classification of perio

Question 1

new vocabulary

Answer 1

1) periodontal phenotype
2) traumatic occlusal force
3) supracrestal tissue attachment

Question 2

perio health

Answer 2

1) perio health and gingival health
2) gingivitis - dental biofilm induced
3) gingival disease - non dental biofilm

Question 3

periodontitis

Answer 3

1) necrotizing
2) periodontitis
3) periodontitis as a manifestation of systemic disease

Question 4

other conditions affecting the periodontium

Answer 4

1) systemic diseases affecting periodontal supporting tissues
2) perio abscesses and endo periodontal lesions
3) mucogingival deformities and conditions
4) traumatic occlusal forces
5) toot hand prosthesis related factors

Question 5

new classification for implants

Answer 5

1) peri-implant health
2) peri-implant mucositis
3) peri-implantitis
4) peri-implant soft and hard tissue deficiencies

Question 6

periodontal health

Answer 6

1) clinical gingival health on an intact periodontium
2) clinical gingival health on a reduced periodontium
- stable periodontitis
- non-periodontitis patient

Question 7

pathway

Answer 7

1) periodontal health
2) gingivitis patient
3) periodontitis
4)
-stable case
- case with some gingival inflammation
- unstable case of recurrent periodontitis

Question 8

plaque induced gingivitis

Answer 8

1) associated with biofilm alone
2) systemic or local risk factors
3) drug influenced gingival enlargement

Question 9

probing attachment loss

Answer 9

yes in health and gingivitis (reduced periodontium)
–
yes for both (stable periodontal patient)

Question 10

probing pocket depth

Answer 10

same
—
<= 4 mm for health (no bop) and <= 3mm ginigvitis

Question 11

BOP

Answer 11

<10% for health
>=10% for localized gingivitis
>30% is generalized
—
same
—
same

Question 12

radiographic bone loss

Answer 12

possible for both
—
yes for both

Question 13

gingival disease non plaque induced

Answer 13

1) genetic/developmental disorders (hereditary fibromatosis
2) specific infections (bacterial, viral, fungal
3) inflammatory and immune conditions
4) reactive processes
5) neoplasms
6) endocrine, nutritional, and metabolic diseases
7) traumatic lesions (frictional, chemical, thermal
8) gingival pigmentation

Question 14

periodontitis

Answer 14

1) we combined chronic and aggressive into one category
2) necrotizing perio
3) perio as manifestations of systemic disease

Question 15

periodontitis case criteria

Answer 15

1) interdental detectable CAL at 2 or more non-adjacent teeth

Question 16

staging

Answer 16

1) I-IV
2) based on
- CAL
- amount and % of bone loss
- probing depth
- presence, extent of ridge defects and furcation
- tooth mobility
- tooth loss

Question 17

grading

Answer 17

1) A low risk
B moderate
C high risk

of progression

considers:
1) rate of disease progression
2) risk for further advancement
3) potential threats to general health (including smoking, diabetes)

Question 18

three steps to staging and grading

Answer 18

1) screen patient
- probing depths
- radiographs
2) for mild to moderate (stage I and II
3) severe to very severe (stage III or iv)
4) establish grade based on
- rbl%
- assess risk factors
- measure response to SRP
- assess expected rate of bone loss

Question 19

what stage and grade is this?

Answer 19

1) type II diabetes, history of ortho tx and necrotizing gingivitis
2) several probing depths over 5 mm
3) several class II furcas
4) plaque score of 1.5

stage III
grade B (diabetes)

Question 20

case II

Answer 20

1) 1-3 mm
2) no mobility or CAL
3) BOP on dital surfaces of teeth 1,2,15,18,31

clinical gingival health on intact periodontium

Question 21

case III

Answer 21

1) smokes 1/4 packs per day
2) pock depts 2-5 with BOP
3) BOP >50%
4) no mobility or furcas

stage II
grade B

Question 22

case IV

Answer 22

1) diabetes
2) lost most teeth
3) 3-12 pockets

stage IV
grade C

Question 23

learn the modifying factors

Answer 23

:(