Diagnosis And Genetic Testing Flashcards
Describes features of healthy gingivae
Pink Stipples Knife edged margin Papillae fill ID space No BOP
describe the three areas of demarcation in healthy gingivae
Free gingiva
Attached gingiva
Alveolar mucosa
Attached meets alveolar mucosa at muco gingival line
What are features of unhealthy gingivae
Redness Loss of stippling Loss of knife edged margins Swelling/ puffiness BOP papillae under or over fills ID space
How can susceptibility be evaluated?
Severity of disease
Patients age
Level of oral hygiene
What is measured re. LOA
Distance from ACJ to base of pocket
What is measured re. Probing depth?
Gingival margin to base of pocket
What probe should be used for a basic periodontal examination
WHO probe
What probe should be used to measure LOA and PPD
CP12
What 5 factors should be explored re. Clinical examination
Periodontal pocket depth Bleeding on probing Loss of attachment Tooth mobility Presence of furcation involvement
Describe the classification of tooth mobility grades
0- horizontal movement of less than 0.2 MM
1- horizontal movement 0.2mm- 1mm
2- horizontal movement of more than 1mm
3- horizontal and vertical movement
What important aspect can be seen re. Radiographic examination
Bone loss- severity, pattern and distribution
Caries- primary and secondary
Overhangs
Unerupted/ impacted teeth
Peri ridiculed involvement
Furcation involvement- must be checked clinically
What are disadvantages re. Rads in perio
Superimposition
Underestimation of bone loss
Exposure to radiation
No indication or duration, PPD, active disease, mobility or LOA
What genotype identifies patients are most susceptible to periodontal disease re. Genetic testing
Interleukin 1 genotype
