Classification Of Perio Disease

Question 1

What are characteristics common to all gingival diseases?

Answer 1

1. Signs and symptoms confined to gingiva
2. Presence of dental plaque
3. Clinical signs of inflammation
4. Stable attachment levels
5. Reversibility of disease

Question 2

T/F: There is attachment loss in gingival diseases.

Answer 2

FALSE

Question 3

What are some endocrine factors that can produce gingival disease?

Answer 3

1. Puberty
2. Menstrual cycle
3. Pregnancy (gingivitis or pyogenic granuloma)
4. Diabetes

Question 4

T/F: Some drugs can cause gingival enlargements.

Answer 4

True

Question 5

T/F: Oral contraceptives can cause gingivitis.

Answer 5

True

Question 6

T/F: Human studies have shown a relationship between nutrition and periodontal disease.

Answer 6

FALSE

Question 7

What are the clinical manifestations of chronic periodontitis?

Answer 7

1. Pocket formation
2. Loss of attachment
3. Bleeding
4. Bone loss
5. Tooth mobility

Question 8

What can make chronic periodontitis worse?

Answer 8

1. Local factors
2. Systemic disease
3. Environmental factors

Question 9

To be general chronic periodontitis, what percentage of the mouth must be affected?

Answer 9

Over 30%

Question 10

What constitutes as slight, moderate, or severe chronic periodontitis?

Answer 10

Slight - 1-2 mm CAL
Moderate - 3-4 mm CAL
Severe - > 5 mm CAL

Question 11

What are some common features of aggressive periodontitis?

Answer 11

1. Systemically healthy
2. Rapid attachment loss/bone destruction
3. Familial aggregation

Question 12

Levels of which two bacteria could be elevated with aggressive periodontitis?

Answer 12

1. A.a.

2. P. Gingivalis

Question 13

T/F: Hyper-responsive macrophage phenotype is associated with aggressive periodontitis.

Answer 13

True

Question 14

What teeth must be involved to diagnose localized aggressive periodontitis?

Answer 14

First molars and incisors

Question 15

What constitutes as generalized aggressive periodontitis?

Answer 15

Interproximal CAL of at least three permanent teeth other than first molars and incisors

Question 16

What hematologic disorders can lead to periodontitis?

Answer 16

1. Acquired neutropenia

2. Leukemias

Question 17

What genetic disorders can be associated with periodontitis?

Answer 17

1. Neutropenia
2. Down syndrome
3. Leukocyte adhesion deficiency
4. Papillon-Lefevre

Question 18

What characteristics in the periodontium come with Down syndrome?

Answer 18

1. Severe inflammation
2. Accelerated attachment loss
3. PMN chemotaxis defects

Question 19

Ehlers-Danlos syndrome will lead to __________ periodontitis.

Answer 19

Aggressive

Question 20

What are the two types of Necrotizing Periodontal Diseases?

Answer 20

1. Necrotizing ulcerative gingivitis - gingiva only

2. Necrotizing ulcerative periodontitis - periodontal tissue only

Question 21

What is also called trench mouth?

Answer 21

Necrotizing periodontal disease

Question 22

T/F: You will see deep pockets with an advanced NPD lesion.

Answer 22

FALSE

Question 23

What are the four cardinal characteristics of periodontal health?

Answer 23

1. Functional dentition
2. Painless function
3. Stability of periodontal apparatus
4. Psychological and social well being