Lec 1 Otomo-Corgel

Question 1

waht is the driving force bhind all major age related disorders

Answer 1

inflammation

Question 2

3 aspects of apathogenesis of peridontal disease have a role and impact on the system inflamamtory immune response

Answer 2

1. infection , inflamm, adaptive immunity

Question 3

true or false

pt has pd inflamma and pt has diabetes more likely to have pd 1:2

Answer 3

true

Question 4

probing upon bleeding is a sign that their is inflamamtion without a lot of eitolgoical factors, what may they have

Answer 4

systemic disease, diabetes

Question 5

Hx with diabetes, what are you looking for first?

Answer 5

level of control of the disease, diabetes

Question 6

true or false

diabetes type i and Ii incrase the risk fere severe pd?

2. the earlier onset of diabetes youll have pd?

Answer 6

true

true

Question 7

____ is a signfiicant predictor for pd independent of the effects of smoking ,age, race, ethnicity, and smoking

Answer 7

obesity

Question 8

waht % of US Pop are overeight? and __ fold chance of becoming diabetic and __ fold risk of pd

Answer 8

60

10

3

Question 9

____ tissues produce actue phase proteins or cytokines proportional to its mass in circulation

Answer 9

adipose

Question 10

___ and __ contribute to the systemic hyperinflammtion increase in hyperlidemia, and increase in insulin resistance

Answer 10

IL 6 and tumur necrosis factor alpha

Question 11

incluence of glycemic control

diabetic pt with severe pd had a ___ times woresening of glycemic congtrol over 2 years

Answer 11

6x

Question 12

Perio tx reducing inflamamtion can it improve glycemic control?

Answer 12

probably

Question 13

HB1ac is?

Answer 13

measure life of the Hb attached to the rbc and gives you the overall control of the diabetes

Question 14

___ associted with imparied glucose tolerance in non diabetics

Answer 14

deeper the pockets

Question 15

true or false

longer the pt have infection and severe longer it takes for response of therapy, not happen overnight, may be 6 - 7 months?

Answer 15

depends still a controversy

Question 16

true or false

well controlled diabetic pt have simialr pd status as controlled non diabetic group

Answer 16

true

Question 17

waht altered vascualr physiology would you ahve with diabetes and pd

Answer 17

delayed wound healing

Question 18

diabetes and pd pt: collagen metabolism ___ and congenase activitty___

Answer 18

decreased

increased

Question 19

most common medical emergency?

Answer 19

hypoglycemic crisis

Question 20

1 cause of kidney failure is ?

Answer 20

diabetes

Question 21

what incidence does pts with diabetes have with nephopathy?

Answer 21

2x - 2.6x

Question 22

____ periodontal therapy reduces in HbA1C at 3 months by what percent?

Answer 22

mechanical

0.4% [may be good enough to put pt off of insulin]

Question 23

what is the strongest systemic disease with periodontal disease?

Answer 23

diabetes

Question 24

when you think of association which type of severity do you think of?

Answer 24

moderate to severe pd

chronic long term inflammation

Question 25

\_\_\_\_\_\_ studies showed that patients had better ____ flow its not short term therapy but long term therapy

Answer 25

tenelli brachial

Question 26

what specific bacteria in their corotic vessle had severe pd dissease?

Answer 26

porphomous gingivallis

Question 27

if P gingivalis is in the blood stream they will be a sticky bug nd form a _____ plaque bc rbc love this bac

Answer 27

micromophological plaque and this clots the blood

Question 28

know: pd DOES NOT CAUSE caridovascualr disase diabetes does not cause pd if you ahve pd incrase risk if you ahve genetic sus, smoker, and its all a balance and every pt is an indiv

Answer 28

know: pd DOES NOT CAUSE caridovascualr disase diabetes does not cause pd if you ahve pd incrase risk if you ahve genetic sus, smoker, and its all a balance and every pt is an indiv

Question 29

inflammatiory markers and pd: hs - c reactive protein does what?

Answer 29

measures level of inflamma

Question 30

which is a better inflammatory marker hs crp or cholesterol?

Answer 30

hs crp

Question 31

p gingivalis have been found in cerebral vessles and the associatation with ___ is stronger than the assocation with MI

Answer 31

stroke

Question 32

Periodontal pathogens can cause \_\_\_\_\_\_\_

Answer 32

atherosclerosis

Question 33

if there is no risk, then why premedicate this heart vlave pt [possibly with murmur]

Answer 33

premed the pt bc its up to the clinician for which meds the pt takes and its up to the pt to take them

Question 34

women with advanced pd have ___ more likely to have pre mature babies?

Answer 34

7x

Question 35

if pt tells you she wants to be pregnant, you ahve to do a ____ therpy and if she has bleeding upon probing you need to treat this _____ conception?

Answer 35

total before

Question 36

treat preg pt before the ____ trimester

Answer 36

1st

Question 37

\_\_\_\_\_ and ____ higher in advacned pd pt

Answer 37

pneumonia and aspiration