Perio 2

Question 1

State free from inflammatory periodontal disease

Answer 1

Allows individual to function normally and avoid consequences (mental or physical) due to current or past disease

Question 2

Characteristics of periodontal health

Answer 2

Absence of
-bleeding on probing
-erythema
-edema
- pt symptoms
-attachment loss
-bone loss

Question 3

Intact periodontium

Answer 3

No loss of periodontal tissue (EVER)

Question 4

Reduced periodontium

Answer 4

Pre existing loss of periodontal tissue but no current activity of loss of CT or alveolar bone

Question 5

Periodontal health can have

Answer 5

Intact or reduced periodontium

Question 6

Categories of periodontal health

Answer 6

1) intact periodontium
2) reduced periodontium
3) reduced periodontium in successfully treated stable periodontitis patients

Question 7

Common characteristics of gingivitis

Answer 7

Bacterial plaque biofilm accumulated at or below gingival margin
Signs of inflammation to the gingiva
No attachment loss
Reversible inflammation

Question 8

Gingivitis plaque induced modified by systemic conditions

Answer 8

Diabetes
Hormones
Pregnancy
Leukemia
Smoking
Malnutrition
Medications

Question 9

Most common type of periodontal disease

Answer 9

Plaque induced gingivitis

Question 10

The primary strategy for preventing periodontitis

Answer 10

Managing gingivitis

Question 11

Inflammation in children is ____ as in adults

Answer 11

Not as intense

Question 12

____ have fewer pathogenic bacteria in plaque biofilm than ___

Answer 12

Children, adults

Question 13

Children’s immune response is ____ and therefore ___ the same response to plaque biofilm

Answer 13

Less developed, do not have

Question 14

Clinical signs of plaque induced gingivitis

Answer 14

-Change in color most evident at gingival margin
-Edema swelling
-bleeding evident upon gentle probing
-tenderness

Question 15

Papillary gingivitis

Answer 15

Involves interdental papillae

Question 16

Marginal gingivitis

Answer 16

Includes interdental papillae plus adjacent gingival margin

Question 17

Diffuse gingivitis

Answer 17

Includes interdental papillae,gingival margin, and contiguous attached gingiva

Question 18

Acute gingivitis

Answer 18

Short duration, return to health after good patient self care

Question 19

Chronic gingivitis

Answer 19

Long lasting, may exist for years without progression

Question 20

Three categories of plaque induced gingivitis

Answer 20

1) Intact periodontium (no bone loss)
2) Reduced periodontium (bone loss) in successfully treated stable perio pt
3) reduced periodontium (bone loss) in a non-perio pt

Question 21

Gingivitis on a reduced periodontium in a non perio Pt

Answer 21

From ortho, can result in recession

Question 22

Levels of sex hormones cause

Answer 22

Bright red tissue, soft, thinly stretched, smooth and bleed easy

Question 23

Pregnancy associated gingivitis

Answer 23

Exaggerating inflammation response usually 2nd or 3rd trimester

Question 24

Pyogenic granuloma

Answer 24

Most common in maxillary and gingival papillae
Mushroom like growth
Not cancerous
Not painful
Exaggerated response to irritation
Growth bleeds if easily distributed
Regresses after giving birth

Question 25

Hyperglycemia

Answer 25

Poorly controlled diabetes

Question 26

Leukemia

Answer 26

Plaque biofilm not a prerequisite

Question 27

Smoking

Answer 27

Gingival fibrosis is evident

Question 28

Malnutrition

Answer 28

Lack of vitamin C

Question 29

Gingivitis with diabetes

Answer 29

Inflammatory response of the gingiva to plaque with a poorly controlled blood glucose level Reduction in gingival inflammation may result in Reduction of insulin Often seen in children with poorly controlled type 1

Question 30

Gingivitis with Blood Dyscrasias- Leukemia

Answer 30

Often the 1st clinical sign is oral changes Enlarged tissue, Bleeding, Swollen, red-deep purple, spongy, shiny, tear easy, Bleed with little provocation Changes begin in papilla

Question 31

Drug influenced gingival enlargement

Answer 31

Increase in the size of the gingival resulting from systemic medications Within the first 3 months, irregular pattern starting in the papillae, Anterior is more effected, Severity depends on the ability to remove plaque, Increase in cervical areas fluid and bleeding, with no attachment loss

Question 32

Drug influenced gingivitis

Answer 32

Exaggerated inflammatory response to dental plaque and a systemic medcation

Question 33

Meticulous plaque control ____ but

Answer 33

Can… will not eliminate gingival overgrowth

Question 34

Medications most commonly associated with Gingival enlargement

Answer 34

Anticonvulsants- Seizure Calcium channel blockers- Hypertension Immunosuppressants- lowered immune response

Question 35

Gingival enlargement has a higher prevalence

Answer 35

In children that is first observed in the interdental papilla

Question 36

Malnutrition groups that are most a risk for plaque induced gingivitis

Answer 36

Infants, Institutionalized elderly, Alcoholics

Question 37

Vitamin deficiencies

Answer 37

Ascorbic acid deficiency gingivitis = low levels of vitamin C Vitamin A = Healthy sulcular epithelium Vitamin B complex = healthy mucosal tissues

Question 38

Ascorbic acid deficiency

Answer 38

Bright red, Swollen, Ulcerated, Bleeds easily