Final; Clinical Diagnosis Flashcards
What is the most important aspect of the health history
chief complaint
What are the primary local factors
Bacteria - involved species and retentive areas
Compliance - to OHI and to the maintenance program
What are three primary systemic risk factors
smoking diabetes genetics
What two things are needed when doing the radiographic examination
full set of periapical radiohraphs patients old radiographs and perio charting (helps to distinguish between chronic and aggressive)
Which type of furcation involvement can be seen on a radiograph
F2 and F3 both have radiographic bone loss
F1 has no radiographic bone loss, but will still catch on the probe
Which type of furcation would be classified as through and through with no recession?
F3
Which type of furcation would be classified as either a catch with fuzzy dark area on radio graph with recession or through and through with recession?
F4 = Any classification with recession present Doesn’t matter if it is F1,2,3
What are the three diagnostic categories of making a clinical diagnosis
health gingivitis periodontitis
How would you diagnose a patient with 1-3mm probing depth, no history of attachment loss, and no clinical stages on inflammation
health
How would you classify a patient with no signs of current disease but have had previous attachment loss
health on a reduced periodontium
How would you classify a patient with 1-3mm probe depths, no history of attachments loss, but clinical signs of inflammation
gingivitis
How would you diagnose plaque-induced gingivitis
probing depth ≤ 3mm with BOP no recession red and edematous soft tissues
Why are other (non-plaque) induced forms of gingivitis hard to diagnose and treat
involvement of systemic disorders and medications
How would you classify a patient with ≥4mm probing depth, with attachment loss, and clinical signs of inflammation
periodontists
What is the determinant between localized and generalized chronic periodontitis
localized = less than 30% generalized = greater than 30%
How much CAL is placed into slight/moderate/severe categories of chronic periodontits
1-2 = slight 3-4 = moderate 5+ = severe
What is the differences between LAP And GAP
1st molars + centrals and 2 other teeth = LAP and 2+ other teeth = GAP
What is incidental attachment loss
pretty much at one site; not periodontitis may see this in ortho patients or heavily restored endo patients or root fractures
Which teeth would you see horizontal bone loss in most often?
Anteriors
How much interproximal space would you see between two teeth for 2 separate bony defects?
4.3mm
If you have less than 4.3mm and you have a 2 wall defect what is most likely to occur?
A crater
If you have more than 4.3mm with a 2 wall defect, what are you likely to see?
A small spine in the middle of 2 defects
If you have less than 3mm between 2 teeth what type of bone loss are you most likely to see?
Horizontal bone loss
What is a combination defect?
When you had horizontal bone loss when the width was 3mm but then as it progresses apically you start to see angular defects. Both horizontal and angular
More than 10% of BOP means what?
Gingivitis
Patient has had a SRP in the past but things look great now, what is the diagnosis?
Health with a reduced periodontium
Reduced periodontium, inflammation, redness, and slight BOP =
Gingivitis on reduced periodontium
On the second visit you see a patient who has continued bone loss from the last visit of 1mm or more, what is this?
Recurrent periodontitis
If you have a patient who comes in with ectodermal dysplasia or down syndrome and deep pockets with lots of bone loss, what do they have?
Periodontitis as a manifestation of systemic disease
What systemic diseases put you at high risk of periodontitis?
Diabetes, Rheumatoid arthritis, Obesity, Down syndrome, Ectodermal dysplasia
What type of bony defect CAN NOT be regenerated?
0 wall defect 1 wall defects don’t take very well either
What is a stillman’s cleft?
The cleft made between two really inflammed interproximal papillae found in CHRONIC inflammation
What is a McCall’s festume?
Chronic gingival inflammation when there is low keritanized tissue present
What are the 3 probes we will use mostly?
Williams probe or UNC probe
CPITN or PSR probe
Naber’s probe
Each furcation gets its own _______
Designation
This means you can have an F2 and an F3 on the same tooth
What are the classes of mobility?
CLI = 1mm of movement or 1 direction
CLII = 2mm of movement or 2 directions
CLIII = 3mm of movement or 3 directions
A 1 wall defect will most likely have to be _______
Extracted
