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Periodontics II > Midterm > Flashcards

Midterm Flashcards

1
Q

Exposure to chronic PD increases an individual’s risk of developing Alzheimer’s disease by how much?

A

4x

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2
Q

In pts with Diabetes High CRP promotes what?

A

insulin release

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3
Q

Pts with Diabetes are how much more likely to have PD?

A

3x

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4
Q

For every 1mm of bone loss from PD, the risk of what, increases 2-3x?

A

Head and Neck Cancers

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5
Q

Pts with higher BMI ten to have higher levels of …

A

CRP

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6
Q

In Obese pts, calorie reduction leads to decreased what?

A

gingival bleeding and rate of PD progression

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7
Q

25% of dental school population require a …

A

medical consultation

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8
Q

When looking at BWs what should be parallel?

A

CEJ and crest of bone

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9
Q

When charting what 3 things do you want in the initial note?

A

Diagnosis, Prognosis, Tx Plan

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10
Q

What is the Diagnosis based on?

A

CAL from CEJ

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11
Q

What is the Tx Plan based on?

A

pocket depths from probing

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12
Q

What is the Radiographic Appearance of Normal Bone Levels?

A

Does NOT come all the way to the level of the CEJ, but should be parallel to it

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13
Q

What type of bone lose is more problematic and why?

A

vertical bone loss because it is a sign of aggressiveness

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14
Q

Type of epithelium is determined by its …

A

associated CT

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15
Q

What is the attachment and keratinization of the Secular Epithelium?

A

unattached and keratinized (but appears non-keratinized)

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16
Q

What are 3 intra-oral findings that have an impact on perio health?

A

Tori, Developmental grooves, Frenum

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17
Q

Mobility is the degree of looseness of a tooth when we move it due to …

A

inflammation and/or bone loss

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18
Q

How do we test/quantify mobility?

A

must use 2 hard instruments

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19
Q

Movement (mobility) in what dimension signals major problems?

A

vertical

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20
Q

What is the Grade of Mobility? < 1mm horizontal movement only?

A

1

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21
Q

What is the Grade of Mobility? >/= 1mm horizontal movement only?

A

2

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22
Q

What is the Grade of Mobility? > 1mm AND depressible (horizontal and vertical movement)

A

3

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23
Q

How do you detect Fremitus?

A

with fingers, earlier than bi-digital mobility

24
Q

What component of the Perio Chart is Periodontal Tx primarily based on?

A

probing depth

25
Q

What component of the Perio Chart is Diagnosis based on?

A

attachment loss

26
Q

What Class of Furcation has a depression that does NOT catch the probe?

27
Q

What Class of Furcation has a furcation deep enough to catch the probe but not contiguous with other furcations on the same tooth?

28
Q

What Class of Furcation has bone loss through and through, but covered with gingival tissue?

29
Q

What Class of Furcation has bone loss through and through and directly exposed to the oral environment, the gingival margin is apical to the entrance of the furcation?

30
Q

When calculating CAL, the level of … is key and must compare it to the level of the …

A

gingival margin; CEJ (ground zero)

31
Q

What is the calculation/measurement for Amount of Attached Gingiva?

A

MGJ to gingival margin - probing depth

32
Q

What is the Miller Classification for Recession: recession not to MGJ, no interproximal bone or papilla loss, 100% coverage?

33
Q

What is the Miller Classification for Recession: REC past MGJ, no IP bone or papilla loss, 100% coverage?

34
Q

What is the Miller Classification for Recession: REC past MGJ, IP bone or papilla loss, malposition, partial coverage?

35
Q

What is the Miller Classification for Recession: REC past MGJ, several IP bone or papilla loss, malposition, no coverage?

36
Q

What is Linear Gingival Erythema associated with?

A

HIV and Candida Albicans

37
Q

What Periodontal Classification has; probing depth 3-5mm, CAL 1-2mm, BOP, positive response to therapy

A

Slight Chronic Periodontitis

38
Q

What Periodontal Classification has; probing depth 5-7mm, CAL 3-4mm, BOP?

A

Moderate Chronic Periodontitis

39
Q

What Periodontal Classification has; Probing depth > 7mm, CAL 5-7mm, furcation 1-3, BOP, fremitus and mobility, horizontal bone loss seen radiographically?

A

Severe Chronic Periodontitis

40
Q

What bacteria are associated with LAP?

A

Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis

41
Q

What are the drugs that cause gingival hyperplasia?

A

Phenytoin - seizures
Cyclosporin - immunosuppressant
Calcium Channel Blockers - related to heart disease
CNS Stimulants (Ritalin) - ADHD

42
Q

What is the tooth with the worst perio diagnosis?

A

Max 2nd Molars

43
Q

What bacteria are associated with plaque formation - initial colonization?

A

gram +, facultative; actinomyces viscosus, Streptococcus sanguis

44
Q

What bacteria are associated with plaque formation - secondary colonization and plaque maturation?

A

gram -, anaerobic; F. necleatum, P. gingivalis, T. Denticola

45
Q

Habitat has been altered by non-microbial factors

A

Allogenic Succession

46
Q

Resident microbial community alters the environment to such a degree that it is replaced by other species more suited to the modified habitat.

A

Autogenic Succession

47
Q

Caries and perio result from production of toxic substances caused by total plaque flora

A

Non-specific Plaque Hypothesis (NSPH)

48
Q

Only certain plaque is pathogenic, depends on the presence of or increase in specific microorganisms

A

Specific Plaque Hypothesis (SPH)

49
Q

What is required in addition to pathogenic bacteria, before disease may occur?

A

susceptible host

50
Q

What are the 3 Red Complex Bacteria?

A

P. gingivalis, T. Denticola, B. forsythus

51
Q

What are the 6 Orange Complex Bacteria?

A

P. intermedia, P. nigrescens, P micros, E. nodatum, C. rectus, C. showae

52
Q

What makes RA worse?

A

P. gingivalis

53
Q

What is associated with T. Denticola?

54
Q

What is formed 2-7 days after SRP?

A

long thin Junctional Epithelium (restoring epithelialization of the sulcus) interrupted by islands of CT

55
Q

What endotoxin is released from gram - bacterial cell walls

A

Lipopolysaccharides

56
Q

What are the bacterial constituents capable of inducing bone resorption?

A

leukotoxins produced by Aa, gingi-pains produced by p. gingivalis

57
Q

Following SRP, sub gingival bacteria should shift back to …

A

aerobic, gram+, non-motile forms

Periodontics II (1 decks)

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