Perio Epidemiology Flashcards
Gingivitis vs Perio
Gingivitis: acute, involves gingiva, reversible
Perio: chronic, involves gingiva, attachment apparatus and bone, irriversible
Gingivitis vs Perio
Gingivitis: acute, involves gingiva, reversible
Perio: chronic, involves gingiva, attachment apparatus and bone, irriversible
how many % have gingivitis? perio?
94% gingivitis
47% perio
What host response agents create CT/bone loss?
cytokine
prostaglandins
MMP
What host response agents create CT/bone loss?
cytokine
prostaglandins
MMP
how many % have gingivitis? perio?
94% gingivitis
47% perio
prevalence of aggressive periodontitis?
less than 1%
What host response agents create CT/bone loss?
cytokine
prostaglandins
MMP
Major risk factors for perio disease?
Poor oral hygiene
Smoking
Diabetes
Genetics
Smoking leads to?
tooth loss
deeper pockets
more calculus
more attachment/bone loss
Area most often affected in smoking?
front teeth/palate
Mechanism of smoking affect on periodontium
More pathogens
Impaired immune response
Impaired healing
Diabetes affect on connective tissue?
alters metabolism, slows healing and bone remodeling
Diabetics have how many fold increase in developing perio disease? RIsk compared to smoking?
2.3x, comparable to smoking
Diabetes vs attachment and bone loss?
approx 3x higher
Age vs periodontitis?
older is worse
Diabetes affect on connective tissue?
alters metabolism, slows healing and bone remodeling
How would perio disease affect systemic health?
inflammatory response and insulin resistance
Genetic component thouguht to be due to?
overexpression of IL-1
Age vs periodontitis?
older is worse
Gender vs periodontitis?
higher for men
Race vs periodontitis?
greater for black and mexican
Poor nutrition vs periodontitis?
Vitamin C important, contributes to severity
Alcohol vs periodontitis?
dose dependent severity
Meidcations that can cause gingival enlargement?
Anticonvulsants (phenytoin, cyclosporine, nifedipine)
Immuno-suppressants
Ca channel blockers
Toothbrush abrasion pattern? Causes?
horizontal non-carious v-shaped grooves
Gingival recession and root sensitivity
Tooth anatomy that can lead to perio disease?
cervical enamel projection
radical groove
Occlusal trauma combined with what = loss of atttachment?
gingival inflammation