Final; Clinical Diagnosis

Question 1

What is the most important aspect of the health history

Answer 1

chief complaint

Question 2

What are the primary local factors

Answer 2

Bacteria - involved species and retentive areas

Compliance - to OHI and to the maintenance program

Question 3

What are three primary systemic risk factors

Answer 3

smoking diabetes genetics

Question 4

What two things are needed when doing the radiographic examination

Answer 4

full set of periapical radiohraphs patients old radiographs and perio charting (helps to distinguish between chronic and aggressive)

Question 5

Which type of furcation involvement can be seen on a radiograph

Answer 5

F2 and F3 both have radiographic bone loss

F1 has no radiographic bone loss, but will still catch on the probe

Question 6

Which type of furcation would be classified as through and through with no recession?

Answer 6

F3

Question 7

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?

Answer 7

F4 = Any classification with recession present Doesn’t matter if it is F1,2,3

Question 8

What are the three diagnostic categories of making a clinical diagnosis

Answer 8

health gingivitis periodontitis

Question 9

How would you diagnose a patient with 1-3mm probing depth, no history of attachment loss, and no clinical stages on inflammation

Answer 9

health

Question 10

How would you classify a patient with no signs of current disease but have had previous attachment loss

Answer 10

health on a reduced periodontium

Question 11

How would you classify a patient with 1-3mm probe depths, no history of attachments loss, but clinical signs of inflammation

Answer 11

gingivitis

Question 12

How would you diagnose plaque-induced gingivitis

Answer 12

probing depth ≤ 3mm with BOP no recession red and edematous soft tissues

Question 13

Why are other (non-plaque) induced forms of gingivitis hard to diagnose and treat

Answer 13

involvement of systemic disorders and medications

Question 14

How would you classify a patient with ≥4mm probing depth, with attachment loss, and clinical signs of inflammation

Answer 14

periodontists

Question 15

What is the determinant between localized and generalized chronic periodontitis

Answer 15

localized = less than 30% generalized = greater than 30%

Question 16

How much CAL is placed into slight/moderate/severe categories of chronic periodontits

Answer 16

1-2 = slight 3-4 = moderate 5+ = severe

Question 17

What is the differences between LAP And GAP

Answer 17

1st molars + centrals and 2 other teeth = LAP and 2+ other teeth = GAP

Question 18

What is incidental attachment loss

Answer 18

pretty much at one site; not periodontitis may see this in ortho patients or heavily restored endo patients or root fractures

Question 19

Which teeth would you see horizontal bone loss in most often?

Answer 19

Anteriors

Question 20

How much interproximal space would you see between two teeth for 2 separate bony defects?

Answer 20

4.3mm

Question 21

If you have less than 4.3mm and you have a 2 wall defect what is most likely to occur?

Answer 21

A crater

Question 22

If you have more than 4.3mm with a 2 wall defect, what are you likely to see?

Answer 22

A small spine in the middle of 2 defects

Question 23

If you have less than 3mm between 2 teeth what type of bone loss are you most likely to see?

Answer 23

Horizontal bone loss

Question 24

What is a combination defect?

Answer 24

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

Question 25

More than 10% of BOP means what?

Answer 25

Gingivitis

Question 26

Patient has had a SRP in the past but things look great now, what is the diagnosis?

Answer 26

Health with a reduced periodontium

Question 27

Reduced periodontium, inflammation, redness, and slight BOP =

Answer 27

Gingivitis on reduced periodontium

Question 28

On the second visit you see a patient who has continued bone loss from the last visit of 1mm or more, what is this?

Answer 28

Recurrent periodontitis

Question 29

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?

Answer 29

Periodontitis as a manifestation of systemic disease

Question 30

What systemic diseases put you at high risk of periodontitis?

Answer 30

Diabetes, Rheumatoid arthritis, Obesity, Down syndrome, Ectodermal dysplasia

Question 31

What type of bony defect CAN NOT be regenerated?

Answer 31

0 wall defect 1 wall defects don’t take very well either

Question 32

What is a stillman’s cleft?

Answer 32

The cleft made between two really inflammed interproximal papillae found in CHRONIC inflammation

Question 33

What is a McCall’s festume?

Answer 33

Chronic gingival inflammation when there is low keritanized tissue present

Question 34

What are the 3 probes we will use mostly?

Answer 34

Williams probe or UNC probe

CPITN or PSR probe

Naber’s probe

Question 35

Each furcation gets its own _______

Answer 35

Designation

This means you can have an F2 and an F3 on the same tooth

Question 36

What are the classes of mobility?

Answer 36

CLI = 1mm of movement or 1 direction

CLII = 2mm of movement or 2 directions

CLIII = 3mm of movement or 3 directions

Question 37

A 1 wall defect will most likely have to be _______

Answer 37

Extracted