exam 3- ch 18 Flashcards
in general, the most critical element in determining prognosis is…
the pathogensis of the disease
what factors are considered in making an overall (global) prognosis for the patient with periodontal disease?
age
systemic health
smoking
type of periodontal disease
oral conditions such as inflammation and bone levels
attitude and perceptions of patient
age is a significant factor in determining the overall prognosis because…
younger people are less likely to cooperate with treatment
global prognosis is the same as individual tooth prognosis for all patients..the individual tooth prognosis can differ from the overall prognosis
the first statement is false and the second is true
what groups are periodontal diseases grouped into?
groups of diseases generally with similar signs, symptoms and outcomes
this prognosis involves attachment loss and furcation involvement such as a class I, patient is cooperation likely and systemic factors are controlled
fair
what type of drugs have been shown to be related to gingival conditions?
phenytoin, nifedipine, and oral contraceptives
this prognosis has advanced bone loss, inadequate attachment, uncontrolled environmental/systemic factors, tooth should be extracted
hopeless
with this prognosis condition attachment loss and class II or III furcation involvement that can be maintained with difficulty, tooth mobility and presence of systemic factors
poor
what type of prognoses are related with both plaque biofilm control and the long term use of medications?
long term
what percentage of mandibular molars may have cervical enamel projections?
25%
this prognosis is poor crown to root ratio, poor root form, root proximity, class II or class III furcation, mobility, presence of systemic factors
questionable
this type of condition of prognosis has adequate remaining periodontal support and ease of maintenance, adequate patient cooperation
good
an individual prognosis is made based on the following list:
pocket depths and attachment loss
mobility
amount and location of furcation involvement
tooth morphologic features
bone levels
general condition of the tooth
ability to modify etiologic factors
what percentage of maxillary molars have cervical enamel projections?
20%
what percentage of maxillary lateral incisors have lingual grooves?
6%
is primarily caused by bacterial plaque biofilm with secondary factors such as stress or poor nutrition.
NUG
what influences the prognosis?
pathogenesis of disease, overall health of pt, risk factors and compliance
this is a reversible disease caused by bacterial plaque biofilm with a good prognosis
gingivitis
this type of prognosis condition has no bone loss, excellent gingival condition, no systemic considerations, and good patient cooperation
excellent
this type of periodontitis is related to the rapid loss of attachment and bone destruction in otherwise healthy patients and is found to be a family trait.
aggressive periodontitis
when does localized aggressive perio form?
around the age of puberty and is amenable to perio treatment and systemic antibiotic therapy
when is generalized aggressive perio formed?
seen in young adults
mobility of a tooth as a patient is biting or clinician is finger resting
fremitus
