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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
What causes the increased red coloration of the gingival tissues in gingivitis?
capillary dilation
26
Blood vessels dilate in gingivitis in response to:
bacteria and plaque
27
Primary inflammatory infiltrate in gingivitis:
PMN's
28
Causes of BOP:
enlarges gingival capillaries o ulcerated sulcular epithelium
29
True or False? Rapidity of BOP is directly correlated with degree of inflammation.
T
30
True or False? No BOP means no inflammation
F
31
True or False? BOP always means that there is inflammation.
F. typically
32
Is sulcular epithelium keratinized or non-keratinized?
non
33
Thinnest part of the epithelium:
junctional epithelium, base of sulcus ( which is above ct that is on the alveolar bone)
34
Which tissue does the probe pierce in periodontal patients?
junctional epithelium
35
In severe gingivitis the junctional epithelium transforms to become:
pocket epithelium
36
What cells line the gingival sulcus in severe gingivitis
inflammatory cells
37
Main indication that infammation is not due to plaque associated gingivitis:
no redness of papilla
38
In which direction will the gingival margin move in gingivitis?
coronally
39
What causes the coronal movement of the gingival margin in gingivitis?
swelling, response to plaque bacteria
40
What causes pseudo pockets?
gingival swelling
41
3 main forms of periodontitis:
chronic (most common), aggressive, from systemic disease
42
True or False? Juvenile periodontitis exhibits a slower progression than adult.
F. faster
43
Chronic periodontitis is almost always associated with:
plaque accumulation on the teeth
44
Type of probe we use in clinic:
Michigan O probe
45
Only reliable method for monitoring the progression of pocket depth:
probing
46
You are measuring from here to here when measuring pocket depth:
gingival margin to junctional epithelium
47
When is it easy to push the probe through tissue?
if the bottom of the pocket is ulcerated
48
True or False? First sign of periodontitis is loss of alveolar bone.
F. increased pocket depth
49
What must occur before you will see alveolar bone loss radiographically?
disruption of ct fibers, axial migration of ct attachment
50
What cause the increase in pocket depth in periodontitis?
swelling increasing height in the coronal aspect and loss of ct attachment
51
If you can not see the 2 hashmark on the probe, the pocket depth is:
3, round up
52
What is a pseudo pocket?
no ct loss
53
pseudopockets and periodontal pockets both have:
edema and ulcerated sulcular epithelium
54
periodontal pockets have these three things that pseudo pockets do not:
apical migration of junctional epithelium, loss of ct attachment, loss of alveolar bone loss
55
Hallmark of periodontitis in radiographs:
loss of alveolar bone
56
alveolar bone and alveolar crest should be at this level:
CEJ, 2-3mm apical to CEJ
57
Why can a periodontal patient have coral pink coloration to their gingiva?
fibrosis from long time inflammation
58
What can cause diastamas?
loss of bone and ct attachment (always a C? Depressible?)
59
Probes to explore furcations?
pigtail explorers/ nabers probe
60
What type or probes do we use for implants?
plastic scalers and probes
61
What is the difference between moderate to severe and sever periodontitis ?
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
How do we was the health of the gingiva?
color, form, tissue tone, and BOP
63
How do we assess plaque?
disclose, plaque index (all teeth or indicator teeth)
64
Clinical attachment loss for slight, moderate and severe periodontitis:
1-2mm, 3-4mm, greater than 5
65
Probing depth for slight, moderate and severe periodontitis:
4-5mm, 6-7mm, greater than 7

Introduction to Periodontics and Prevention (8 decks)

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