Intro Perio (Lecture 1) Flashcards
What are the 4 LEGAL responsibilities the dentist MUST preform?
1.MUST diagnose disease 2.MUST inform patient of existing disease 3.MUST offer Tx or refer 4.MUST Tx to S.O.C.
Philosophy of Tx: the disease is an ______, initiated by _______, and it provokes a local AND systemic ________ response in the host.
INFECTION, bacteria, inflammatory
Philosophy of Tx: the disease is ______ and cannot be “______”, but it CAN be ______
chronic….cured….controlled
Philosophy of Tx: you CANNOT REMOVE all ______ & ______ so Re-infection can occur.
plaque & Calculus
The current classification of periodontal conditions is based on the _______ Workshop for the Classification of Periodontal Diseases and Condition
INTERNATIONAL
What are the 3 GINGIVAL DISEASES associated with the Endocrine System?…What is the gingival disease assoc. with blood dyecrasias?
1.POOOberty 2.Pregnancy 3.Diabetes…..blood dyscrasias-leukemia
What art the 3 medications that can cause gingival enlargement?
- Phenytoin Sodium (Dilantin) 2.Cyclosporine (Sandimmune) 3.Ca Channel Blockers (Ni-fed-ipine)
Which endocrine manifestation on the gingiva is most “granular”?
diabetes
What can the gingiva look like for someone with Leukemia?
gingival enlargement
NON-plaque induced Gingival Disease: What are the three specific BACTERIAL origin bugs?
Neisseria Gonorrhea, Treponema Pallidum, Streptocococcal (BETA-hemolytic)
NON-plaque induced Gingival Disease: What are the 3 viral sources?
Herpes Type I & II…and VZV
NON-plaque induced Gingival Disease: What are the three Fungal sources?
Candida Albicans, histoplasmosis, and Linear Gingival Erythema (huh, thats a fungus I’ve never heard of!) (I think its the gingival result of candida)
What is the GINGIVAL lesion of GENETIC ORIGIN???
hereditary Gingival Fibromatosis
Gingival Manifestations of Systemic Conditions: What are the 4 mucocutaneous disorders that cause gingival disease?
Lichen Planus, Pemphigoid (NOT pemphigous which is worse-hemidesmosomes loss), Erythema Multiforme, Lupus Erythematosus
Gingival Manifestations of Systemic Conditions: What are 5 sources for ALLERGIC reactions that cause Gingival Disease?
- Nickel (get it FIVE causes!) 2.Acrylic (thats not good for dentures) 3.Toothpaste 4.Mouthrinses 5. Chewing gum
Gingival Manifestations of Systemic Conditions: What are the 2 “other” causes of gingival disease other than mucocutaneous or allergic?
- Trauma 2. Foreign Body Stuck up in there
LOCALIZED Chronic Periodontitis is LESS THAN or equal to _____ % of Teeth involved. What are the three sizes? small medium and what?!?!
30%…Slight, Moderate, Severe
__________ Chronic Periodontitis is GREATER THAN (not or equal to :)) 30% of teeth involved.
GENERALIZED
NOT to be confused with severe, local, chronic periodontitis: LOCALIZED _______ periodontitis is found frequently in younger populations and is caused by AA.
AGGRESSIVE
________ aggressive periodontitis is mostly associated with immune deficiency.
GENERALIZED
PERIODONTITIS as a manifestation of Systemic Disease (we aint talkin bout no gingivitis no mo): What are the 2 hematological disorders assoc. with periodontitis? (hint: 1 is also found in gingival disease)
1.Aquired Neutropenia 2.Leukemia
What are the 5 periodontitis manifestations of systemic disease assoc. with GENETIC disorders?
1.Familial and Cyclic Neutropenia 2. Down Syndrome (defective neutrophil chemotaxis) 3.Leukocyte Adhesion Deficiency Syndrome 4.Papillon-Lefvre Syndrome 5.Chediak-Higashi Syndrome
Localized aggressive periodontitis is normally what type of bone loss? and is therefore possibly treatable…
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