Perio test 1 deck #1

Question 1

Chief complain

Answer 1

The reason the patient came in on that day!

Question 2

What is the 1st thing done at appointment?

Answer 2

Med History!

Question 3

What is erosion
abrasion
attrition

Answer 3

erosion is chemical (GERD)
Abrasion is mechanical wear (brushing hard things)
Attrition is tooth to tooth occlusal bruxism

Question 4

You have something odd looking in the mouth.

what are your possible actions? (3)

Answer 4

• Touch it (texture hardness)
• Probing depth
• Vitality testing

Question 5

Reasons in the mouth for Mobility

3 common

3 Rare

Answer 5

Loss of bone (not soft tissue necessarily)

Trauma of excess occlusion

Hypofunction

RARE: lady problems,Inflammation and Root/Bone RESORPTION.

Question 6

Inflammation causes mobility?

If yes, how?

Answer 6

Soft tissue degradation

Question 7

Class I mobility

Answer 7

Distinguishable move

Question 8

Class II mobility

Answer 8

1 mm in any direction

Question 9

Class III

Answer 9

1 mm PLUS in any direction OR depressable

Question 10

Cause of anterior migration

Answer 10

Loss of bone support AND tongue flaring

Question 11

Cause of posterior migration

Answer 11

Inter proximal wear and “Mesial Migration”

Question 12

PD abscess

• Vitality?
• Pain?

Answer 12

Vitality is Positive (vital)

Not Painful

Question 13

Endo abscess

• Vitality?
• Pain?

Answer 13

Vitality is negative

PAIN

Question 14

What do we use for obtaining BOP for each tooth?

Answer 14

Sulcus Bleeding Index

Question 15

Abnormal contouring

-Edema vs Fibrosis

Answer 15

Fibrous - Firm and not bleeding (RESPONSE to prev inflammation.

Edema-Depressable and probs bleeding

Question 16

Attachment level = (yes it is a math question)

Answer 16

Recession + probing depth

Question 17

If Puss is found what is the % chance of finding Blood

Answer 17

90% chance

Question 18

What type of probe is used for furcation?

Answer 18

Navers probe (curved probe (SPENCER))

Question 19

Suppuration is

Answer 19

Puss

Question 20

Attached Gingiva = (MATH)

Answer 20

Keratinized gingiva MINUS Probing depth

Question 21

Tools to find Alveolar bone loss (3)

Answer 21

• Circumferential probing
• Transgingival probing
• Radiographs

Question 22

Why would you use a Roll technique in the mouth?

Answer 22

To find the mucogingival junction.

Question 23

Why are vertical bitewings used

Answer 23

Least distortion of INTERDENTAL SEPTA!

Question 24

Periapical film technique?

Answer 24

Long-cone Paralleling

Question 25

The Best CEJ/Alveolar crest relationship found in what type of X-ray?

Answer 25

Vertical bitewing

Question 26

How much bone loss is needed to be evident in xray

Answer 26

0. 5 to 1.0 mm of loss

- STILL often underestimates

Question 27

Normal height from CEJ to crest?

Answer 27

2.0 mm

Question 28

What is the calculated percent loss per mm of bone?

Answer 28

10% per mm of bone loss

Question 29

Patients with inherently short roots have what percent bone loss per mm?

Answer 29

20% per mm of bone loss

Question 30

For bone density how much loss is needed to identify on X-ray?

Answer 30

30% loss of density?

Question 31

Classifying Periodontitis based on % bone loss

40%

Answer 31

40 Advanced

Question 32

Furcation heights (involvement). MAX

Answer 32

Maxillary(3)

• Mesial 3mm
• Buccal 4mm
• Distal 5mm

Question 33

Furcation heights (involvement.) MAND

Answer 33

Mandibular (2)

• Buccal 3mm
• Lingual 4mm

Question 34

LAP LOCATION

-Visualize LAP???

Answer 34

1st Molars and Incisors involved

-LAP seen well on X-rays!

Question 35

Occlusal trauma Symptoms for diagnosis (3)

Answer 35

1. Widened PDL (space)
2. Angular bone Loss
3. Root resorption