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Perio Exam 2 Study Guide > Chapters 5, 6, 7, 8 > Flashcards

Chapters 5, 6, 7, 8 Flashcards

1
Q

Characteristics of healthy clinical tissue

A
  • Free of inflammation and has not been altered by disease or trauma
  • Appears uniformly pink
  • Smoothly scalloped gingival margin
  • Pointed papillae that completely fill the space between the teeth
  • Stippling of the gingiva
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2
Q

What does the posterior gingiva look in health

A

Gently scalloped margin

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3
Q

Diffuse inflammation

A

Is throughout the gingival margin, papilla, and attached gingiva; extending to the mucogingival junction

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4
Q

Increased fluid in papilla

A

Increased fluid enlarges marginal and inter proximal gingival tissues
Can be localized or involve the whole mouth
Bulbous, blunted, cratered, soft, shiny papillae, or smooth, shiny papillae

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5
Q

What is the most common periodontal disease?

A

Gingivitis associated with dental plaque

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6
Q

Plaque induced gingivitis pockets

A

1-4 mm; no attachment loss

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7
Q

Puberty associated gingivitis

A

Signs of inflammation seem exaggerated in relation to the amount of plaque present —> hormones

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8
Q

Pregnancy associated gingivits

A

An exaggerated inflammatory response

Usually occuring during the 2nd and 3rd trimester of pregnancy

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9
Q

Where is a pyogenic granuloma most commonly found?

A

In maxilla and papillae

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10
Q

Pyogenic granuloma ( pregnancy tumor )

A

A localized mushroom-shaped gingival mass projecting from the gingival margin or gingival papilla during pregnancy

  • Not cancerous
  • Not painful and bleeds easily
  • Regresses after giving birth
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11
Q

Drug influenced gingival enlargement

A

An increase in size of the gingiva resulting from systemic medication

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12
Q

Medications associated with gingival enlargement

A

Anticonvulsants
Calcium channel blockers
Immunosuppressants

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13
Q

This is not necessary for gingival enlargement

A

Plaque accumulation

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14
Q

Where is gingival enlargement first observes

A

Interdental papilla

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15
Q

What part of the mouth is most commonly affected by ginigval enlargement

A

Gingiva on anterior sextants

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16
Q

Gingival enlargement

A

Onset 3 months of taking medication
Exaggerated response of plaque
Higher prevalence in children

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17
Q

Primary Herpetic Gingivostomatitis

A

Initial oral infection with herpes simplex type-1 virus

Redness and multiple vesicles that easily rupture to form painful ulcers

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18
Q

Symptons of PHG

A 
Fiery red marginal gingiva
Swollen papillae that bleed easily
Painful
Dehydration is a concern
Fever
Yellowish ulcers surrounded by red halo
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19
Q

When is PHG infectious

A

During the vesicular stage

20
Q

Lichen planus

A 
Disease of the skin and mucous membranes
Itchy, swollen rash on the skin or in mouth
Intense redness of gingiva
Ulcerations
Raised white lesions may be present
21
Q

Whickam Striae ( interlacing white lines )

A

Lichen planus

22
Q

Erythema multiforme

A

Disorder of skin and mucous membranes

Large red blotches, resembling targets, appear all over the skin

23
Q

Blisters and ulcers occur on the oral mucous membranes with crust formation on lip

A

Erythema multiforme

24
Q

Gingival diseases of specific bacterial origin

A

Characterized by a bacterial infection of the gingiva by a specific bacterium that is not a common component of the bacterial plaque biofilm

25
Q

Infection by a bacterium that is not usually considered to be a periodontal pathogen

A

Gingival diseases of specific bacterial origin

26
Q

Diabetes associated gingivitis

A

An inflammatory response of the gingiva to plaque aggravated by poorly controlled blood glucose levels

27
Q

Most common form of periodontitis

A

Chronic perio

28
Q

A bacterial infection resulting in inflammation within the supporting tissues of the teeth

A

Chronic perio

29
Q

Chronic perio

A

Common in adults over 35 but can occur in children and young adults
Host response plays an essential role in pathogenesis
Disease progresses at a slow or moderate rate
Irreversible destruction of all areas of the periodontium

30
Q

Is the appearance of the gingival tissues always a reliable indicator of the prescence of severity of periodontitis?

A

NO

31
Q

Localized chronic perio

A

30 % or less of sites in the mouth have experienced attachment loss and bone loss

32
Q

Generalized chronic perio

A

More than 30% of sites in the mouth have attachment loss and bone loss

33
Q

Recurrent chronic perio

A

New signs of destructive periodontitis that reappear after therapy because

  • The disease was not adequately treated
  • The pt did not practice adequate self-care
34
Q

Refractory chronic perio

A

Cases of chronic perio that does not respond to periodontal therapy
Continued attachment loss at one or more sites even though
- therapy was appropiate and adequate
- pt practiced good self-care

35
Q

Aggressive perio

A

Bacterial infection characterized by rapid destruction of

  • periodontal ligament
  • supporting alveolar bone
36
Q

Is aggressive perio more common or less common than chronic perio?

A

Less common

37
Q

Primary features of aggressive perio

A

Rapid destruction of attachment

No obvious signs or symptons of systemic disease

38
Q

What was aggressive perio previously known as?

A

Early onset perio

Renamed because it can occur at any age

39
Q

Secondary features of aggressive perio

A 
Small amounts of plaque
Elevated proportions of Aggregatibacter actinomycetemcomiton (Aa)
Phagocyte abnormalities
Lack of clinical signs
Poor response to periodontal therapy
40
Q

Localized aggressive perio (LAP)

A

Onset of disease during puberty
Localized, rapid tissue destruction around PERMANENT FIRST MOLARS AND/OR INCISORS
Involving no more than two teeth other than first molars and incisors

41
Q

Frequently associated with Aa

A

LAP

42
Q

Classic radiograph sign of LAP

A

Vertical bone loss around first molars and incisors

43
Q

LAP was previously called what

A

Localized juvenile perio

44
Q

Generalized aggressive perio (GAP)

A

Onset usually occurs in people under 30
Generalized interproximal attachment loss affecting at least three permanent teeth other than the first molars and incisors

45
Q

What was GAP previously called?

A

Generalized juvenile perio or early - onset perio

Perio Exam 2 Study Guide (1 decks)

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