Intro Perio (Lecture 1) Flashcards

1
Q

What are the 4 LEGAL responsibilities the dentist MUST preform?

A

1.MUST diagnose disease 2.MUST inform patient of existing disease 3.MUST offer Tx or refer 4.MUST Tx to S.O.C.

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2
Q

Philosophy of Tx: the disease is an ______, initiated by _______, and it provokes a local AND systemic ________ response in the host.

A

INFECTION, bacteria, inflammatory

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3
Q

Philosophy of Tx: the disease is ______ and cannot be “______”, but it CAN be ______

A

chronic….cured….controlled

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4
Q

Philosophy of Tx: you CANNOT REMOVE all ______ & ______ so Re-infection can occur.

A

plaque & Calculus

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5
Q

The current classification of periodontal conditions is based on the _______ Workshop for the Classification of Periodontal Diseases and Condition

A

INTERNATIONAL

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6
Q

What are the 3 GINGIVAL DISEASES associated with the Endocrine System?…What is the gingival disease assoc. with blood dyecrasias?

A

1.POOOberty 2.Pregnancy 3.Diabetes…..blood dyscrasias-leukemia

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7
Q

What art the 3 medications that can cause gingival enlargement?

A
  1. Phenytoin Sodium (Dilantin) 2.Cyclosporine (Sandimmune) 3.Ca Channel Blockers (Ni-fed-ipine)
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8
Q

Which endocrine manifestation on the gingiva is most “granular”?

A

diabetes

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9
Q

What can the gingiva look like for someone with Leukemia?

A

gingival enlargement

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10
Q

NON-plaque induced Gingival Disease: What are the three specific BACTERIAL origin bugs?

A

Neisseria Gonorrhea, Treponema Pallidum, Streptocococcal (BETA-hemolytic)

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11
Q

NON-plaque induced Gingival Disease: What are the 3 viral sources?

A

Herpes Type I & II…and VZV

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12
Q

NON-plaque induced Gingival Disease: What are the three Fungal sources?

A

Candida Albicans, histoplasmosis, and Linear Gingival Erythema (huh, thats a fungus I’ve never heard of!) (I think its the gingival result of candida)

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13
Q

What is the GINGIVAL lesion of GENETIC ORIGIN???

A

hereditary Gingival Fibromatosis

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14
Q

Gingival Manifestations of Systemic Conditions: What are the 4 mucocutaneous disorders that cause gingival disease?

A

Lichen Planus, Pemphigoid (NOT pemphigous which is worse-hemidesmosomes loss), Erythema Multiforme, Lupus Erythematosus

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15
Q

Gingival Manifestations of Systemic Conditions: What are 5 sources for ALLERGIC reactions that cause Gingival Disease?

A
  1. Nickel (get it FIVE causes!) 2.Acrylic (thats not good for dentures) 3.Toothpaste 4.Mouthrinses 5. Chewing gum
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16
Q

Gingival Manifestations of Systemic Conditions: What are the 2 “other” causes of gingival disease other than mucocutaneous or allergic?

A
  1. Trauma 2. Foreign Body Stuck up in there
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17
Q

LOCALIZED Chronic Periodontitis is LESS THAN or equal to _____ % of Teeth involved. What are the three sizes? small medium and what?!?!

A

30%…Slight, Moderate, Severe

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18
Q

__________ Chronic Periodontitis is GREATER THAN (not or equal to :)) 30% of teeth involved.

A

GENERALIZED

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19
Q

NOT to be confused with severe, local, chronic periodontitis: LOCALIZED _______ periodontitis is found frequently in younger populations and is caused by AA.

A

AGGRESSIVE

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20
Q

________ aggressive periodontitis is mostly associated with immune deficiency.

A

GENERALIZED

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21
Q

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)

A

1.Aquired Neutropenia 2.Leukemia

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22
Q

What are the 5 periodontitis manifestations of systemic disease assoc. with GENETIC disorders?

A

1.Familial and Cyclic Neutropenia 2. Down Syndrome (defective neutrophil chemotaxis) 3.Leukocyte Adhesion Deficiency Syndrome 4.Papillon-Lefvre Syndrome 5.Chediak-Higashi Syndrome

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23
Q

Localized aggressive periodontitis is normally what type of bone loss? and is therefore possibly treatable…

A

verticle

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24
Q

Generalized aggressive periodontitis is normally what type of bone loss? and therefore not very treatable..

A

horizontal

25
Q

What is the OLD name for GENERALIZED Aggressive Periodontitis?

A

Generalized JUVENILE Periodontitis

26
Q

What are the three types of Abscesses of the Peridontium?

A

1.Gingival 2.Periodontal 3.PeriCoronal

27
Q

What are the two main causes for periodontal abscesses?

