Periodontal disease

Question 1

List the 4 peridontal tissues

Answer 1

gingiva
peridontal ligament
alveolar bone
cementum

Question 2

List 2 diseases that affect peridontal tissues

Answer 2

gingitivitis
peridontitis

Question 3

T/F gingitivitis is reversible

Answer 3

True
need to remove plaque from teeth

Question 4

what is a likely sequel to gingivitis

Answer 4

peridontitis
occurs if we don’t treat gingivitis

Question 5

T/F periodontitis is reversible

Answer 5

False

Question 6

Describe how you can slow or arrest peridontitis

Answer 6

brushing - to remove plaque

Question 7

List 5 local predisposing factors to peridontal disease

Answer 7

calculus
overcrowding
gingival abnormalities
foreign bodies
trauma

Question 8

List 7 local complications of peridontal disease

Answer 8

can affect adjacent teeth
Abscess
Osteitis
Osteomyelitis
Stomatitis
Ulceration
Faucitis

Question 9

List 3 systemic complications of peridontal disease

Answer 9

bacteraemia
dissemination to organs- e.g. kidneys, heart, liver
pregnancy, performance

Question 10

Describe how to prevent periodontal disease

Answer 10

oral hygiene (brush teeth) and homecare

Question 11

describe how to treat periodontal disease

Answer 11

identification and extraction of teeth beyond repair
professional cleaning and beginning homecare

Question 12

describe how to debulk calculus

Answer 12

hand scale
calculus forceps

Question 13

What should you do before scaling

Answer 13

probe and chart

Question 14

what does scaling do

Answer 14

removes calculus
removes plaque biofilm

Question 15

How does ginigivitis develop

Answer 15

Bacterial colonisation
plaque formation
calculus
inflammation (submucosa)
gingival erosions
ulcers
recession

Question 16

why can the host immune system not destroy plaque / bacterial build up on teeth

Answer 16

because the bacteria is adjacent to the tissues not within them

Question 17

How does periodontitis develop

Answer 17

oedema occurs and sulcus deepens
attachment is lost an bone begins to narrow (vertical bone loss)
gingival recession occurs and roots become exposed (horizontal bone loss)

Question 18

what is faucitis

Answer 18

inflammation of the cavity of the back of the mouth

Question 19

why is polishing no longer recommended

Answer 19

it can scuff and heat the tooth and in most cases it is not needed

Question 20

if animals wont let you brush their teeth what can be done instead

Answer 20

chlorohexidine mouth wash
dental chews dental diets