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Introduction to Periodontics and Prevention > Lecture 3 > Flashcards

Lecture 3 Flashcards

1
Q

Number of types of periodontitis:

A

100+

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2
Q

Pyognic granuloma is aka:

A

pregnancy tumor, in response to hormonal alterations

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3
Q

Gingival hyperplasia can be caused by:

A

dilatin (seizure disorder), calcium channel blockers (heart disease or blood pressure)

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4
Q

What type of infection is a candidal infection?

A

yeast infection

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5
Q

White slougines on keratinized tissue is caused by:

A

any of sever autoimmune diseases

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6
Q

Periodontal disesase catergories:

A

gingival and periodontitis diseases

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7
Q

Most common form of gingivitis:

A

PAG (plaque associated gingivitis), associated with systemic factors or medications

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8
Q

gingivitis that is not associated with plaque accumulation

A

treponema pallidum, viral infections, fungal infections, allergies, chemical injuries, heat injuries

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9
Q

Genetic diseases that can manifest as perioditis

A

Downs, Papilloma fevera, Shediaca Gashi

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10
Q

Blood disorder that can manifest as periodontitis:

A

leukemia

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11
Q

necrotizing periodontitis:

A

NUG, NUP

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12
Q

there are about __ gingival diseases.

A

50

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13
Q

Difference between gingivitis and periodontitis:

A

periodontitis doesn’t affect only the gingiva, it also includes ct attachment and the alveolar bone

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14
Q

True or False? Gingivitis is always associated with loss of ct attachment.

A

F. (not associated with alveolar bone loss either)

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15
Q

Most common form of periodontitis:

A

(PAG) plaque associated gingivitis

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16
Q

What are the classic signs of inflammation?

A

redness, swelling, pain, loss of function

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17
Q

What color should healthy gingiva be?

A

coral pink

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18
Q

Clinical features of plaque associated gingivitis:

A

Redness, swelling, loss of tissue tone, increasing sulcus depth (gingival/ pseudo pocket), blow air and tissue will move away from tooth

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19
Q

Which type of pocket normally accumulates in gingivitis?

A

pseudopocket

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20
Q

Appearance of swollen gingiva:

A

glassy

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21
Q

Signs of mild gingivitis:

A

redness around papilla, slight swelling, slight loss of stippling, shiny appearance (not like orange peel), slight BOP

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22
Q

Why does stippling disappear in gingivitis?

A

gingival fibers are lost

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23
Q

Moderate gingivitis:

A

darker red, entire gingival margin is swollen, no stippling, BOP

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24
Q

True or False? Collagen is lost in mild gingivitis.

A

T. Collagen, not ct

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25
Q

What causes the increased red coloration of the gingival tissues in gingivitis?

A

capillary dilation

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26
Q

Blood vessels dilate in gingivitis in response to:

A

bacteria and plaque

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27
Q

Primary inflammatory infiltrate in gingivitis:

A

PMN’s

28
Q

Causes of BOP:

A

enlarges gingival capillaries o ulcerated sulcular epithelium

29
Q

True or False? Rapidity of BOP is directly correlated with degree of inflammation.

A

T

30
Q

True or False? No BOP means no inflammation

A

F

31
Q

True or False? BOP always means that there is inflammation.

A

F. typically

32
Q

Is sulcular epithelium keratinized or non-keratinized?

A

non

33
Q

Thinnest part of the epithelium:

A

junctional epithelium, base of sulcus ( which is above ct that is on the alveolar bone)

34
Q

Which tissue does the probe pierce in periodontal patients?

A

junctional epithelium

35
Q

In severe gingivitis the junctional epithelium transforms to become:

A

pocket epithelium

36
Q

What cells line the gingival sulcus in severe gingivitis

A

inflammatory cells

37
Q

Main indication that infammation is not due to plaque associated gingivitis:

A

no redness of papilla

38
Q

In which direction will the gingival margin move in gingivitis?

A

coronally

39
Q

What causes the coronal movement of the gingival margin in gingivitis?

A

swelling, response to plaque bacteria

40
Q

What causes pseudo pockets?

A

gingival swelling

41
Q

3 main forms of periodontitis:

A

chronic (most common), aggressive, from systemic disease

42
Q

True or False? Juvenile periodontitis exhibits a slower progression than adult.

A

F. faster

43
Q

Chronic periodontitis is almost always associated with:

A

plaque accumulation on the teeth

44
Q

Type of probe we use in clinic:

A

Michigan O probe

45
Q

Only reliable method for monitoring the progression of pocket depth:

A

probing

46
Q

You are measuring from here to here when measuring pocket depth:

A

gingival margin to junctional epithelium

47
Q

When is it easy to push the probe through tissue?

A

if the bottom of the pocket is ulcerated

48
Q

True or False? First sign of periodontitis is loss of alveolar bone.

A

F. increased pocket depth

49
Q

What must occur before you will see alveolar bone loss radiographically?

A

disruption of ct fibers, axial migration of ct attachment

50
Q

What cause the increase in pocket depth in periodontitis?

A

swelling increasing height in the coronal aspect and loss of ct attachment

51
Q

If you can not see the 2 hashmark on the probe, the pocket depth is:

A

3, round up

52
Q

What is a pseudo pocket?

A

no ct loss

53
Q

pseudopockets and periodontal pockets both have:

A

edema and ulcerated sulcular epithelium

54
Q

periodontal pockets have these three things that pseudo pockets do not:

A

apical migration of junctional epithelium, loss of ct attachment, loss of alveolar bone loss

55
Q

Hallmark of periodontitis in radiographs:

A

loss of alveolar bone

56
Q

alveolar bone and alveolar crest should be at this level:

A

CEJ, 2-3mm apical to CEJ

57
Q

Why can a periodontal patient have coral pink coloration to their gingiva?

A

fibrosis from long time inflammation

58
Q

What can cause diastamas?

A

loss of bone and ct attachment (always a C? Depressible?)

59
Q

Probes to explore furcations?

A

pigtail explorers/ nabers probe

60
Q

What type or probes do we use for implants?

A

plastic scalers and probes

61
Q

What is the difference between moderate to severe and sever periodontitis ?

A

moderate to severe: horizontal bone loss ++ individual vertical bone loss (up to half of the bone has been lost around a tooth), severe: multiple verticle areas of bone loss (more than half of bone lost around tooth)

62
Q

How do we was the health of the gingiva?

A

color, form, tissue tone, and BOP

63
Q

How do we assess plaque?

A

disclose, plaque index (all teeth or indicator teeth)

64
Q

Clinical attachment loss for slight, moderate and severe periodontitis:

A

1-2mm, 3-4mm, greater than 5

65
Q

Probing depth for slight, moderate and severe periodontitis:

A

4-5mm, 6-7mm, greater than 7

Introduction to Periodontics and Prevention (8 decks)

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