perio exam 2: chronic perio Flashcards
clinical features of chronic perio 10:
- ging morphology changes like color texture volume
- bop
- inc probe depth
- att loss disease hallmark
- ging recession
- alveolar bone loss
- furcation involvement
- increased tooth mobility
- drifting of teeth
- tooth loss
oes probing depth =Aloss? (att loss)
no!
what is the normal level of the cej from the bone?
2mm; >2 maybe bone loss
symptoms of chronic perio
1. mostly painless localized dull pain/gingival tenderness, itching gums 2. loose teeth 3. food impaction 4. drifted teeth/inc spacing 5. root sensitivity 6. bleeding gums
define extent and severity
extent-how many sites and severity-how bad
extent categories
extent-
localized 30% of sites or less v generalized-over 30%
severity categories
severity: slight 1-2mm moderate 3-4 mm severe 5mm and +
typical diagnosis?
generalized slight with localized moderate chronic perio
population distribution of disease severity
% very susceptible=?
% mixed susceptibility=?
% not susceptible=?
10%;80%10%
assessing risk for disease
define risk factor
env, bacterial, behavioral, or biological factors that when present inc likelihood of developing the disease
assessing risk for disease
risk factors
longitudinal evidence and intervention can modify risk factors ex. smoking and diabetes
smoking and cp
more fibrous;
my notes: studies suggest stop smoking eliminate like ~50% of perio
assessing risk for disease
risk determinant: non modifiables (2)
- age
2. gender
risk indicators-define and 3 ex’s
putative factors id’ed in cross section but not confirmed longitudinally
- hiv/aids
- osteoporosis
- infrequent dental visits
risk markers/predictors define and 3 ex’s
a characteristic associated with elevated risk for disease but may not be part of the causal disease chain
- furcation involvement
- calculus
- history of att loss