Important Info 2.2 Flashcards
Which of the following is NOT a systemically modified gingivitis?
a. Uncontrolled diabetes/diabetes
b. Uncontrolled hypertension/high BP
c. Pregnancy
d. HIV
b. Uncontrolled hypertension/high BP
In a healthy individual w/o attachment loss, what occupies the space btw the CEJ & alveolar bone?
a. Connective tissue attachment
b. Structures of the biological width
c. Sulcular epithelium
d. Junctional epithelium
b. Structures of the biological width
Which of the following are seen in the innate immune response?
a. PMNs
b. B cell
c. T cell
d. NK cells
a. PMNs
Which of the following stimulates differentiation/activates B & T cells?
a. IL-6
b. IL-1
c. IL-8
d. PGE2
a. IL-6
Which of the following is pro-inflammatory & stimulates osteoclasts, fibroblasts, & macrophages?
a. IL-1
b. IL-6
c. IL-8
d. PGE2
a. IL-1
Which of the following occurs after 4-7 days in the stage of plaque?
a. Initial
b. Early
c. Established
d. Advanced
b. Early
Which stage does microulcerations first show up?
a. Initial
b. Early
c. Established
d. Advanced
c. Established
70% of collagen loss is seen in which stage?
a. Initial
b. Early
c. Established
d. Advanced
b. Early
Distance from CEJ to alveolar bone in a healthy adult is
a. 1.0 mm
b. 1.5 mm
c. 2.0 mm
c. 2.0 mm
Which of the following is sulcular & junctional epithelium?
a. Both non-keratinized
b. Both keratinize
c. Sulcular keratinized, junctional non-keratinized
d. Junctional keratinized, sulcular non-keratinized
a. Both non-keratinized
Which of the following structure(s) make up the tissue from the CEJ to the alveolar
bone?
a. Junctional epithelium
b. Connective tissue
c. Sulcular epithelium
a. Junctional epithelium
b. Connective tissue
Approximately how many dentate patients have periodontitis in the US?
48%
What bacteria fits Socransky’s criteria? – What are the main bacteria in periodontitis?
AA & Pg
Collagenase causes damage to?
Host tissues
Healthy plaque is composed of:
Gram(+), aerobic, indigenous flora
Which of the following is NOT pro-inflammatory?
a. IL-1
b. IL-4
c. IL-6
d. IL-8
b. IL-4
AA’s primary virulence factor is?
Leukotoxin
Formation of plaque is:
Pellicle formation primary colonizers co-adhesion secondary colonizers
B cells mature into?
Plasma cells
Attachment of junctional epithelium is to the tooth by:
Hemidesmosomes
Stippling is in health but just because you have stippling, it is not indicative of a disease
a. Both true
b. Both false
c. First true, second false
d. First false, second true
a. Both true
Calculus consists of?
Water, microorganisms, and dental matrix
(T/F) PDL cells have blood vessels.
True
What is NOT a secondary colonizer?
Strep. spp. & A. viscosus & AA
Random burst model says:
Cumulative destruction varies among sites
Asynchronous= several sites of various activity & burst are DUE TO RISK FACTORS
All of the following are signs of inflammation EXCEPT:
a. Redness
b. Heat
c. Pain
d. Loss of function
e. Swelling
f. Bleeding
f. Bleeding
What is found on mast cells?
IgE
(T/F) Gingivitis does not always result in periodontitis
True
study showed not all people develop PDs
All of the following medications cause gingival enlargement EXCEPT:
a. Cyclosporine
b. Ca+ channel blocker
c. Phenloin sodium (Dilantin)
d. Low does oral contraceptive & Beta Blocker
d. Low does oral contraceptive & Beta Blocker
Plaque is a/an ___ structure
organized
(T/F) Histological & clinical sulcus are always the same
False
(T/F) Attached gingiva never change width
False
Max CI are widest, Mand PM are thinnest
Supracrestal is how long in length?
2mm
Through a microscope, you can see what in an established lesion?
Ulcerations in the sulcular epithelium
Which of the following models are true?
Nonspecific is a direct relationship btw the total amount of plaque and the amplitude of the pathogenic effect
(T/F) Grading has a smoking component on its chart.
True
(T/F) Staging is based on severity, grading is based on rate
True
Is desquamative gingivitis a diagnosis?
No
Can you use radiographs to diagnose gingivitis?
No
(T/F) Sulcular epithelium is fully permeable
False – only semi permeable
Red complex (2 questions on this)
P. Ging
Normal distance of CEJ to alveolar bone
a. 1mm
b. 2mm
c. 3mm
d. 4mm
b. 2mm ??
In 2017, aggressive periodontitis was changed to what?
Periodontitis
In 2017, biological width was changed to what
Supracrestal tissue attachment
Grading is primarily rate, staging is primarily severity
True
What is true about established lesion
a. Primarily T cells
b. Alveolar bone NOT involved
c. Rete peg something
b. Alveolar bone NOT involved
Which one is NOT a secondary colonizer
a. Strep
b. Spirochetes
c. Camtobacter
d. P. ging
a. Strep
Patient presents with 3-4mm of CAL, we assume
Stage II
Which one is NOT considered in the 2017 classification?
Aggressive periodontitis
New patient comes in, what other information can you use to help determine the grade
a. Age
b. Weight
c. Height
a. Age
Which is not a systemic modifier for gingivitis
a. Smoking
b. Hypertension
c. Malnutrition
d. Steroid treatment
b. Hypertension
Pt is non-diabetic, smokes 1 pack a day, has 6 teeth lost
Stage IV, Grade C
Most common muccocutaneous deformity seen in dental office
Gingival recession
A thick and thin gingiva are identified by
Width of keratinized tissue
Ideal width of keratinized tissue:
2mm
What do you find in periodontal health?
Less than 10% BOP
Which of the following statements is incorrect
Periodontitis as a manifestation of systemic disease is defined by affecting the periodontal supporting tissues independently of dental plaque biofilm-induced inflammation
T/F: Smoking is both a risk factor and grade modifier
True