Lecture 1- classification of periodontal diseases Flashcards

1
Q

characteristics of all gingival diseases (6)

A
  1. confined to gingiva
  2. presence of plaque to initiate or exacerbate
  3. signs of inflammation (bop, red, enlarged, gin. exudate)
  4. symptoms assoc. with stable attachment (no aloss!)
  5. reversible
  6. POSSIBLE precursor to destructive diseases
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2
Q

4 systemic factors that modify gingival diseases

A

nutritional
endocrine system
medications
blood dyscrasias

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3
Q

5 endocrinotopic gingival diseases

A

pregnancy associated gingivitis

menstrual cycle associated gingivitis

puberty associated gingivitis

pregnancy associated pyogenic granuloma

diabetes mellitus associated gingivitis

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4
Q

some drugs that induce gingivitis

A

calcium channel blockers
cyclosporins (immunosuppress)
oral contraceptives

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5
Q

T/F you will probably see gingival disease due to oral contraceptives

A

False. Only saw that when oral contraceptives were higher doses when they first were introduced

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6
Q

what is a nutrtional deficiency that causes gingival disease that was big back in the day

A

ascorbic acid deficiency gingivitis (vitamin C)

lead to scurvy

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7
Q

chronic periodontitis was formally known as

A

adult periodontitis

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8
Q

clinical manifestations of chronic periodontitis

A
A. Loss ****
Bleeding/suppuration
Pocket formation
Bone loss
Tooth mobility
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9
Q

in chronic periodontitis, … calculus is common and there is a variable … pattern

A

subgingival

microbial

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10
Q

T/F chronic periodontitis can be modified by environmental factors

A

true

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11
Q

T/F chronic periodontitis may be modified by or associated with systemic diseases such as diabetes

A

true

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12
Q

T/F chronic periodontitis has a progression that is slow to moderate and never has rapid periods of progression

A

false. it can have rapid periods of progression

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13
Q

Chronic periodontitis can be classified on .. and ..

A

extent and severity

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14
Q

Localized chronic periodontitis is when the extent is less than …% and generalized chronic periodontitis is when its greater than that

A

30

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15
Q

Chronic periodontitis severity:

Slight: …-… mm CAL
Moderate: …-…. mm CAL
Severe: > … mm a. CAL

A

slight: 1-2 mm CAL
moderate: 3-4 CAL

severe >5mm CAL

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16
Q

… … was formally known as prepubertal, localized juvenile, generalized juvenile and early onset periodontitis

A

aggressive periodontitis

17
Q

Can aggressive periodontitis be classified as localized or generalized?

A

yes

18
Q

Common features of aggressive periodontitis is that the patient is systemically…. and theres is a rapid …. and …. and there is … aggregation

A

healthy

a.loss

bone destruction

familial

19
Q

T/F microbial deposits are inconsistent with amount of periodontal destruction

A

true. there can be little plaque but a lot of periodontal destruction

20
Q

Aggressive periodontitis presents with elevated levels of … and …

A

A. actinomycetemcomitans

P. gingivalis

21
Q

Localized aggressive periodontitis has …. a. loss on at least … permanent teeth. One of which is a …

It also should involve no more than … teeth other than … and …

A

interproximal

2

1st molar

2

first molars and incisors

22
Q

Localized aggressive periodontitis has a localized … presentation and has a …. onset

A

1st molar/incisor

circumpubertal

23
Q

…. is when you have interproximal a. loss affecting at least 3 permanent teeth other than 1st molars and incisors

A

generalized aggressive periodontitis

24
Q

Gen. aggressive periodontitis usually affects people under … but patients may be older

A

30

25
Q

Localized aggressive periodontitis has a …. serum antibody response to infecting agents

A

robust

26
Q

Generalized aggressive periodontitis has a … serum antibody response to infecting agents

A

poor

27
Q

Periodontitis is associated with which 2 hematologic disorders

A

acquired neutropenia

leukemias

28
Q

Periodontitis are associated with 11 genetic disorders

A
familial/cyclic neutropenia
down syndrome
leukocyte adhesion def. syn.
Papillon-Lefevre
Chdiak-Higachi
Histiocytosis syndromes
Glycogen storage disease
infantile genetic agranulocytosis
Cohen syndrome
Ehlers-Danlos syn. (4 and 8)
Hypophosphatasia
29
Q

3 early clinical signs of necrotizing periodontal disease (NPD)

A

punched out papilla
spontaneous bleeding
intense pain