Clinical features of PDD Flashcards

1
Q

what is periodontal disease

A

group of related inflammatory conditions affecting the supporting tissues of teeth indicated by plaque and which may be modified by the host defence system

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2
Q

what happens in PDD

A

interdental papilla shrinks away

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3
Q

clinical features of healthy periodontium

A

pale pink gingiva
firm and stippled
knife edge gingiva margin
upon probing there should be no bleed

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4
Q

signs of PDD

A
red 
oedematous 
inflamed 
loss of stippling
rolled gingival margin
periodontal pocketing
bone loss
teeth driftijng
tooth mobility
halitosis
plaque and calculus present
recession of gum
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5
Q

what colour can plaque and calculus become

A

blacker as it takes on pigment

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6
Q

classifications of PDD

A

divided into 4 sections

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7
Q

what is peri implantis

A

bone loss around the implant

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8
Q

if it is biofilm inched it is..

A

related to plaque

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9
Q

biofilm induced gingivitis

A

inflammatory lesion resulting from interactions between plaque and the hosts immune inflammatory repsonce

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10
Q

what causes the classification of gingivitis

A

10% or more sites bleeding

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11
Q

how does smoking affect gums

A

less supply to the gums when smoking due to vasoconstriction

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12
Q

what level does plaque have to be for intervention from dentist

A

below 40%

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13
Q

gingival overgrowth

A

drug induced

using BPE probe will lead to a false reading

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14
Q

non biofilm induced gingival diseases

A

variety of conditions not caused by plaque and not usually resolved following plaque removal
- may be due to systemic condition or localised in oral cavity

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15
Q

causes of non biofilm induced gingival diseases

A

thermal tramua - ulceration
herpes simples
pregnancy gingivitsi
allergic gingivitis

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16
Q

forms of periodontitis

A

necrotising periodontal diseases
periodontitis as a manifestation of systemic disease
periodontsis

17
Q

types of necrotising periodontal diseases

A

necrotising gingivitus
necrotising periodontitis
necrotising stomatitis

18
Q

necrotising gingivitis

A

interdental papilla has been destroyed
no bone loss
ulceration necrosis pain and halitosis

19
Q

necrotising periodontitis

A

rapid destruction of bone loss

20
Q

necrotising stomatits

A

spreads into the soft tisses

21
Q

periodontitis as a manifestation of systemic disease

A

rare systemic disorders that result in early presentation of severe periodontitis

22
Q

genetic disorders leading to PDD

A

inflammatory fiseases
disease associated with immunological disorders
diseases affecting the oral mucosa and gingival tissue
diseases affecting CT
metabolic and endocrine disorders

23
Q

Ehlers dances syndrome

A

heteroflexivity of joints
increased bleeding and bruising
hyperextnnsile skin
underling molecular abnormality of collagen

24
Q

papillion- lefevre

A

hyperkeratosis on palms and feet

affects both dentitions

25
Q

other factors that affect pathogenesis of PDD

A

diabetes mellitus
obesity
smokign

26
Q

what characterises periodontitis

A

loss of periodontal tissue support
presence of periodontal pocketing
gingival bleeding

27
Q

what initiates gingival inflammation

A

formation of bacterial biofilm

28
Q

what will happen upon treatment of periodontisi

A

gums will shrink back

teeth may then be sensitive due to exposure

29
Q

BPE assessment

A

need to have the correct angle otherwise obtain the wrong measurement
needs to be parallel to tooth
- sub gingival calculus can affect the reading

30
Q

conditions affecting the periodontal supporting tisseus

A

neoplasm

other disorder that may affect periodontal tissues

31
Q

periodontitis associated with endodontic lesions

A

periodontal origin
endodontic origin
- combination of both spreads around the tooth
crown can become necrptic

32
Q

classifications of mucrogingival deformities and conditios

A

gingival phenotypes
interproximla attachment loss
characterisics of exposed root surface

33
Q

when are you more likey to lose tisseu

A

if orthodontics has moved teeth forwards

34
Q

traumatic occlusal forces

A

any occlusal force that results in injury to teeth

35
Q

prothesis and tooth related factors

A

infringement of restorative margins or prostheses associated with inflammation and/or loss of periodontal tisseu

36
Q

what do enamel pearls related to

A

plaque induced gingival inflammation and loss of periodontal tissue

37
Q

classifications of peri implant disease and conditions

A
peri implants health 
peri implant
mucositis
peri - implantis
peri implant soft and hard tissue deficiencies