Diagnosis

Question 1

refractory periodontitis ADA classification?

Answer 1

continued attachment loss (of yearly >2.5mm) despite proper perio treatment. Type V

Question 2

In gingivitis, signs of inflammation will be confined to?

Answer 2

gingiva

Question 3

inflammation that goes beyond gingival margin called?

Answer 3

diffuse inflammation

Question 4

What could be a local contributing factor for gingivitis associated with dental plaque only?

Answer 4

braces, restoration, root fracture, etc.

Question 5

Two subsets of gingivitis associated with dental plaque only?

Answer 5

Without other local contributing factorsWith local contributing factors

Question 6

Patients who are on maintenance, no ongoing attachment loss, but still have existing attachment loss are considered as?

Answer 6

Periodontitis

Question 7

Localized vs Generalized Periodontitis

Answer 7

Localized = less than 30% of SITESGeneralized = more than 30%

Question 8

Slight, Moderate, Severe chronic periodontitis criteria?

Answer 8

slight: 1-2mm clinical attachment lossmoderate: 3-4Severe: 5+

Question 9

Abcess classification?

Answer 9

Gingival abcessPeriodontal abcessPericoronal abcess

Question 10

Categories for mucogingival deformities and conditions around teeth

Answer 10

gingival/soft tissue recession [ facial or lingual ]Lack of keratinized gingiva

Question 11

how to ID keratinized gingiva?

Answer 11

keratinized is whiter

Question 12

How to clinically ID lack of keratinized gingiva?

Answer 12

roll technique - will create fold at mucogingival jcn

Question 13

How to diagnose lack of attached gingiva?

Answer 13

see where mucogingival jcn is, if probe goes beyond that, then positive

Question 14

Vertical and horizontal ridge deficiency classification?Which more predictable for ridge augmentation?

Answer 14

Seibert 1: BL (horizontal) loss but apico-coronal (vertical) OKSeibert 2: BL normal but apico-coronal lossSeibert 3: bothOne (horizontal) is easiest to treat because you still have a “wall” in the area, easy for cells to migrate.

Question 15

Most common complex for causing perio d?

Answer 15

red complex - p gingivalis, t denticula, t forcythia

Question 16

Chonic periodontitis may have certain periods of…

Answer 16

rapid progression

Question 17

How to decide on chronic perio diagnosis level?

Answer 17

Highest levels of CAL, and greater or less than 30%

Question 18

Can you have multiple diagnoses?

Answer 18

Yes, you can have local severe and generalized moderate/slight. But give worst diagnosis possible.

Question 19

If pt has even ONE site with 5+ mm, what is dx?

Answer 19

still severe

Question 20

Which is more sensitive, radiographic bone loss or CAL?

Answer 20

CAL.

Question 21

BOP on which grades of perio disease?

Answer 21

all

Question 22

Problem with using sites for local/generalized?

Answer 22

can have one site per tooth, still “localized”

Question 23

Aggressive vs Chronic

Answer 23

aggressive - usually younger pt (onset) clinically healthy, rapid attachment loss and bone destruction, outcome more difficult to control, altered serum Ab, more family/genetic factorchronic - tends to have poor hygiene

Question 24

Localized aggressive periodontitis affects which teeth most?

Answer 24

first molars and incisors

Question 25

If there is a "cut" between calculus of teeth, what does this mean?

Answer 25

pt is flossing but not correctly

Question 26

Generalized vs local form of aggressive periodontitis difference?

Answer 26

local will not present with as much calculus - general less able to have good hygieneLocal - at least 2 teeth (one molar)-but no more than 2 teeth other than first molars and incisors (central and lateral). [maximum 14]Generalized - any more than this

Question 27

If pt is having ortho, and develop perio disease, do what?

Answer 27

stop, very rapid destruction of tissue.

Question 28

Why maxillary first molar tend to have more perio disease than mandibular?

Answer 28

Much less compact bone in maxilla - less resistanceMore concavity on root of max first molar - harder

Question 29

How to distinguish endodontic and periodontic abcess

Answer 29

If test tooth and non-vital, abcess from endo originIf vital, perio

Question 30

What is combined perio-endo lesion?

Answer 30

non-vital but furcation/bone loss

Question 31

Does root fracture cause bone loss?

Answer 31

if waited long time bc local factor

Question 32

Miller classes for recession?

Answer 32

1: recession but not MGJ, no bone loss2: recession beyond MGJ3: recession beyond MGJ AND bone loss/recession4: same as 3 but severe, negative architecture

Question 33

easy way to check if bone is intact interproximally?

Answer 33

if papilla is intact, most likely bone is too

Question 34

Which miller classes will have full recovery?

Answer 34

1 and 2

Question 35

Primary vs secondary occlusal trauma

Answer 35

Primary - natural tooth, normal attachment, excess forceSecondary - restored tooth, attachment loss, can have normal OR excessive force