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TEXTBOOK FALL EXAM 2021 > Classification of disease > Flashcards

Classification of disease Flashcards

1
Q

What are the indicators of Periodontal Health?

A
  1. Minimal to no Bleeding on Probing
  2. Shallow pockets or deep “healthy” pockets
  3. Minimal to no radiographic bone loss
  4. Physiologic tooth mobility <0.2mm
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2
Q

What are gingival disease / conditions classifications?

A

Gingivitis:

  1. Gingival Diseases Biofilm Induced
  2. Gingival Diseases Non Biofilm Induced

Biofilm Induced:

  1. Mediated by Systemic Local Factors
  2. Drug Induced Gingival Enlargement

Non Biofilm Induced Categories:

  1. Inflammatory and Immune Conditions
  2. Reactive Processes
  3. Neoplasam
  4. Endocrine, Nutritional, Metabolic
  5. Traumatic Lesions
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3
Q

What are the determinants of periodontal health?

A
  1. Microbiologic Determinants (Supra/Sub Microorganisms)
  2. Host Determinants (Local & Systemic Factors)
  3. Environmental Determinants (Smoking, Medication, Stress, Nutrition)
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4
Q

What is the new classification of periodontal diseases?

A
  1. Staging
  2. Grading
  3. Extent
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5
Q

What 3 forms of periodontal disease are recognized in the new classification system?

A
  1. Periodontitis
  2. Periodontitis as a Systemic Manifestation
  3. Necrotizing
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6
Q

What is Stage 1

A

A. Interdental CAL: 1 - 2 mm
B. Radiographic bone loss: Coronal third is <15%
C. Tooth loss- no tooth loss due to Periodontitis
D. Max probing depth: 4mm or less

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7
Q

What is Stage 2?

A

A. Interdental CAL 3-4 mm
B. Radiographs Coronal third is 15%-33%
C. Tooth loss- no tooth loss due to Periodontitis
D. Max probing depth = 5mm or less

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8
Q

What is Stage 3

A

A. Interdental CAL: 5mm or more
B. Radiographic bone loss: Mid third of root or beyond
C. 4 or less teeth lost due to periodontitis
D. PD 6mm or greater
Vertical bone loss >3mm or greater
Furcation involvement Class II or III
Moderate ridge defect

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9
Q

What is Stage 4?

A

A. Interdental CAL: 5mm or more
B. Radiographic bone loss: Mid third of root or beyond
C. 5+ teeth lost due to periodontitis
D. Stage III complexity plus:
1. Need for complex rehabilitation
2. Masticatory dysfunction
3. Secondary occlusal trauma (> Degree 2 mobility)
4. Severe ridge defect
5. Bite collapse, drifting, flaring
6. Less than 20 remaining teeth (10 opposing pairs)

Think Very severe periodontitis

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10
Q

What is Grading?

A

Progression of the disease

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11
Q

What is Grade A

A

A. Progression bone loss/CAL: No evidence of bone loss over 5 years
B. % Bone loss/ Age: < 0.25
C. Phenotype: Heavy biofilm with low level of destruction
D. Risk Factors/ Systemic:
Non-smoker
Non diabetic
<1mg/L high sensitivity CRP

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12
Q

What is Grade B?

A

A. Progression bone loss/CAL: <2mm over 5 years
B. % Bone loss/ Age: 0.25 – 1.0
C. Phenotype: Destruction commensurates with biofilm deposits
D. Risk Factors/ Systemic:
Smoker <10 cigarettes/day
Diabetic patient with HbA1c <7%
1-3mg/L high sensitivity CRP

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13
Q

What is Grade C?

A

A. Progression bone loss/CAL: >2mm over 5 years
B. % Bone loss/ Age: > 1.0
C. Phenotype: Destruction exceeds expectation given amount of biofilm
D. Risk Factors/ Systemic:
Smoker >10 cigarettes/day
Diabetic patient with HbA1c >7%
>3mg/L high sensitivity CRP

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14
Q

What is localized

A

Less than 30% of teeth involved

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15
Q

What is generalized

A

More than 30% of teeth involved

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16
Q

What stage is tooth loss 4 teeth or less?

A

Stage III

17
Q

What stage is tooth loss > 5?

A

Stage 4

18
Q

What stages for radiographic bone loss?

A

Stage 1: <15%
Stage 2: 15 - 33%
Stage 3: mid 1/3 of root or beyond
Stage 4: mid 1/3 of root or beyond

19
Q

How do you calculate grade?

A

% bone loss / age

20
Q

What grade is someone who Smokes less than 10 cigarettes/day?

A

Grade B

21
Q

What grade is someone who Smokes more than 10 cigarettes/day?

A

Grade C

22
Q

What grade is someone with HbA1c < 7?

A

Grade B

23
Q

What grade is someone with HbA1c > 7?

A

Grade C

24
Q

What grade is Radiographic bone loss of more than 2 mm in 5 years?

A

Grade C

25
Q

Systemic Disease associated with periodontitis?

TOO MANY LOOK AT POWERPOINT

A

A few are
1. Dx affecting Immunological
leukocyte adhesion deficiency, down syndrome, Papillon-Lefevre syndrome, neutropenias and other severe immunodeficiency disorders.
2. Dx affecting Oral mucosa and gingival tissue
3. Dx affecting Connective Tissue
4. Metabolic and Endocrine Disorders

26
Q

Papillon-Lefevre syndrome characteristics?

A

Palms, feet, knees hyperkeratosis

27
Q

What are the 3 classifications of Necrotizing diseases?

A
  1. Necrotizing Gingivitis
  2. Necrotizing Periodontitis
  3. Necrotizing Stomatitis
28
Q

Classify Abscess

A
  1. Periodontal abscesses in periodontitis patients
    a. acute exacerbation or after treatment
  2. Periodontal abscesses in non-periodontitis patients
    a. Impaction
    B. Harmful Habits
    C. Ortho Factors
    D. Gingival Overgrowth
    E. Root alteration
    F. Iatrogenic
    G. Fracture
29
Q

Classify perio associated with endo lesions

A
  • with root damage

- without root damage

30
Q

What is the Cairo Recession classification?

A

1: No loss of interproximal attachment
2: Recession with loss of interproximal attachment < buccal CAL
3: Recession with loss of interproximal attachment > buccal CAL

31
Q

What is peri implant health?

A
  1. No Erythema
  2. No BOP
  3. No inflammation
  4. No radiographic bone loss changes above 2 mm
  5. PD less than 5mm
32
Q

What are the case types for insurance?

A

Type 1: Gingivitis
Type 2: Early perio
Type 3: Moderate perio
Type 4: Severe perio

TEXTBOOK FALL EXAM 2021 (11 decks)

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