Exam 2; Chronic Periodontitis Flashcards

1
Q

What are clinical features of chronic periodontitis involving more of the gingiva

A
changes in gingival morphology
BOP
increased probe depth
attachment loss
gingival recession
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2
Q

What is the hallmark of chronic periodontitis

A

attachment loss

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3
Q

What are the clinical features of chronic periodontitis involving more of the whole tooth

A
alveolar bone loss
furcation involvement
increased tooth mobility
drifting of teeth
tooth loss
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4
Q

In which individuals is chronic periodontitis more prevalent

A

adults

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5
Q

Tissue destruction commensurates (corresponds) with what three things

A

oral hygiene and plaque levels and local/systemic diseases

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6
Q

This specific thing is implicated in chronic perio

A

specific sub gingival species

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7
Q

This is invariably present at the disease state

A

subgingival calculus

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8
Q

What is the rate of progression of chronic periodontitis

A

slow to moderate; rapid bursts of destruction can occur

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9
Q

These determine pathogenesis and progression

A

host factors

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10
Q

Untreated diseased sites are what

A

more likely to sustain further breakdown

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11
Q

What are some symptoms of chronic periodontitis

A
mostly painless
loose teeth
food impaction
drifted teeth/spacing
root sensitivity
bleeding gums
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12
Q

How is localized chronic periodontitis categorized

A

≤ 30% of sites

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13
Q

How is generalized chronic periodontitis categorized

A

> 30% of all sites

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14
Q

How is slight chronic periodontitis categorized

A

1-2 mm of attachment loss

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15
Q

How is moderate chronic periodontitis categorized

A

3-4 mm of attachment loss

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16
Q

How is severe chronic periodontitis categorized

A

5 mm or more of attachment loss

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17
Q

What is the typical diagnosis

A

generalized slight with localized moderate chronic periodontitis

18
Q

This is an environmental, behavioral or biologic factors, which when present increases the likelihood that an individual will develop disease

A

risk factor

19
Q

This can modify the risk factor (smoking/diabetes)

A

intervention

20
Q

These are two non-modifiable risk factors

A

age and gender

21
Q

These are putative risk that have been identified in cross sectional studies but not confirmed longitudinally

A

risk indicators

22
Q

What are three risk indicators

A

HIV/AIDS
osteoporosis
infrequent dental visits

23
Q

This is a characteristic associated with elevated risk for disease buy may not be part of the causal chain

A

risk markers/predictors

24
Q

What are three risk markers/predictors

A

furcation involvement
calculus
history of attachment loss

25
Q

What was the early studies view on gingivitis and CP

A

all gingivitis leads to periodontitis but then later thinking that gingivitis and CP are separate

26
Q

bacterial plaque induces gingivitis, but what determines if CP will develop

A

host response

27
Q

What is todays view of gingivitis and CP

A

different aspects of the same disease

28
Q

What is the epidemiology of periodontitis

A

47% of US population has periodontitis

most of it moderate perio

29
Q

What group(s) of people have the highest prevalence of CP

A
men
mexican americans
adults with less than high school education
adults below the poverty level
current smokers
30
Q

Severe periodontitis is the what most prevalent disease in the world

A

6th most prevalent

31
Q

What three things are increasing the burden of SP

A

growing world population
increasing life expectancy
significant decrease in prevalence of tooth loss

32
Q

This is the mobility of a tooth in occlusion and is used to aid in diagnosis of CP

A

fremitus

33
Q

What is used to diagnose CP

A
probing depths
gingival recession
CAL (probing depth + gingival recession)
BOP
furcation involvement
mobility
bone defects
34
Q

What are the bony defects in diagnosing CP

A

1 - wall
2 - wall
3 - wall bony defects

35
Q

What are the three goals of treatment for CP

A

eliminate etiology
eliminate or reduce risk factors
prevent recurrence

36
Q

What are the three steps of initial periodontal therpay

A

removal of but sub and supra gingival plaque
adequate oral hygiene
remove local and systemic risk factors

37
Q

What are the three rationales for periodontal therapy

A

periodontal treatment of CP is effective
non-compliant patients had double the rates of tooth loss
untreated patients loss approx. 0.6 teeth/year

38
Q

What are three things associated with probing depth reduction after therapy

A

gingival recession and
gain of clinical attachment
pocket shrinkage

39
Q

This outcome of initial therapy indicated that sites with initial shallow pockets tend to lose what

A

CAL (gingival recession + probing depths) (possible trauma)

40
Q

There is a greater risk for what if presenting multiple sites with residual probing depth ≥ 6mm after active treatment

A

additional attachment loss

bottom line; you cannot maintain 6mm pockets; surgery