Lecture 1- classification of periodontal diseases Flashcards
characteristics of all gingival diseases (6)
- confined to gingiva
- presence of plaque to initiate or exacerbate
- signs of inflammation (bop, red, enlarged, gin. exudate)
- symptoms assoc. with stable attachment (no aloss!)
- reversible
- POSSIBLE precursor to destructive diseases
4 systemic factors that modify gingival diseases
nutritional
endocrine system
medications
blood dyscrasias
5 endocrinotopic gingival diseases
pregnancy associated gingivitis
menstrual cycle associated gingivitis
puberty associated gingivitis
pregnancy associated pyogenic granuloma
diabetes mellitus associated gingivitis
some drugs that induce gingivitis
calcium channel blockers
cyclosporins (immunosuppress)
oral contraceptives
T/F you will probably see gingival disease due to oral contraceptives
False. Only saw that when oral contraceptives were higher doses when they first were introduced
what is a nutrtional deficiency that causes gingival disease that was big back in the day
ascorbic acid deficiency gingivitis (vitamin C)
lead to scurvy
chronic periodontitis was formally known as
adult periodontitis
clinical manifestations of chronic periodontitis
A. Loss **** Bleeding/suppuration Pocket formation Bone loss Tooth mobility
in chronic periodontitis, … calculus is common and there is a variable … pattern
subgingival
microbial
T/F chronic periodontitis can be modified by environmental factors
true
T/F chronic periodontitis may be modified by or associated with systemic diseases such as diabetes
true
T/F chronic periodontitis has a progression that is slow to moderate and never has rapid periods of progression
false. it can have rapid periods of progression
Chronic periodontitis can be classified on .. and ..
extent and severity
Localized chronic periodontitis is when the extent is less than …% and generalized chronic periodontitis is when its greater than that
30
Chronic periodontitis severity:
Slight: …-… mm CAL
Moderate: …-…. mm CAL
Severe: > … mm a. CAL
slight: 1-2 mm CAL
moderate: 3-4 CAL
severe >5mm CAL
… … was formally known as prepubertal, localized juvenile, generalized juvenile and early onset periodontitis
aggressive periodontitis
Can aggressive periodontitis be classified as localized or generalized?
yes
Common features of aggressive periodontitis is that the patient is systemically…. and theres is a rapid …. and …. and there is … aggregation
healthy
a.loss
bone destruction
familial
T/F microbial deposits are inconsistent with amount of periodontal destruction
true. there can be little plaque but a lot of periodontal destruction
Aggressive periodontitis presents with elevated levels of … and …
A. actinomycetemcomitans
P. gingivalis
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 …
interproximal
2
1st molar
2
first molars and incisors
Localized aggressive periodontitis has a localized … presentation and has a …. onset
1st molar/incisor
circumpubertal
…. is when you have interproximal a. loss affecting at least 3 permanent teeth other than 1st molars and incisors
generalized aggressive periodontitis
Gen. aggressive periodontitis usually affects people under … but patients may be older
30
Localized aggressive periodontitis has a …. serum antibody response to infecting agents
robust
Generalized aggressive periodontitis has a … serum antibody response to infecting agents
poor
Periodontitis is associated with which 2 hematologic disorders
acquired neutropenia
leukemias
Periodontitis are associated with 11 genetic disorders
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
3 early clinical signs of necrotizing periodontal disease (NPD)
punched out papilla
spontaneous bleeding
intense pain
