Chronic Periodontitis 10/21/15 Flashcards

1
Q

What are the Clinical features of Chronic periodontitis?

A
  • Changes in Gingival morphology (Color, texture, Volume)
  • BOP
  • Increasing Probe depth
  • Attachement loss
  • gingival recession
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2
Q

What are the Clinical features Of Chronic Periodontitis?

A
  • Alveolar Bone loss (Vertical or horizontal)
  • Furcation involvement
  • Increased Tooth Mobility
  • Drifting of teeth
  • Tooth loss
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3
Q

In whom is Chronic Periodontitis found?

A

Prevalent in adults, yet sometimes found in children.

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4
Q

________ specices are implicated in chronic periodontitis.

A

Specific subgingival species

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5
Q

What is present at disease sites (chronic periodontitis)?

A

Sub gingival calculus

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6
Q

How fast is the progression of Chronic periodontitis?

A

Slow to moderate with rapid burst of destruction

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7
Q

______ determine the pathogens and progression of Chronic periodontitis.

A

Host Factors

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8
Q

What are the symptoms of Chronic Periodontitis?

A
  • Mostly painless (Localized dull pain or gum irritation, but not typically painful)
  • lose teeth
  • food impaction
  • drifted teeth/ increase spacing
  • Root sensitivity
  • Bleeding gums
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9
Q

How is Chronic periodontitis classified?

A
  • Localized = 30% or less of sites
  • General = more than 30%
  • slight = 1-2mm
  • Moderate = 3-4mm
  • Severe = 5mm or more
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10
Q

What are the systemic risk factors for Periodontitis?

A

Smoking and diabetes

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11
Q

What are the general risk factors for periodontitis?

A
  • Environmental
  • Behavioral
  • Biological
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12
Q

Are Gingivitis and CP separate entities?

A

Not really, They are separate aspects of the same disease.

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13
Q

T or F, gingivitis progresses rapidly without latent periods.

A

False, it can be stable for years.

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14
Q

What are some non modifiable risk factors for periodontitis?

A

Age

Gender

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15
Q

What are risk indicators for periodontitis?

A
  • HIV/AIDS
  • Osteoporosis
  • Infrequent dental visits
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16
Q

What are risk markers or predictors for periodontitis?

A
  • Furcation involvement
  • Calculus
  • History of attachment loss
17
Q

Is gingivitis a risk factor for periodontitis?

A

Absolutely!

18
Q

Prevalence of Periodontitis is most highest in whom?

A
  • Men
  • Mexican americans
  • Adults with less than high school education
  • adults below 100% poverty levels
  • Current smokers
19
Q

How do you diagnose Periodontitis?

A
  • Probe depths
  • Gingival recession
  • CAL = Probing depth + gingival recession
  • BOP = expressed as % of total sites
  • furcation involvement
  • Mobility
  • Fremitus
  • Bone defects (Horizontal vs Vertical (1,2,3 wall)
20
Q

What are the goals of therapy for periodontitis?

A
  • Eliminate etiology
  • Eliminate or reduce risk factors
  • Prevent reoccurrence
21
Q

What are the initial steps of periodontal therapy?

A
  • Removal of plaque
  • adequate oral hygiene
  • Removal of local and systemic factors (like controlling diabetes)
22
Q

What is the rational for periodontal therapy?

A
  • Compliant patients have less than 0.1 tooth loss per year
  • Non compliant patients = 0.2 tooth loss per year
  • Untreated patients = 0.6 tooth loss per year.