Chronic Perio

Question 1

Subgingival calculus color

Answer 1

Brown

Question 2

Supragingival calculus color

Answer 2

Chalky

Question 3

Dark brown gingiva suggests

Answer 3

It’s been there for a long time and there has been recession

Question 4

How much has to be mineralized to show up on radiograph

Answer 4

60%

Question 5

How much bone has to be dimneralized to show up on radiograph

Answer 5

60% deminizeralized

Question 6

Alveolar bone loss can be

Answer 6

Vertical or horizontal

Question 7

Chronic periodontitis is mostly seen in

Answer 7

Adults but many be seen in children

Question 8

Tissue destruction commensurate with

Answer 8

Oral hygiene and plaque levels and local/systemic factors

Question 9

_____ is invariably present at disease sites

Answer 9

Subgingival calculus

Question 10

Chronic periodontitis rate of progression

Answer 10

Slow to moderate

.2 mm per year

5 years to lose 1 mm

Question 11

______ determine pathogenesis and progression

Answer 11

Host factors

Question 12

Symptoms of CP

Answer 12

Mostly painless
Loose teeth
Food impaction
Drifted teeth
Root sensitivity 
Bleeding gums

Question 13

When CP does have pain it is

Answer 13

Localized dull pain

Itchy gums

Stick toothpicks

Question 14

Severity: Slight

Answer 14

1-2 mm Aloss

Question 15

Severity: Moderate

Answer 15

3-4 mm Aloss

Question 16

Severity: Severe

Answer 16

5 mm or more ALoss

Question 17

Localized CP

Answer 17

<30% of sites

Of 128 sites

Question 18

Generalized CP

Answer 18

> 30% of sites

Question 19

Risk Determinant

Answer 19

Non-modifiable Factors

• Age
• Gender

Question 20

Risk Indicators

Answer 20

Putative risk factors that have been identified in cross sectional studies but not confirmed longitudinally

• HIV
• Osteporisis
• Infrequent Dental visit

Question 21

Risk Markers

Answer 21

Characteristics associated with elevated risk for disease but many not be part of the causal chain

• furcation
• Calculus
• History of attachment loos

Question 22

Bacteria plaque induce gingivitis but ______ determines if CP will develop

Answer 22

Host response

Question 23

% of US population has periodontitis that has moderate or sever pd

Answer 23

64%

Question 24

Continuous model

Answer 24

Slow continuous destruction

-Constant rate

Question 25

Random Burst

Answer 25

Short bursts of destruction
Periods of rest
Destruction and rest random with respective to time/site
**

Question 26

Asynchronous multiple

Answer 26

Destruction during defined periods in life

Occurs in burst that are asynchronous for teeth/sites