periodontal dz

Question 1

most common oral disease and cause of tooth loss

Answer 1

periodontal disease

Question 2

mineralized plaque containing bacteria which release endotoxins that cause gingivitis

Answer 2

calculus / tartar

Question 3

if gingivitis is left untreated the inflammatory response results in the destruction of what atteachment

Answer 3

junctional epithelium and epithelial attachment – at the base of the gingiva sulcus exposing the periodontium

Question 4

list diseases that exacerbate the periodontal disease

Answer 4

neutrophil dysfunction
diabetes mellitus 
cushings 
autoimmune 
calicivirus 
xerostomia

Question 5

how does periodontal disease lead to implications such as chronic nephritis, hepatopathies and endocarditis

Answer 5

chronic showering of bacteria into circulation

Question 6

T/F

both gingivitis and periodontal disease are reversible

Answer 6

false - only ginigivits is

Question 7

clinical signs of periodontal disease

Answer 7

halitosis 
accumulation of plaque 
excessive salivation
loose teeth 
low appetite - uncommon
oral discomfort

Question 8

what + attachement loss

Answer 8

the recession measurement + pocket depth

Question 9

periodontal stage 0

Answer 9

normal gingiva

Question 10

periodontal stage 1

Answer 10

ginigivitis only - erythema
bleeds when probed
normal sulcus depth
no attachment loss

Question 11

periodontal stage 2

Answer 11

<25% attachment loss
early periodontitis
can be controlled but not reversed

Question 12

periodontal stage 3

Answer 12

25 - 50% attachment loss

horizontal and vertical bone loss

Question 13

periodontal stage 4

Answer 13

> 50% loss - tooth will be lost

periapical lucencies

Question 14

furcation stage 0

Answer 14

no furcation involvement

Question 15

furcation stage 1

Answer 15

incipient - probe can enter to depth <1mm - soft tissue only

Question 16

furcation stage 2

Answer 16

definite - probe can enter >1 mm - bone loss

Question 17

furcation stage 3

Answer 17

through and through - probe passes horizontally through furcations

Question 18

M0

Answer 18

normal physiologic mobilitity

up to .2mm

Question 19

M1

Answer 19

mild pathologic mobility

.2 - .5 mm

Question 20

M2

Answer 20

moderate pathologic mobility

.5 - 1 mm

Question 21

M3

Answer 21

severe

>1 mm or any axial movement

Question 22

normal dog sulcus depth

Answer 22

1 -3 mm

Question 23

normal cat sulcus depth

Answer 23

0 - 1 mm

Question 24

goal of periodnotal treatment

Answer 24

prevent development of new lesions at other sites and to prevent further tissue destruction at sites already affects

remove biofilms
minimize attachment loss
maintain adequately attached gingiva

Question 25

1 preventative method

Answer 25

mechanical abrasion – aka brush your teeth

Question 26

T/F

antibiotics cure periodontal disease

Answer 26

no.

Question 27

top 4 systemic ABx

Answer 27

clindamycin - clindoral
clavamox
metronidazole
doxycycline - doxirobe gel

Question 28

how long does clindoral last

Answer 28

dogs and cats 7 - 10 days

Question 29

how long does doxirobe gel last

Answer 29

dogs only - 3 -6 weeks

Question 30

another name for mouth gag

Answer 30

oral speculum

Question 31

T/F

never use scaler sharp tip above the gingival margin

Answer 31

false - never below it

Question 32

T/F

work away from the sulcus with the scaler

Answer 32

true

Question 33

how many cutting edges on a curette

Answer 33

one

Question 34

used to measure sulcus depth

Answer 34

periodontal probe

Question 35

used to assess access into pulp cavity and assess for caries lesions

Answer 35

periodontal explorer

Question 36

make sure to disinfect oral cavity before cleaning and chart everything
take rads before and after

Answer 36

yea h

Question 37

T/F

polish is an essential step

Answer 37

true