Interpretation of Periodontal disease Flashcards
Destructive inflammatory disease affecting
supporting structures of the teeth
Periodontal Disease:
only the soft tissues are involved
Gingivitis:
soft tissues and supporting bone
affected
Periodontitis:
• Major cause of tooth loss in patients > 35 years • Severity of disease increases with •Age •Amount of plaque •Amount of bacterial micro-flora
Periodontal disease
Clinical signs of \_\_\_\_: • Edema, erythema of the tissues • Loss of epithelial attachment to tooth surface and pocket formation • Bleeding on probing • Purulence
Clinical signs of periodontal diseases
____ bone loss occurs once 70-75% of remaining dentition is affected
Generalized
• Abnormal angulation or bend in the root (and occasionally the crown) of a tooth • Some related to trauma during odontogenesis • idiopathic
Dilaceration
Even/uniform apical movement of the alveolar
crestal bone height along adjacent root surfaces
between affected tooth/teeth
Horizontal Bone Loss:
T/F: Alveolar bone is never at CEJ
True
Are posterior or anterior bone crests flat?
Posterior
Are posterior or anterior bone crests pointed?
Anterior
____ bone loss
–slight crestal bone loss of < 1.0 –2.0mm, but less than 20%
• 1. Incipient bone loss
____ bone loss
–evidence of ~20% up to 50% bone loss
• 2. Moderate bone loss
____ bone loss
–evidence of 50% or more of bone loss; evidence of vertical defects
• 3. Advanced bone loss
Angular bone loss along a root that more
severely involves the affected tooth/teeth than
the adjacent teeth
Vertical Bone Loss:
Loss of bone in furcations happens with HBL or VBl?
Both
• Defined as: Length of radiographic crown
Length of radiographic root
• An index expressed as a ratio that gives
an indication of a tooth’s prognosis
• A ratio of more than (>) 1:2 has a poor
prognosis
Crown to root ratio
If the crown to root ratio is greater than ______, the prognosis is poor
1:2
How much demineralization of bone is necessary to be able to see it on a radiograph?
40-50%