Lecture 11- Chronic Periodontitis

Question 1

chronic periodontitis is mostly …. so you may see some localized dull pain and gingival tenderness (itching gums)

Answer 1

painless

Question 2

symptoms of chronic periodontitis

Answer 2

loose teeth
food impaction
drifted teeth
root sensitivity
bleeding gums

Question 3

chronic periodontits is categorized by the … and …

Answer 3

extent and severity

Question 4

localized chronic periodontitis is when … % of sites are affected

Answer 4

less than or equal to 30%

Question 5

generalized chronic periodontitis is when …. % of sites are affected

Answer 5

more than 30%

Question 6

slight chronic periodontitis is … of aloss

Answer 6

1-2 mm

Question 7

moderate chronic periodontitis is … of aloss

Answer 7

3-4 mm

Question 8

severe chronic periodontitis is … of aloss

Answer 8

more than 5 mm

Question 9

the 2 biggest risk factors for chronic periodontitis

Answer 9

smoking

diabetes

Question 10

… … induces gingivitis but … … determines if chronic periodontitis will develop

Answer 10

bacterial plaque

host response

Question 11

early studies said that all gingivitis led to ….

later studies said that gingivitis and CP are …. …

studies now say that gingivitis and CP are…

Answer 11

periodontitis

separate entities

different aspects of same disease

Question 12

the absence of gingivitis is a … … of periodontal health

Answer 12

good indicator

Question 13

from 2009-2010 NHANES data, …. % of the US population has periodontitis which is about … people

Answer 13

47%

65 million

Question 14

severe periodontitis is the … most prevalent disease in the world (1990-2010)

Answer 14

6th

Question 15

the predictable increasing burden of SP is due to (3)

Answer 15

growing world population

increasing life expectancy

significant decrease in prevalence of tooth loss

Question 16

progression of CP can be in 3 different forms

Answer 16

continuous model

random burst

asynchronous multiple burst model

Question 17

which type of progression is correct for CP?

Answer 17

random burst

Question 18

which type of progression is correct for aggressive periodontitis?

Answer 18

asynchronous multiple burst

Question 19

diagnosis of CP?

Answer 19

probe depth

gin. recession

CAL

BOP

furcation involvement

mobility

fremitus

bone defects

Question 20

clinical features of CP

Answer 20

changes in gingiva

BOP

increasing probe depth

ALOSS

gin. recession

bone loss

furcation

mobility

drifting teeth

tooth loss

Question 21

which bony defect is more predictable to treat? 3, 2 or 1 wall

Answer 21

3 wall

Question 22

goals of therapy for CP (3)

Answer 22

1. elim. etiology
2. elim risk factors
3. prevent recurrence

Question 23

initial periodontal therapy (3)

Answer 23

1. remove sub and supragingival plaque
2. adequate OH
3. remove local and systemic risk factors

Question 24

you cannot maintain pockets that are … mmm so surgical therapy is recommended

Answer 24

6