Chronic Perio Diseases (Lecture 3)

Question 1

While acute perio was more fore youngsters, the chronic is more prevalent in _______, but can still happen in young ins.

Answer 1

adults

Question 2

Where is bone loss common in chronic perio disease?

Answer 2

furcation area

Question 3

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

Answer 3

Chronic haha

Question 4

Can you treat Chronic Perio with antibiotics?

Answer 4

NO, it will not solve the problem

Question 5

When is usually the only time a pt will feel pain with chronic periodontits?

Answer 5

with a periodontal abcess

Question 6

What is the min pocket depth for supra or infra bony pocket formation in chronic perio?

Answer 6

> or equal to 4mm

Question 7

What is the definition of SLIGHT Chronic Perio?

Answer 7

1-2mm of CALoss

Question 8

What is the definition of MODERATE Chronic Perio?

Answer 8

3-4mm of CALoss

Question 9

What is the definition of ADVANCED chronic perio?

Answer 9

> 5mm of CALoss

Question 10

_________: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.

Answer 10

PseudoPocket

Question 11

__________: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.

Answer 11

Periodontal Pocket

Question 12

How are INTRABONY pockets classified? SHE SAID TO HIGHLIGHT THIS!!!! What is the easiest to manage?

Answer 12

By number of walls REMAINING…3 wall easiest to manage with graft

Question 13

Which intrabony pocket is like a MOAT?

Answer 13

Circumferential

Question 14

Which intrabony pocket is in between teeth?…accounts for 35% of max intrabony defects and 63% of Mandibular intrabony defects!!

Answer 14

Interdental Craters

Question 15

A suprabony pocket is usually what type of bone loss?

Answer 15

horizontal

Question 16

An infrabony pocket is usually what type of bone loss?

Answer 16

vertical

Question 17

What is the most common bony defect of MANDIBULAR teeth?

Answer 17

INTERDENTAL CRATER!

Question 18

What is the treatment for horizontal bone loss?

Answer 18

:( resect the gingiva and rock those fuckin roots

Question 19

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!!!)

Answer 19

0.1mm to 0.3mm…..0.3mm

Question 20

If left untreated after 10 years, patients can lose ___ times more teeth than treated patients.

Answer 20

3.5x more teeth!

Question 21

AGGRESSIVE PERIO! What are the 3 bugs of the RED COMPLEX???

Answer 21

1.Porphyromonas Gingivalis 2.Tannerella Forsythia 3. Tremponema Denticola

Question 22

In aggressive perio: what is the bug for juvenile perio?

Answer 22

AA-AggregatibacterActinomycetemcomitans

Question 23

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.

Answer 23

CAL & Alveolar Bone

Question 24

NUP May be seen in patients with severe _______

Answer 24

malnutrition

Question 25

NUP Generally associated with severe immune suppression…like in _______

Answer 25

HIV/AIDS

Question 26

Lets talk about the HIV…You can have Ulceration and necrosis of ______ tissue

Answer 26

gingival

Question 27

Lets talk about the HIV…You can have Rapid destruction and/or exposure of ________

Answer 27

alveolar bone

Question 28

Lets talk about the HIV…You can have CD4+ counts below _____ cells/mm3

Answer 28

200 cells

Question 29

Lets talk about the HIV… 73% of patients die within ___ months of a diagnosis of NUP

Answer 29

24 months…holy shit batman.

Question 30

NUP has the same microbiological profile as advanced stage chronic periodontitis, plus the following additional bacteria: (3) (gram - anaerobes)

Answer 30

1.Clostridium Spp. 2. Klebsiella Supp 3.EnteroCoccus Spp.

Question 31

NUP fungus

Answer 31

Candida Albicans

Question 32

NUP Virus

Answer 32

Epstein Barr

Question 33

NUP Tx: Which 2 Antibiotics? What rinse? Soft Tissue Debridement, SRP, And __ month appt intervals at the periodontist.

Answer 33

1.METRON-EYE-DA-ZOL 2.FLU-Con-Azole (antifungal)….CHX rinse…2 month intervals