Intro Revision Questions

Question 1

Plq induced ging

Answer 1

inflammatory response of the gingival tissues due to plq accumulation located at and below gingval margin

Question 2

Signs of plq induced ging

Answer 2

bledding on probing
High plq and bleeding scores
Ging swelling and redness
Probing depths <3mm
no attachement or bone loss

Question 3

Non plq induced ging

Answer 3

caused by - infection, genetic origin, traumatic lesions, nutritional defienecy, manifestations of systemic infections, inflammatory conditions

Question 4

Periodonitits

Answer 4

inflammatory disease intitated by bacteria which can cause severe inflammation and bone loss around teeth

Question 5

Signs of perio

Answer 5

Bleeding on probing
Bone loss
Ging recession
Probing depths >4mm
Black triangles
Tooth movement in some teeth

Question 6

Local risk factors

Answer 6

acquired - plq, calc, overhanging and poorly contoured resotrations, ortho, occlusal trauma due to bone loss

Anatomical - malpositioned teeth, root grooves, concavities, enamel pearls, furcations

Question 7

Systemic risk factors

Answer 7

non modifiable - aging, genetic factors, gender, genetic disorders

Modifable - smoking, poorly controlled diabetes, HIV, leaukaemia, osteopenia, stress, medications, hormonal changes, poor nutrition

Question 8

What probe is used for BPE

Answer 8

CPITN - 3.5-5.5mm band (ball end)

Question 9

BPE

Answer 9

0 - no probing depths, >3.5mm, non calc, overhangs or BOP
1 - no probing depths >3.5mm, non calc, overhangs, BOP
2 - no probing depths >3.5mm but supra and sub ging calc present/overhangs
3 - probing depths of 3.5mm -5.5mm present
4 - probing depth >6mm or more
* - furcation involvement

Question 10

What probe used for 6PPC

Answer 10

PCP 12 probe - 3,6,9,12mm bands

Question 11

What is including in a 6PPC

Answer 11

probing depth - base of ging crevice to ging margin
BOP
Mobility
ging margin - receded +, overgrowth -
furcation
loss of attachement (probing depth +/- recession or overgrowth)

Question 12

Risk factors for perio

Answer 12

smoking
diabetes
stress
obesity
certain meds
restoration overhnags
family hisotry
diet low in some nutrients
ortho applicances
poorly designed RPD
furcations
defective crown margins

Question 13

Treatment planning for BPE scores

Answer 13

0 - no need for perio treatment
1 - OHI
2- OHI, removal of plq retentive factors, including sub and supra calc
3 - OHI and RSD
4 - OHI, RSD, asccess the need for more complex treatment, refer to specailist

Question 14

Mobility

Answer 14

Grade 1 - <1mm
Grade 2 - 1-2mm
Grade 3 - >2mm rotation or depression

Question 15

Furcation

Answer 15

Grade I - up to 3mm horizontal attachement loss
Grade II - >3mm horizontal attachement loss but not through and through
Grade III - an through and through lesion

Question 16

Signs of perio disease

Answer 16

bleeding gums
bad breath
tooth loss
sens teeth
swollen and tender gums
recession of gums
loose teeth
lengthening teeth
gum abscess
appearnace change
drifting teeth
mobility
black traingles

Question 17

OHI tools

Answer 17

T - talk
I - instruct
P - practice
P - plan
S - support