Chronic Perio Diseases (Lecture 3) Flashcards
While acute perio was more fore youngsters, the chronic is more prevalent in _______, but can still happen in young ins.
adults
Where is bone loss common in chronic perio disease?
furcation area
Chronic or Acute? Gingival appearance can be consistent with acute or chronic inflammation, i.e., red or red-purple in color, edematous or fibrotic inconsistency, and exhibit altered architecture and contours
Chronic haha
Can you treat Chronic Perio with antibiotics?
NO, it will not solve the problem
When is usually the only time a pt will feel pain with chronic periodontits?
with a periodontal abcess
What is the min pocket depth for supra or infra bony pocket formation in chronic perio?
> or equal to 4mm
What is the definition of SLIGHT Chronic Perio?
1-2mm of CALoss
What is the definition of MODERATE Chronic Perio?
3-4mm of CALoss
What is the definition of ADVANCED chronic perio?
> 5mm of CALoss
_________:a.k.a. gingival pocket. Excessive PD without loss of clinical attachment. The sulcus is deepened because of increased bulk of the gingiva. Commonly seen in gingival edema, overgrowth, or inflammatory hyperplasia.
PseudoPocket
__________:excessive PD with loss of clinical attachment. Associated with chronic and aggressive periodontitis. Two types of periodontal Pockets: 1) Suprabony pocket, and 2) Intrabony pocket.
Periodontal Pocket
How are INTRABONY pockets classified? SHE SAID TO HIGHLIGHT THIS!!!! What is the easiest to manage?
By number of walls REMAINING…3 wall easiest to manage with graft
Which intrabony pocket is like a MOAT?
Circumferential
Which intrabony pocket is in between teeth?…accounts for 35% of max intrabony defects and 63% of Mandibular intrabony defects!!
Interdental Craters
A suprabony pocket is usually what type of bone loss?
horizontal
An infrabony pocket is usually what type of bone loss?
vertical
What is the most common bony defect of MANDIBULAR teeth?
INTERDENTAL CRATER!
What is the treatment for horizontal bone loss?
:( resect the gingiva and rock those fuckin roots
IMPORTANT The avg rate of CAL in pt’s with UNTREATED chronic periodontitis ranges from ___mm to ___mm per YEAR for F and L surfaces and ___mm per year for inter proximal areas!!!! (You have time to treat this!!!)
0.1mm to 0.3mm…..0.3mm
If left untreated after 10 years, patients can lose ___ times more teeth than treated patients.
3.5x more teeth!
AGGRESSIVE PERIO! What are the 3 bugs of the RED COMPLEX???
1.Porphyromonas Gingivalis 2.Tannerella Forsythia 3. Tremponema Denticola
In aggressive perio: what is the bug for juvenile perio?
AA-AggregatibacterActinomycetemcomitans
NUP differs from ANUG in that loss of ______and _______ is a consistent feature…..All other characteristics appears to be the same between the two forms of necrotizing disease.
CAL & Alveolar Bone
NUP May be seen in patients with severe _______
malnutrition
NUP Generally associated with severe immune suppression…like in _______
HIV/AIDS
Lets talk about the HIV…You can have Ulceration and necrosis of ______ tissue
gingival
Lets talk about the HIV…You can have Rapid destruction and/or exposure of ________
alveolar bone
Lets talk about the HIV…You can have CD4+ counts below _____ cells/mm3
200 cells
Lets talk about the HIV… 73% of patients die within ___ months of a diagnosis of NUP
24 months…holy shit batman.
NUP has the same microbiological profile as advanced stage chronic periodontitis, plus the following additional bacteria: (3) (gram - anaerobes)
1.Clostridium Spp. 2. Klebsiella Supp 3.EnteroCoccus Spp.
NUP fungus
Candida Albicans
NUP Virus
Epstein Barr
NUP Tx: Which 2 Antibiotics? What rinse? Soft Tissue Debridement, SRP, And __ month appt intervals at the periodontist.
1.METRON-EYE-DA-ZOL 2.FLU-Con-Azole (antifungal)….CHX rinse…2 month intervals
