

Question 8

What is the definition of stage II perio?

Answer 8

Moderate periodontitis

Question 9

What is the definition of stage III perio?

Answer 9

Severe periodontitis w/ potential for tooth loss

Question 10

What is the definition of stage IV perio?

Answer 10

Advanced periodontitis w/ extensive tooth loss and potential for loss of dentition

Question 11

What is the definition of grade A perio?

Answer 11

Slow rate of anticipated disease progression

Question 12

What is the definition of grade B perio?

Answer 12

Moderate rate of anticipated disease progression

Question 13

What is the definition of grade C perio?

Answer 13

Rapid rate of anticipated disease progression

Question 14

What are some non-surgical periodontal therapies?

Answer 14

Self-care educatiob
Nut. Ed.
Smoking cessation counseling
Perio instrumentation
Antimicrobial therapy
Correction of local risk factors
Fluoride therapy
Caries control and temp. restorations
Occlusal therapy
Minor ortho treatment
Reeval of Phiase I therapy