Chronic Periodontitis 10/21/15 Flashcards
What are the Clinical features of Chronic periodontitis?
- Changes in Gingival morphology (Color, texture, Volume)
- BOP
- Increasing Probe depth
- Attachement loss
- gingival recession
What are the Clinical features Of Chronic Periodontitis?
- Alveolar Bone loss (Vertical or horizontal)
- Furcation involvement
- Increased Tooth Mobility
- Drifting of teeth
- Tooth loss
In whom is Chronic Periodontitis found?
Prevalent in adults, yet sometimes found in children.
________ specices are implicated in chronic periodontitis.
Specific subgingival species
What is present at disease sites (chronic periodontitis)?
Sub gingival calculus
How fast is the progression of Chronic periodontitis?
Slow to moderate with rapid burst of destruction
______ determine the pathogens and progression of Chronic periodontitis.
Host Factors
What are the symptoms of Chronic Periodontitis?
- Mostly painless (Localized dull pain or gum irritation, but not typically painful)
- lose teeth
- food impaction
- drifted teeth/ increase spacing
- Root sensitivity
- Bleeding gums
How is Chronic periodontitis classified?
- Localized = 30% or less of sites
- General = more than 30%
- slight = 1-2mm
- Moderate = 3-4mm
- Severe = 5mm or more
What are the systemic risk factors for Periodontitis?
Smoking and diabetes
What are the general risk factors for periodontitis?
- Environmental
- Behavioral
- Biological
Are Gingivitis and CP separate entities?
Not really, They are separate aspects of the same disease.
T or F, gingivitis progresses rapidly without latent periods.
False, it can be stable for years.
What are some non modifiable risk factors for periodontitis?
Age
Gender
What are risk indicators for periodontitis?
- HIV/AIDS
- Osteoporosis
- Infrequent dental visits
What are risk markers or predictors for periodontitis?
- Furcation involvement
- Calculus
- History of attachment loss
Is gingivitis a risk factor for periodontitis?
Absolutely!
Prevalence of Periodontitis is most highest in whom?
- Men
- Mexican americans
- Adults with less than high school education
- adults below 100% poverty levels
- Current smokers
How do you diagnose Periodontitis?
- 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)
What are the goals of therapy for periodontitis?
- Eliminate etiology
- Eliminate or reduce risk factors
- Prevent reoccurrence
What are the initial steps of periodontal therapy?
- Removal of plaque
- adequate oral hygiene
- Removal of local and systemic factors (like controlling diabetes)
What is the rational for periodontal therapy?
- 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.
