Perio Ch 19 & 20

Question 1

What is the leading cause of dental malpractice claims?

Answer 1

Failure to diagnose periodontal disease

Question 2

When is the periodontal assessment is complete?

Answer 2

Until all information gathered has been accurately recorded in the patient chart.

Question 3

What are the 2 types of assessment?

Answer 3

Periodontal screening

Comprehensive periodontal assessment

Question 4

Results of the periodontal screening and recording into 2 categories?

Answer 4

Periodontal health or gingivitis

Periodontitis

Question 5

Techniques using a PSR screening exam include…

Answer 5

Using a WHO probe.

The WHO probe has a color coded band called a reference mark– located 3.5-5.5mm from the probe tip

Question 6

Code 0 PSR screening

Answer 6

Market is completely visible, no calculus, no bleeding

Question 7

Code 1 PSR screening

Answer 7

Marker is completely visible, no calculus, bleeding

Question 8

Code 2 PSR screening

Answer 8

Marker is completely visible, calculus, defective margins

Question 9

Code 3 PSR screening

Answer 9

Marker is partially visible

Question 10

Code 4 PSR screening

Answer 10

Marker is not visible

Question 11

• indicates what on PSR screening?

Answer 11

A mucogingival defect

Ex:
Furcation involvement
Mobility
Mucogingival problems
Recession

Question 12

Scoring of PSR screening

Answer 12

Assign the code in each sextant that is the most advanced periodontal findings on any tooth in the sextant.

Question 13

Patient with low PSR scores in all sextants are

Answer 13

Considered periodontal pay healthy

No need for further periodontal assessment

Question 14

Patients with 2 code 3 scores or one code 4 score warrants what?

Answer 14

A complete periodontal assessment

Question 15

What is one of the most important functions performed by the clinician?

Answer 15

Clinical periodontal assessment

Question 16

What is a comprehensive periodontal assessment?

Answer 16

An intensive clinical periodontal assessment used to gather information about the periodontium

Question 17

What does BOP represent?

Answer 17

Bleeding from ulcerated soft tissue wall of periodontal pocket

Pressure should be between 10-20g of pressure

Question 18

What is it called when it’s a clear serous fluid?

Answer 18

Supperation

Question 19

What is it called when fluid isn’t clear and there’s pus?

Answer 19

Exudate

Question 20

FGM is slightly coronal to the CEJ means?

Answer 20

Normal position

Question 21

FGM significantly coronal to the CEJ means?

Answer 21

Gingival enlargement

Question 22

FGM apical to the CEJ means

Answer 22

Gingival margin

Question 23

Class 1 recession means

Answer 23

Recession isolated on the facial surface

Fills embrasures

Does not extend to the mucogingival line

Question 24

Class II recession means

Answer 24

Recession isolated to the facial surface

Fills embrasures

Does extend beyond the mucogingival line

Question 25

Class III recession means

Answer 25

Recession extends beyond the facial surface Does not fill embrasures Does extend beyond the mucogingival line

Question 26

Class IV recession means

Answer 26

Loss of hard and soft tissues around entire tooth! Open interdental papilla

Question 27

Horizontal tooth mobility

Answer 27

Movement of a foot in the facial to lingual direction

Question 28

Vertical mobility is

Answer 28

The movement of a tooth up and down in the socket

Question 29

Mobility rate scale- Class I

Answer 29

Up to 1mm in any direction

Question 30

Mobility rating scale Class II

Answer 30

Greater than 1mm in any directions but not depressible in pocket

Question 31

Mobility rating scale Class III

Answer 31

Facial- lingual movement and is depressible in the socket

Question 32

Fremitus rating scale N

Answer 32

Normal (without movement)

Question 33

Fremitus rating scale +

Answer 33

Only slight palpable movement

Question 34

Fremitus rating scale ++

Answer 34

Clearly palpable but barely visible movement

Question 35

Fremitus rating scale +++

Answer 35

Movement clearly visible

Question 36

Furcation classification Class I

Answer 36

Curvature of concavity can be felt with the probe tip, the probe penetrates no more than 1mm

Question 37

Furcation classification Class II

Answer 37

The probe tip penetrates into the Furcation greater than 1mm but does not pass through

Question 38

Furcation classification Class III

Answer 38

The probe passes completely through the Furcation which is still covered by soft tissue

Question 39

Furcation classification Class IV

Answer 39

Same as class III except entrance to Furcation is clinically visible bc of recession of the gingival margin

Question 40

What is an inadequate attached gingiva level?

Question 41

How do you calculate the width of the attached gingiva?

Answer 41

Measure the pocket depth Measure the total width of the gingiva Subtract pocket depth from total width

Question 42

Difference in probing depths vs CAL

Answer 42

Probing depths measured from gingival margin to the base of the sulcus CAL is measured from the CEJ to the base of the sulcus

Question 43

What is a critical factor in distinguishing between gingivitis and periodontitis?

Answer 43

Loss of attachment

Question 44

When the gingival margin is ____, no calculations are needed

Answer 44

Slightly coronal to or at the level of the CEJ Probing depth=CAL

Question 45

If the gingival margin is significantly coronal to the CEJ, CAL will be ____ than the pocket depth

Answer 45

Less

Question 46

When recession is present (the GM is apical to the CEJ) CAL will be ___\ than the pocket depth

Answer 46

Greater CAL= visible recession + pocket depth

Question 47

Notations for the free gingival margin slightly coronal to the CEJ?

Answer 47

0

Question 48

Notations for the free gingival margin significantly covering the CEJ

Answer 48

-

Question 49

Notation that the free gingival margin is apical to the CEJ

Answer 49

+

Question 50

Interseptal bone changes

Answer 50

Finger like radiolucent projections extending from the crestal bond into the interdental alveolar bone

Question 51

Triangulation

Answer 51

Widening of the PDL space caused by bone resorption. Also called funneling

Question 52

Crestal irregularities

Answer 52

Fuzziness in crest of interdental bone

Question 53

Which arch is Furcation easier to see on?

Answer 53

Mandibular