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BDS4 > Perio Classification > Flashcards

Perio Classification Flashcards

1
Q

How do u treat periodontal disease for a pregnant pt

A

Provide non surgical treatment in second trimester
Avoid traumatic procedures during pregnancy e.g. periodontal surgery

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2
Q

What is clinical gingival health

A

<10% BOP
<or equal to 4mm probing death
Absence of BOP, erythema, edema, pt.symptoms, bone loss with attachment

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3
Q

How do u know whether gingivitis is localised or generalised

A

<30% localised
>30% generalised

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4
Q

Potential modifying factors of plaque induced gingivitis- systemic conditions

A

Puberty
Menstruation
Pregnancy
Oral contraceptives
Hyperglycaemia
Leukaemia
Smoking
Malnutrition

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5
Q

Potential modifying factors of plaque induced gingivitis- oral factors enhancing plaque accumulation

A

Prominent subgingival restoration margins
Hyposalivation

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6
Q

Signs and symptoms of necrotising gingivitis

A

Pain
Severe gingival bleeding
Necrosis of ID papilla
Pseudomembrane formation
Lymphadenopathy
No bone loss

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7
Q

Signs and symptoms of necrotising periodontitis

A

Pain
Severe gingival bleeding
Necrosis of ID papilla
Pseudomembrane formation
Lymphadenopathy
With PDL and bone loss

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8
Q

Signs and symptoms of necrotising stomatitis

A

Pain
Severe gingival bleeding
Necrosis of ID papilla
Pseudomembrane formation
Lymphadenopathy
With severe soft tissue and bone destruction

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9
Q

Causes of necrotising periodontal disease

A

Aids (CD4<200 viral load)
Severe viral infection
Severe malnourishment
Stress/fatigue
Alcohol
Smoking

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10
Q

Tx of necrotising periodontal disease

A

Initial superficial debridement with ultrasonic daily (2-4 days) coupled with Chlorohexidine MW 0.2% 2xdaily- if not responsive metronidazole 400mg 3xday for 3 days
OHI and PMPR- treat systemic predisposing factors
Surgery options once disease stable: gingivectomy (superficial craters), periodontal flap surgery (deep craters)

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11
Q

What is this

A

Necrotising gingivitis

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12
Q

What is this

A

Necrotising gingivitis

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13
Q

What is this

A

Necrotising periodontitis

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14
Q

Periodontitis as manifestation of systemic diseases

A

Papillon lefevre syndrome
Leukocyte adhesion syndrome
Hypophosphatasia
Down syndrome
Ehlers-danlos syndrome

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15
Q

Systemic diseases affecting perio tissues independently of plaque

A

Squamous cell carcinoma
Langerhans cell histocytosis
Osteoporosis
Vit C deficiency
Diabetes

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16
Q

Non dental biofilm causes of gingivitis

A

Infection (herpes- candida albicans)
Congenital (hereditary gingival fibromatosis)
Immune conditions (lichen planus)
Nutritional deficiency (vit C)

17
Q

What is this

A

Periodontitis- Papillon Lefevre Syndrome

18
Q

What is this

A

Periodontal abscess

19
Q

What is each recession type

A

1
2
3

20
Q

What is recession type 1

A

Gingival recession with no loss of interproximal attachment

21
Q

What is recession type 2

A

Gingival recession with loss of interproximal attachment- amount of interproximal attachment loss is less than or equal to buccal attachment loss

22
Q

What is recession type 3

A

Gingival recession with loss of interproximal attachment- amount of interproximal attachment loss is more than buccal attachment loss

23
Q

What does staging of disease show

A

Severity of disease
Interproximal bone loss at worst site

24
Q

How is staging calculated

A

1-mild- <15% or 2mm
2- moderate- coronal third of root
3- severe- mid third of root
4- very severe- apical third of root

25
Q

What does grading show

A

Progression of disease

26
Q

How is grading calculated

A

%BL/age
A- slow- <0.5
B- moderate- 0.5-1
C- rapid- >1

27
Q

What is the difference between a periodontitis diagnosis being currently stable, currently in remission and currently unstable?

A

Stable- BOP<10%, PPD<4mm, no BOP at 4mm sites
Remission- BOP>10%, PPD<4mm, no BOP at 4mm sites
Unstable- PPD >/5mm or PPD<4mm and BOP

28
Q

Steps in perio tx

A

Step 1
Education/OHI/risk factor control/PMPR of all accessible plaque and calculus/arrange review

Step 2
Step 1 plus subgingival instrumentation of pockets>4mm, in some cases with adjunctive measures

Step 3
Step 1+2 plus repeated subgingival instrumentation, periodontal surgery in suitable patients

Step 4
Supportive periodontal care
Risk adapted interval 3-12 months
Continuous monitoring of local and systemic risk factors
PMPR

BDS4 (50 decks)

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