Classification Scheme for Periodontal & Peri-implant Diseases

Question 1

The periodontitis Armitage of 1999 states that severity of disease is based upon:

Answer 1

Clinical attachment level (Gold standard)

Question 2

The periodontitis Armitage of 1999 states that severity of disease is based upon clinical attachment level (gold standard)

Slight:
Moderate:
Severe:

Answer 2

Slight: 1-2mm
Moderate: 3-4mm
Severe: >= 5mm

Question 3

The periodontitis Armitage of 1999 states that severity of disease is based upon clinical attachment level (gold standard)

_______: 1-2mm
_______: 3-4mm
_______: >= 5mm

Answer 3

Slight: 1-2mm
Moderate: 3-4mm
Severe: >= 5mm

Question 4

What is the PRIMARY cause of tooth loss in the US population over the age of 30?

a) caries
b) periodontitis
c) contact sports
d) papillon lefevre syndrome

Answer 4

B

Question 5

Staging and grading has replaced two different types of disease, these are:

Answer 5

1. chronic periodontitis
2. aggressive periodontitis

Question 6

With the 1999 classification

Question 7

With the 1999 classification of periodontal diseases and conditions, why was there concern with the categories chronic periodontitis and aggressive periodontitis?

Answer 7

There was not enough evidence that they were two different entities

Question 8

In simple terms what does it mean if you have periodontitis?

Answer 8

attachment loss

Question 9

What can cause pseudo pockets?

Answer 9

gingival hyperplasia due to medications, genetic disease, etc.

Question 10

If there is no attachment loss there is no ____ because its not _____

Answer 10

staging & grading ; periodontitis

Question 11

Attachment loss can be measured via:

Answer 11

radiographic bone loss & probing depth (make sure its not a pseudo pocket though)

Question 12

Few practitioners use _____ routinely

Answer 12

Clinical attachment level (CAL)

Question 13

AAP formed a task force in 2015 to identify alternative criteria including:

Answer 13

1. radiographic bone loss (RBL)
2. probing depth (PD)

Question 14

T/F: a 6mm probing depth with 20% bone loss is significantly different than a 6m probing depth with 75% bone loss

Answer 14

True

Question 15

Probing depth is not considered:

Answer 15

diagnostic

Question 16

Why is probing depth not diagnostic?

Answer 16

1. inflammation has effect on penetration of probe into tissue
2. inflammation (swelling) max move gingival margin coronally (pseudo pocket)

Question 17

The 2017 workshop came up with two recommendations, these include:

Answer 17

1. Use interproximal attachment loss (2 or more non-adjacent teeth)
2. Using probing depth as a “complexity” factor (difficulty of treatment)

Question 18

How do you use attachment loss?

Answer 18

Use two sites that are not next to each other (different areas in the mouth to make sure its not one lesion affecting two areas in close proximity)

Question 19

The 2017 classification of periodontal and peri-implant diseases and conditions adaptive system (3 dimensional) takes into account: (3)

Answer 19

1. severity/extent (number of teeth affected rather than sites)
2. prognosis (affect no teeth, up to 4 teeth, 5 or more teeth)
3. Progression (grading)

Question 20

Periodontal disease is a _____ disease

Answer 20

inflammatory

Question 21

According to the 2017 classification of periodontal and peri-implant diseases and conditions, what do each of the following categories describe?

1. severity/extent
2. prognosis
3. progression

Answer 21

1. severity/extent: number of teeth affected rather than sites
2. prognosis: affects no teeth, up to 4 teeth, 5 or more teeth
3. progression: grading

Question 22

Approximately ____% of adults age 30 or older have periodontitis

Answer 22

42%

Question 23

What is the primary cause of tooth loss in adults?

Answer 23

periodontitis

Question 24

Categories of individual that are most likely to be affected by periodontitis:

Answer 24

• men
• Mexican Americans
• Adults below the 100% federal poverty level
• current smokers
• self reported diabetics