A
  1. Fractured Root 2. Residual Calculus after cleaning
28
Q

What is an example of an acquired deformity/condition of the periodontium?

A

Occlusial Trauma (primary/secondary. we skipped over this slide)

29
Q

What art the 4, yes FOUR, components of the PERIDONTIUM?

A
  1. Gingiva 2.PDL 3.Cementum 4.Alveolar Bone Proper (no, proper, with the back of the right hand)
30
Q

What structure lies in between the gingiva and the alveolar bone proper in a cross section of the peridontium?

A

Lamina Propria

31
Q

In the good ole cross section, what is the epithelium that is coronal to the junctional epithelium?

A

Sulcus Epithelium

32
Q

Clinical Features of GINGIVA: Color: _____ with some variable _____ pigmentation.

A

PINK…melanin

33
Q

Clinical Features of GINGIVA: Contour: depends on location—ANTERIOR=the gingival papillae are distinctly _______ and in the POSTERIOR=gingival papillae are only Slightly this…

A

Pyramidal

34
Q

Clinical Features of GINGIVA: Contour: it has a _______ outline

A

SCALLOPED

35
Q

Clinical Features of GINGIVA: Consistency- firm and _____

A

resillient

36
Q

Clinical Features of GINGIVA: Contour: Texture- it is variably _______ depending on location. This feature is also used for adaptive specialization or reinforcement for ______ and it takes up about ___% of the overall gingival population.

A

stippled…function…40%

37
Q

What is the normal length of attached gingiva? How do I find it?

A

about 5mm. its the distance from the gingival margin to the mucogingival junction (6mm) minus the depth of the gingival sulcus (1mm)

38
Q

What type of perio probe do we use at asdoh? What are the markings like?

A

the CP-12….3-6-9-12

39
Q

Which has the larger probe tip diameter? plastic or metal?

A

plastic=0.7mm metal 0.3mm

40
Q

All of these are variables that impact ______: Inflammation

Probe Diameter Tapered vs. Parallel Force (0.15 N to 0.75 N) Band Width (0.7 mm to 1.0 mm)

A

PD….Probing Depth

41
Q

What is the range of PD (probing depth) for Normal/Healthy Periodontum?????

A

0-3mm

42
Q

What is the standard deviation for Probing Depth between different operators?

A

+/- 1mm

43
Q

What are the probes that check for furcation bone loss? What type of bone loss is indicated with a loss of bone in the furcation?

A

NA-BOR’s furcation probes…..HORIZONTAL bone loss

44
Q

FINDING CAL (Clinical Attachment LEVEL)….GM=CEJ, PD=6mm…what is CAL?

A

6mm + 0mm = 6mm CAL

45
Q

FINDING CAL (Clinical Attachment LEVEL)….GM = 3mm apical to CEJ, PD = 3mm

A

3mm + 3mm = 6mm CAL

46
Q

FINDING CAL (Clinical Attachment LEVEL)….GM=3mm coronal to the CEJ, PD = 9mm

A

9mm+ (-3)mm = 6mm CAL

47
Q

No Active Disease, Healthy Microbial Flora, Sulcus/Pocket Epithelial Integrity Intact….. YOU are probably going to be BOP ______

A

Bleeding on Probing NEGATIVE

48
Q

Active Disease, Presence of Microbial Biofilm/Plaque, Ulcerative Sulcus/Pocket Epithelium….you are probably BOP _______

A

Positive

49
Q

How do I find biological width? What is a normal range?

A

Distance from the CEJ to the Crest of Alveolar Bone….1.5-2mm

50
Q

What are the two components of Biological Width?

A

Attachment Epithelium + Gingival Fiber Ligament

51
Q

What is the average width of the PDL in the adult?

A

0.17mm

52
Q

What is Class I Tooth Mobility?

A

> 0.2mm but

53
Q

What is Class II Tooth Mobility?

A

> 1mm

54
Q

What is Class III Tooth Mobility?

A

> 1mm + Axial Displacement (can press down!)

55
Q

What is the key to measuring tooth mobility?

A

ALWAYS USE 2 INSTRUMENTS!! NEVER WITH FINGER(S)!

56
Q

Which set of teeth have the thinnest amount of gingival tissue?

A

Mand PMs (facial)

57
Q

if the CEJ’s of adjacent teeth are PARALLEL to the pattern of bone loss, it is most likely _______ bone loss

A

horizontal

58
Q

What are the 9 methods of clinical diagnosis of periodontal disease?

A

1.Probing Depth 2.Bleeding on Probing 3.Clinical Attachment Levels 4.Width of Attached Gingiva 5.Gingival Recession 6.Furcation Involvements 7. Tooth Mobility 8.Radiographic Evidence of Bone Loss 9.Plaque and Calculus