Periodontal Diagnosis Flashcards
What are the clinical features of gingival health on an intact periodontium?
- Absence of bleeding on probing
- Absence of erythema
- Absence of edema
- Absence of patient symptoms,
- Absence of attachment and bone loss.
What are the clinical features of gingival health on a reduced periodontium?
- Absence of bleeding on probing
- Absence of erythema
- Absence of edema
- Absence of patient symptoms
In the presence of reduced clinical attachment and bone levels.
What is periodontitis?
Periodontitis is inflammation of the (periodontium) supporting structures of the teeth. It is one of the most common human diseases.
What are the characteristics of periodontitis?
Deep pockets (associated with calculus formation)
Gingival recession
Loss of periodontal attachment
Alveolar bone loss
Furcation involvement
Bleeding on probing
Suppuration (pus)
Swelling (oedema)
When is a periodontal pocket diagnostic of periodontitis?
If pocket depth >= 4mm; periodontitis
If pocket depth < 4mm and no bleeding; healthy
What is gingival recession?
Apical migration of the junctional epithelium
resulting in exposure of the root surface
What happens to the teeth when there is alveolar bone loss?
Cumulative alveolar bone loss results in a weakening of the supporting structures of teeth and predisposes the patient to tooth mobility and loss. It is one of the hallmarks of periodontitis.
What is a furcation defect?
A furcation defect is bone loss, usually a result of periodontal disease, affecting the base of the root trunk of a tooth where two or more roots meet
What are the symptoms of periodontitis?
Bleeding gums (metallic/altered taste)
Pain (soreness)
Halitosis
Difficulty eating
Appearance (swollen red gums)
Reduced oral health–related quality of life
Plus:
Tooth mobility and loss
Gaps between teeth
Suppuration/periodontal abscesses
Sensitive teeth
