Periodontal and Risk Assessment Flashcards

1
Q

list modifiable risk factor for periodontal disease (11)

A
smoking
diabetes
specific bacterial pathogens
poor self-care
osteoporosis
HIV and acquired immunodeficiency syndrome
stress
bleeding on probing
medications
local factors
hormonal variables
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2
Q

list nonmodifiable risk factors for periodontal disease (6)

A
hx of periodontitis
age
gender
race
genetic disorders
genetic marker
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3
Q

what PSR code does the following description describe?

coloured area of probe remains completely visible in deepest probing depths in sextant

no calculus, bleeding or defective margins detected

gingival tissues are healthy

A

PSR Code 0

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4
Q

what PSR code does the following description describe?

coloured area of probe remains completely visible in deepest probing depth in sextant

no calclus or defective margins detected

there is bleeding on probing

trmt: osc recommendations, subgingival plaque removal

A

PSR Code 1

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5
Q

what PSR code does the following description describe?

coloured area of probe remains completely visible in deepest probing depths in sextant

supra- or subgingival calculus detected and/or defective margins detected

trmt: osc recommendations, subgingival plaque removal, calculus removal and correction of overhanging and defective margins of restos

A

PSR Code 2

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6
Q

what PSR code does the following description describe?

coloured area of probe remains parly visible in deepest probing depth in sextant

trmt: comprehensive periodontal assessment and charting of affected sextant are necessary to determine appropriate trmt plan, examination and documentation should include; probing depths, mobility, gingival recession, mucogingival probs, furcation invasions and rads

A

PSR Code 3

*** IF 2 OR MORE SEXTANTS SCORE CODE 4, A COMPREHENSIVE PERIODONTAL ASSESSMENT AND EVALUATION ARE INDICATED

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7
Q

what PSR code does the following description describe?

coloured area of probe completely disappears (probing depth >5.5mm)

A

PSR Code 4

Comprehensive full mouth periodontal assessment and evaluation are necessary to determine an appropriate trmt plan

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8
Q

When is an “*” added to a PSR code?

A

added to sextant score whenever findings indiciate clinical abnormalities such as:
furcation involvement
mobility
mucogingival problems
recession extending to the coloured area of the probe (3.5mm or greater)

** comprehensive full-mouth examination and charting necessary to determine an appropriate trmt plan

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9
Q

what furcation class is described below?

beginning involvement
concavity of furcation can be detected with an explorer or probe but cannot enter
cannot be detected radiographically

A

class 1

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10
Q

what furcation class is described below?

clinician can enter furcation from one aspect with a probe or explorer but cannot penetrate through to opposite side

A

class 2

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11
Q

what furcation class is described below?

through and through involvement but furcation is still covered by soft tissue
a definite radiolucency in furcation area on a radiograph visible

A

class 3

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12
Q

what furcation class is described below?

through and through furcation involvement that is not covered by soft tissue
clinically open and exposed

A

class 4

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13
Q

what class of mobility is being described?

tooth can be moved up to 1mm in any direction

A

class 1

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14
Q

what class of mobility is being described?

tooth can be moved >1mm in any direction but is not depressible in socket

A

class 2

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15
Q

what class of mobility is being described?

tooth can be moved in a buccolingual direction and is depressible in socket

A

class 3

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16
Q

what class of fremitus (vibration) is being described?

mild vibration or movement detected

A

class 1

17
Q

what class of fremitus (vibration) is being described?

easily palpable vibration but no visible movement

A

class 2

18
Q

what class of fremitus (vibration) is being described?

movement is clearly visible

A

class 3

19
Q

list 4 radiographic signs of occlusal trauma

A

widening of PDL space
loss of lamina dura
radiolucencies at tooth apices in a vital tooth
root resorption

20
Q

list 7 clinical signs of occlusal trauma

A

tooth pain or discomfort on chewing or percussion
tooth migration
wear facets exceeding expected levels for ct
fremitus
chipped enamel
tooth mobility
root fractures

21
Q

what percentage of bone loss is considered severe periodontitis?

A

more than 30% bone loss

22
Q

what percentage of bone loss is considered moderate periodontitis?

A

approx. 20-30% bone loss

23
Q

what are the ramfjord teeth? in a child and adult

A

3, 9, 12, 19, 25 and 28