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Perio > Exam 1 Chronic Periodontitis > Flashcards

Exam 1 Chronic Periodontitis Flashcards

1
Q

How can you diagnose chronic periodontitis with your eyes?

A 
They are usually an adult
red (red-purple) gingival color
edematous
altered contour
fibrotic inconsistency
gingival recession
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2
Q

How can you diagnose chronic periodontitis with your probe?

A

bleeding on probing (BOP)
> than or = to 4 mm probing depth
suprabony/intrabony pocket formation
exudate from pockets

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3
Q

What are some additional clinical manifestations of chronic periodontitis?

A

can’t treat with antibiotics
tooth mobility
periodontal abscess
painless

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4
Q

How do you classify chronic periodontitis?

A

CAL
slight = 1-2 mm
moderate = 3-4 mm
advanced = > 5 mm

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5
Q

How does a Pseudopocket form?

A

excessive PD without loss of clinical attachment from edema, overgrowth, or inflammatory hyperplasia

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6
Q

How does a Periodontal pocket form?

A

excessive PD with loss of clinical attachment

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7
Q

Intrabony pockets are classified by what?

A

the number of remaining bony walls

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8
Q

How does periodontitis progress over time?

A
  1. 1 to 0.3 mm CAL per year for facial and lingual surfaces

0. 3 mm for interproximal areas

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9
Q

Untreated periodontitis means what to the patient?

A

will lose 3.5 times more teeth

so in 10 years will lose 3.5 - 4 teeth while treatment patients may only lose 1 tooth

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10
Q

The most common bony defect involving posterior teeth?

A

interdental crater

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11
Q

What does NUP stand for?

A

Necrotizing Ulcerative Periodontitis

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12
Q

What is the 1 difference in NUP vs ANUG?

A

loss of clinical attachment and alveolar bone

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13
Q

What types of individuals get NUP?

A 
malnutrition
immune suppression (HIV/AIDS)
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14
Q

Clinical symptoms of NUP?

A 
low fever
lymphadenopathy
moderate/severe pain
multiple periodontal abscesses
necrotic/ulcerative marginal, papillary, attached gingiva
aggressive alveolar bone loss
exposure of inter proximal alveolar bone
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15
Q

What are the microbial pathogens associated with aggressive periodontitis?

A

Porphyromonas gingivalis
Tannerella forsythia
Treponema denticola
Aggregatibacter actinomycetemcomitans

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16
Q

What are some additional gram - and other bacteria associated with NUP?

A 
Clostridium
Klebsiella
Enterococcus
Candida albicans
Epstein-Barr virus
17
Q

How do you treat NUP?

A 
Metronidazole
Fluconazole (Diflucan)
Chlorhexidine
Soft tissue debridement
Scaling and root planing
maintenance in 2 month intervals

Perio (5 decks)

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