H - Perio

Question 1

What is the BPE used for?

Answer 1

Used as a screening tool

guides clinicians to a provisional diagnosis and the need for further Ix

Question 2

Classification of gingival recession?

Answer 2

3 types
type 1 - no loss IP attachment papilla intact M and D
type 2 - loss of IP attachment but less than or equal to buccal attachment loss
type 3 - loss of Ip attachment > buccal attachment loss

Question 3

Aime of supportive perio care?

Answer 3

Maintain perio health
detect + treat recurrence
maintain levels of disease if resolution not possible
manage tooth loss

Question 4

Give examples of systemic disease risks for perio?

Answer 4

Diabetes 
HIV
Endocrine diseases (eg thyroid)
Osteoporosis
Hypertension

Question 5

What are the signs and symptoms of acute NUG?

Answer 5

Ulcerated necrotic papilla 
Yellowish, white or grey slough
Develop quickly 
pain 
Bleeding
Halitosis

Question 6

What makes up biological width? and what depth is it commonly?

Answer 6

It’s the Connective tissue + Junctional epithelium. Usually 2mm

Question 7

What is the effect of occlusal trauma on a diseased periodontium?

Answer 7

Occlusal trauma combined with plaque-induced inflammation exacerbates the loss of attachment.

Question 8

Tx levels for NUP?

Answer 8

1) Ultrasonic debridement - disrupt biofilm
2) chlorohexidine mouthwash 2x daily
3) Systemic antibiotics, not first line of treatment. Examples metronidazole, amoxicillin
4) smoking cessation, vitamins and diet and OH