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Year 2-CP2 > classification of periodontology > Flashcards

classification of periodontology Flashcards

1
Q

what are the characteristics of gingivitis

A

bleeding, redness and swelling
reversible
different types

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2
Q

what are the characteristics of periodontitis

A

pocket dept increase, loss of attachment, bone loss
irreversible
different types

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3
Q

what were the key features in the 1999 classification

A

gingival diseases
perio classifications were chronic and aggressive
additional diseases

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4
Q

when did the new classification come out

A

november 2017 in chicago

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5
Q

what headings lie under perio health, gingival diseases, and other conditions

A

perio health and gingival health
gingivitis: dental biofilm induced
gingival diseases non dental biofilm induced

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6
Q

what headings are under periodontitis

A

NPD- necrotising perio disease
periodontitis
periodontitis as a manifestation of a systemic disease

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7
Q

what headings are under other conditions affecting the paeriodontium

A

systemic diseases and conditions affecting perio supporting tissues
perio abscesses and Endodontics perio lesions
mucogingival deformities and conditions
traumatic occlusal forces
tooth and prosthesis related factors

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8
Q

what headings are under peri implant diseases and conditions

A

peri implant health
peri implant mucositis
peri implantitis
peri implant soft and hard tissues deficiencies

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9
Q

what gives the extent of gingivitis

A

percentage bleeding on probing

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10
Q

what counts as a healthy periodontium

A

less than 10% bleeding sites and depts of 3mm or less

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11
Q

what is gingivitis medical biofilm induced related with

A

associated with dental biofilm alone
mediated by local or systemic factors
drug influenced gingival enlargement

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12
Q

what is gingivitis dental biofilm induced-with systemic risk factors

A

mediated by systemic factors such as associated endocrine functions-puberty/mensuration associated gingivitis
pregnancy associated gingivitis- pregnancy epulis pyogranic epuloma
diabetes associated gingivitis
associated with blood dycrasias:
leukaemia associated gingivitis

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13
Q

what can plaque induced gingivitis be exacerbated by

A

hyperglycaemia

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14
Q

which drugs can influence gingival enlargement

A

phenytoin- epilepsy
calcium channel blockers-amlodipine, nifedipine diltiazam
ciclosporin- immunosuppressant after heart/kidney replacement

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15
Q

what can influence dental non biofilm induced

A 
genetic and developmental disorders 
specific infections 
inflammatory and immune systems
reactive processes 
neoplasms
traumatic 
gingival pigmentation 
endocrine, nutritional and metabolic function
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16
Q

what does necrotising gingivitis look like clinically

A

punched out interdental gingiva

17
Q

how do we classify periodontitis

A

extent stage grade stability and risk factors

18
Q

what are the stages

A

stage 1: initial
stage 2: moderate
stage 3:severe potential additional tooth loss
stage 4:potential loss of dentition

19
Q

HOW IS extent and distribution characterised

A

generalised
localised
molars/incisors

20
Q

what are the grades

A

grade A slow less than 0.5
grade B moderate 0.5-1.0
grade C rapid rate of progression greater than 1.0

21
Q

how do we write a diagnosis statement

A

extent- periodontitis-stage-grade-stability- risk factors

22
Q

what is the stage

A

extent of clinical attachment loss or bone loss

23
Q

what is the grade

A

to indicate the rate of progression,responsiveness to standard therapy and potential impact on systemic health

24
Q

what do we consider for the assessment of current perio status

A

currently stable
currently in remission
currently unstable

25
Q

what are the characteristics of current stable assessment of current perio status

A

BoP less than 10%
probing pocket depth- less than or equal to 4mm
No BoP at 4mm sites

26
Q

what are the characteristics of current in remission assessment of current perio status

A

BoP greater than or equal to 10%
PPD less than or equal to 4mm
no BoP at 4mm sites

27
Q

what are the characteristics of current unstable assessment of current perio status

A

PPD greater than or equal to 5mm or

greater than or equal to PPD and BoP

28
Q

how do we calculate grading

A

% bone loss divided by the age of the patient

29
Q

what will radiographs need to be reviewed to determine

A

distribution of extent
worst affected site for staging
percentage bone loss in relation to age for grading

Year 2-CP2 (1 decks)

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