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
other factors that affect pathogenesis of PDD
diabetes mellitus obesity smokign
26
what characterises periodontitis
loss of periodontal tissue support presence of periodontal pocketing gingival bleeding
27
what initiates gingival inflammation
formation of bacterial biofilm
28
what will happen upon treatment of periodontisi
gums will shrink back | teeth may then be sensitive due to exposure
29
BPE assessment
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
conditions affecting the periodontal supporting tisseus
neoplasm | other disorder that may affect periodontal tissues
31
periodontitis associated with endodontic lesions
periodontal origin endodontic origin - combination of both spreads around the tooth crown can become necrptic
32
classifications of mucrogingival deformities and conditios
gingival phenotypes interproximla attachment loss characterisics of exposed root surface
33
when are you more likey to lose tisseu
if orthodontics has moved teeth forwards
34
traumatic occlusal forces
any occlusal force that results in injury to teeth
35
prothesis and tooth related factors
infringement of restorative margins or prostheses associated with inflammation and/or loss of periodontal tisseu
36
what do enamel pearls related to
plaque induced gingival inflammation and loss of periodontal tissue
37
classifications of peri implant disease and conditions
``` peri implants health peri implant mucositis peri - implantis peri implant soft and hard tissue deficiencies ```