Periodontal Disease + PSR

Question 1

Periodontitis

Answer 1

chronic gingivitis > inflammatory response extends to attachments > loss of attached gingiva > loss of bone =

Question 2

Clinical Attachment Loss

Answer 2

[CAL] CEJ to Base of Pocket

Question 3

Gingivitis vs. Periodontitis

Answer 3

reversible vs not!

Question 4

Healthy Cementum

Answer 4

0.05mm-0.25mm, thickest at apex, thinnest at CEJ

Question 5

Periodontitis: Local Risk Factors

Answer 5

tilted teeth, oral jewelry, ill fitting appliances, mouth breathing, calculus, occlusal trauma

Question 6

Periodontitis: Host Risk Factors

Answer 6

diabetes, smoking, xerstomia, self-care, stress, Rx, diet, age, gender, history

Question 7

Periodontitis: Stage 1

Answer 7

[initial periodontitis] CAL 1-2mm

Question 8

Periodontitis: Stage 2

Answer 8

[moderate periodontitis] CAL 3-4mm

Question 9

Periodontitis: Stage 3

Answer 9

[severe periodontitis w/ potential tooth loss] CAL >=5mm

Question 10

Periodontitis: Stage 4

Answer 10

[severe periodontitis w/ potential dentition loss] CAL >=5mm

Question 11

Periodontitis: Grade A

Answer 11

[slow rate] no loss over 5 years

Question 12

Periodontitis: Grade B

Answer 12

[moderate rate] <2mm over 5 years

Question 13

Periodontitis: Grade C

Answer 13

[rapid rate] >=2mm over 5 years

Question 14

Periodontitis: Grading Risk Factors

Answer 14

smoking, diabetes

Question 15

PSR

Answer 15

quick, cost effective - early detector of perio disease

Question 16

PSR Probe

Answer 16

WHO, colored band 3.5-5.5mm, Ball tip .5mm

Question 17

PSR Code 0

Answer 17

band visible, no calculus, no bleeding

Question 18

PSR Code 1

Answer 18

band visible, no calculus, bleeding

Question 19

PSR Code 2

Answer 19

band visible, calculus

Question 20

PSR Code 3

Answer 20

band partially visible. 2 or more 3’s = comprehensive perio exam

Question 21

PSR Code 4

Answer 21

band disappears. = comprehensive perio + FMX

Question 22

PSR Code *

Answer 22

abnormalities : furcation, mobility, recession, etc
w/ 3 = comprehensive exam + fmx
w/ 0-2 = localized treatment

Question 23

SBPE

Answer 23

[simplified basic] ages 7-17

Question 24

SBPE Codes 0,1,2 ONLY

Answer 24

Ages 7-11

Question 25

SBPE ALL CODES

Answer 25

Ages 12-17