diagnosis requirements/rationale

Question 1

place perio probe in sulcus. what does it penetrate before being stopped by alveolar crest

Answer 1

1. jxnal epithelium
2. gingival CT (attached gingiva)
3. PDL (there are some fibers at top, called alveolar crestal fibers)

Question 2

rationale for diagnosis - 3 reasons

Answer 2

1. communication with other health professionals
2. medico-legal
3. insurance reporting

**ICD = common diagnosis code

Question 3

differential diagnosis

Answer 3

distinguish between 2+ diseases with similar symptoms by systematically comparing their signs and symptoms

Question 4

requirements to determine diagnosis - comprehensive perio exam

Answer 4

1. medical history
2. dental history
3. H and N exam
4. hard tissue exam
5. radiographs
6. comprehensive perio exam

Question 5

perio disease classification

Answer 5

• current system = annals of periodontology. 1999. vol 4 no 1
• previous system was 1989
• updates from task froce report, april 2015

Question 6

changes from previous system - what was added

Answer 6

1. gingival diseases
2. periodontitis as a manifestation of systemic diseases
3. periodontal abscess
4. perio-endo lesion
5. developmental or acquired deformaties or conditions

Question 7

changes from previous system - what was removed (1) and replaced (3)

Answer 7

1. refractory periodontitis

replaced–

1. early onset periodontitis is now aggressive periodontitis
2. NUP is necrotizing periodontal diseases
3. adult periodontitis is now chronic periodontitis