Module 9 Flashcards
What is the MAIN reason/sign differing Perio from Gingivitis?
Loss of Attachment of JE
In perio the JE migrates where?
to the cementum
Perio is the #1 reason for ________ _________ in adults?
tooth loss
What is the inflammatory route in Horizontal Bone Loss?
Gingival Connective Tissue
Alveolar Bone
PDL
What is the inflammatory route in Vertical Bone Loss?
Gingival Connective Tissue
PDL
Alveolar Bone
A Grade 3 furcation involvement goes _____mm through the furcation?
3
A Grade 4 furcation involvement goes ________mm through the furcation?
Through and Through
A Gingivitis pocket is acturally termed a?
Pseudo pocket (due to inflammation not bone loss)
What type of pocket is seen in horizontal bone loss?
Suprabony
Vertical bone loss has a _______ pocket?
infrabony
What are the 3 major categories of Periodontitis?
Chronic
Aggressive
Less-common
What kind of Periodontitis is most commoon?
Chronic
Chronic Perio was first called?
Adult Perio
What age does Chronic Perio USUALLY occur?
> 35
A person with chronic perio and pale pink gingiva will still have ____ and _____ but the tissue will be ______?
pocket depths
bleeding on probing
firm
The estimate of the extent of the loss of the supporting structures of a tooth is termed?
CAL Clinical Attachment Loss
T/F attachment loss is not normally seen in the adult population?
F-
1-2 mm is typically found in all adult population
Mild:
Mod:
Sev:
Bone Loss Levels
1-2
3-4
5 or >
Localized Chronic Perio affects ___% of mouth?
<30
Chronic Perio is usually _____ and progresses ______?
painless
slow/mod pace
What precedes chronic perio?
plaque-induced gingivitis
What does Recurrent Perio mean?
Have new signs and symptoms AFTER perio therapy is performed.
What does Refractory Perio mean?
You have aditional attachment loss AFTER therapy and DESPITE good OH and maintenance appts.
What is the correct term for Early Onset Perio?
Aggressive Perio
Aggressive Perio usually affects what age group?
<30
Aggressive Perio is seen with an elevated number of ________ bateria?
A.A.
Aggressive Perio is often found with elevated production of prostaglandin __ and Interleukin ___?
E2
1B
Aggressive Perio has an _______ disease progression?
episodic
Episodic disease progression means?
acute destruction phases as well as intermittent innactive phases
Localized Aggressive Perio usually affects what age group?
puberty
What teeth and how many teeth are affected in Localized Aggressive Perio?
1st molars and/or incisors
+ < 2 other teeth not above
What is a GOOD radiographic sign of Localized Aggressive Perio if the patient presents with healthy gingiva clinically?
Vertical bone loss on 1st molars and/or incisors
What age does Generalized Aggressive Perio USUALLY affect?
> 30 but can be older
Generalized Aggressive Perio affects what and how many teeth?
1st molars and or incisors
+ 3 or more other teeth
What kind of perio would someone have thats cause is a systemic condition NOT plaque?
Perio as a manifestation of a systemic disease
What are some examples of systemic diseases that can CAUSE perio alone?
Neutropenia
Leukemia
HIV/AIDS
NUP stands for?
Necrotizing Ulcerative Perio
NUP can cause loss of attachment in what time frame?
days
A person with NUP would have ___/___ papilla and have rapid ____ formation?
punched-out
cratered
ulcer
NUP is covered by a _____ that is ______ colored?
pseudomembrane
yellow/white/gray
The 1st lesions of NUP usually affect what teeth?
Mand. Anterior
What are 3 systemic signs of NUP?
Swollen lymph nodes
Fever
Mallaise
What anatomic factor can cause the JE to migrate?
Enamel Pearls
What tooth has a palato-lingual groove?
MX lateral incisors
What is the most common muco-gingival deformity?
Recession
