Perio Risk Flashcards
early studies suggested periodontitis was _____
pandemic and everyone would get it
___ out of ____ American adults aged 30 and over has periodontal disease
1 out of 2
an estimated ____ million american adults have periodontitis
64.7 million-probably not too important
Risk
probability that an individual will get a specific disease in a given period of time
Risk indicator
probable or putative risk factors identified in cross sectional, but not confirmed in longitudinal studies
Risk Factor
local, genetic, or environmental factors that, when present, increase the likelihood of disease (ID through longitudinal studies)
Risk indicator vs Risk Factor
Factor has been studied and identified
Factors of periodontal disease
Local factors
Environmental factors
Systemic factors
Economic factors
Local factors
have an impact on the tooth-such as anatomy, number of pockets over 6mm, quality of bacteria, calculus, number of missing teeth and location, iatrogenic
does calculus cause periodontal disease?
NO-still a disruption though
Environmental factors of periodontal risk
smoking/tobacco/alcohol
iatrogenic factors
Cause not known
Systemic factors of perio
age, gender, genetics, pregnancy, HIV, artery disease,osteoporosis, vascular disease, obesity, stress, medications, hormone, diabetes, nutrition
economic factors
SES, education, lack of dental home? what
effective treatment of periodontitis would be enhanced through development of _______ models for risk assesment
multifactorial
women with higher perio rates have higher rates of pre-term labor-not a question-omg this is boring
..
Subject level periodontal risk… (list of stuff)
What factors influence the person?
Modifiable…
OHI/ Motivation
Bone loss related to age
Smoking
poor restoration
Non-modifiable…
Genetics and Systemic Factors
Diabetes
Tooth level periodontal risk… (list of stuff)
what factors influence the tooth?
Mobility / Furcations • Residual Periodontal support • Poor Restorations • Local Irritating Factors • Tooth Position
Site Level Perio Risk list
what factors influence the sites?
Local Irritating Factors/ Calculus • BOP/ Suppuration • Pocket Depth • Clinical Attachment Loss
endocrine disorders cause
wounds, healing, defect-work with MD
Osteoporosis
loss of bone mineral density
hyperplasia
swollen gingiva
the two main factors of periodontitis
the biofilm and host
wellness model
focus on primary prevention-early intervention for high risk subjects
larger shaded area on continuous risk assesment
more risk
PRC developed by
Periondontal Risk Calculator was developed by Page and Martin
PRC factors (how many)
9
The 9 factors of PRC
-Age
-Smoking history
-Diagnosis of diabetes
-History of periodontal
surgery
-PD
-Furcation
-Restorations or calc below gingival margin
-Radiographic bone height
-vertical bone loss
Practitioners generally were (above or below) OHIS perio treatment risk assesment
they were inconsistent-mainly below.. just know they undertreat
only use radiographs taken within ______
6 months
choose the most ideal radiograph of the ______ site to make your bone loss measurement in each sextant
deepest site
_______ x-rays are best for checking bone loss
vertical BW
Measure from ____ to first sign of ______ along the root surface to measure the bone
CEJ to PDL
