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Dental Hygiene 1 > Costley Module 10 ch 16 > Flashcards

Costley Module 10 ch 16 Flashcards

1
Q

The stages of development of gingivitis and periodontitis are divided into what 4 stages?

A

Initial lesion
early lesion
established lesion
advanced lesion

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2
Q

Natural defense mechanisms respond due to what?

A

biofilm accumulation near the gingiva

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3
Q

The Initial Lesion occurs within ____ to ___ days of irritation from __________

A 
2-4
bacterial accumulation (biofilm)
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4
Q

What infiltrates into the gingival sulcus during the initial lesion stage

A

WBC

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5
Q

The Initial Lesion stage comes with increased flow of ______

A

sulcular fluid

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6
Q

The gingiva looks ______ during the initial lesion stage?

A

normal (maybe slight redness as infection develops)

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7
Q

The Early Lesion stage comes with ______ biofilm

A

Thicker

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8
Q

Collagen fiber support to ________ starts to breakdown in the Early Lesion Stage?

A

gingival margin

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9
Q

The epithelium _______ in the Early Lesion Stage?

A

proliferates

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10
Q

There are early signs of _______ during the early lesion stage?

A

gingivitis

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11
Q

Early gingivitis is reversible if?

A

biofilm is controlled and inflammation reduced.

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12
Q

_______ cells are related to areas of chronic inflammation

A

plasma

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13
Q

During the Established Lesion Stage formation of _____ _____ happens

A

pocket epithelium

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14
Q

During the Established Lesion Stage you start to have early _______ formation with ______ on probing

A

pocket

bleeding

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15
Q

Clear evidence of inflammation is present with ______ redness, ______ during probing, and _____ marginal gingiva

A

marginal
bleeding
spongy

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16
Q

Bacteria from ______ biofilm enter the sulcus and provide the source for _____ biofilm

A

supragingival

subgingival

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17
Q

There is _____ ______ destruction during the Advanced Lesion Stage

A

Alveolar Bone

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18
Q

The junctional epithelium migrates ______ during the Advanced Lesion Stage

A

apically along root surface

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19
Q

There is pocket formation, ___, ___ _____ seen in the Advanced Lesion Stage

A

mobility

bone loss

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20
Q

________ disease is NOT a single pathologic entity

A

Periodontal

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21
Q

Definition of a Pocket

A

A diseased Sulcus

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22
Q

What distinguishes a pocket from a sulcus

A

presence or absence of infection

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23
Q

What distinguishes a gingival pocket from a periodontal pocket

A

The level of attachment on the tooth

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24
Q

What is the inner and outer walls of a pocket

A

inner: tooth surface
outer: sulcular epithelium/pocket epithelium

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25
Q

The base of the pocket is the ____ of the attached periodontal tissues

A

coronal margin

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26
Q

The base of a sulcus is the coronal border of the ______ _____

A

junctional epithelium

27
Q

Pockets are divided into ___ and ___ types

A

gingival

periodontal

28
Q

A gingival pocket is formed by ____ without ____

A

gingival enlargement

apical migration of junctional epi

29
Q

The base of the sulcus (healthy) of a fully erupted tooth is near the______

A

CEJ

30
Q

All gingival pockets are classified as ______

or coronal to the crest of alveolar bone

A

supra-bony

31
Q

A Periodontal Pocket is formed as a result of _____ that caused the ______ to migrate apically along the _______

A

disease/degeneration
junctional epi
cementum

32
Q

The base of a periodontal pocket is located on?

A

cementum

or combination of cementum/enamel

33
Q

Periodontal Pockets are classified as _____ or _______

A

supra-bony

Intra-bony

34
Q

Intra-bony Periodontal Pockets have a base _____ the crest of the alveolar bone level.

A

below

35
Q

A pocket size is ______ and either follows the contour of the _____ or the _____

A

narrow
tooth
calculus

36
Q

You can find _______ and their products, gingival ______ _____, _______ epithelial cells, _______ and ______ exudate in a periodontal pocket

A 
Microorganisms
sulcular fluid
Desquamated
Leukocytes WBC
Purulent
37
Q

The pocket deepens as a result of _______ and _____

A

continuing irritants

destructive agents in biofilm

38
Q

The ________ detaches which allows the junctional epi to migrate apically

A

periodontal ligament fibers

39
Q

Subgingival examination is dependent on __ and ____ transmitted by probe / explorer

A

tactile

auditory

40
Q

Cementum overlaps enamel in _ to _% of teeth

A

60

65

41
Q

Cementum and enamel meet ____ in 30% of teeth

A

directly

42
Q

A small zone of _ may be between the cementum and enamel in _ to _%

A

dentin
5
10

43
Q

In a class 1 furcation involvement the _____ can be felt by moving probe side to side

A

roots on either side

44
Q

In a class 2 furcation involvement or _____ involvement…. the probe can _____ but not _____

A

moderate
enter furcation
pass through between roots

45
Q

A class 3 furcation involvement is where a probe can?

A

pass through entire furcation between roots

46
Q

A class 4 furcation involvement is the same as a class _____ but with?

A

3

exposure of roots due to gingival recession

47
Q

What is a pocket that is described as having mucogingival involvement

A

one that extends to or beyond the MGJ and into the alveolar mucosa

48
Q

Functions of Attached Gingiva:
Give support to?
Provide attachment for?
Withstand the frictional stresses of?

A

Marginal Gingiva
Alveolar mucosa
Mastication and toothbrushing

49
Q

The ______ ________ serves as a barrier to keep infection outside the body

A

junctional epithelium (epithelial attachment)

50
Q

Iatrogenic means?

A

factors created by professionals during pt. tx.

51
Q

Complicating and risk factors for disease development may be __, __, or ___

A

etiologic
predisposing
contributing

52
Q

A factor that is the actual cause of a disease or condition is called?

A

Etiologic Factor

53
Q

A factor that lends assistance to, supplements, or adds to a condition or disease is called?

A

Contributing factor

54
Q

A factor that renders a person susceptible to a disease or condition is called?

A

Predisposing factor

55
Q

Local Factor VS Systemic Factor

A

Local: is something found in the oral cavity
Systemic: is something from a general physical/mental diseases

56
Q

Salivary flow increases as a result of _____

A

sensory reflex stimulation

57
Q

______ provide spillways for the escape of particles of food

A

embrasures

58
Q

the __, ___ and _____ aid in natural rinsing process by forcing saliva over and between teeth

A

lips
cheeks
tongue

59
Q

What seizure medication causes gingival enlargement?/

A

Phenytoin

60
Q

What medicine is given as an immunosuppressant for transplant pts. and causes gingival enlargement

A

Cyclosporine

61
Q

What medication is used to treat angina and ventricular arrhythmias that causes gingival enlargement

A

Nifedipine

62
Q

What disease has an increased susceptibility to periodontal infections

A

Diabetes

63
Q

There is greater periodontal attachment loss in pts with _______

A

osteoporosis

Dental Hygiene 1 (26 decks)

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