Periodontal examination

Question 1

when do you do a medical consult for a diabetic patient?

Answer 1

if the patient does not know HbA1c or if it was taken >3 months ago

Question 2

What four questions do you ask the diabetic pt?

Answer 2

1) how often do you check your blood sugar levels?
2) how often do you see your dr to check your diabetes control?
3) do you know your most recent HbA1c value?
4) did you eat and take your medications today?

Question 3

what percentage should the HbA1c be below?

Answer 3

<10%

Question 4

what should the blood glucose level be below?

Answer 4

<200 mg/dl

Question 5

can dental emergency tx be conducted outside the range in diabetes pt’s?

Answer 5

yes (infection may increase blood glucose value)

Question 6

what are clinical photographs useful for?

Answer 6

recording appearance of tissue, recession, papilla loss, and for patient education

Question 7

when recording plaque how many surfaces per tooth are recorded?

Answer 7

6 surfaces

Question 8

what will result in corrosion?

Answer 8

acidic foods/beverages
acid reflux
bulimia

Question 9

where does abrasion come from?

Answer 9

mechanical wear other than that of mastication

Question 10

what results in abfraction?

Answer 10

microfractures at the CEJ from tooth flexure due to occlusal forces

Question 11

what is attrition?

Answer 11

occlusal or incisal wear

Question 12

what is class I mobility?

Answer 12

tooth moves buccal-lingually <1 mm

Question 13

what is class II mobility?

Answer 13

tooth moves buccal-lingually 1 mm

Question 14

what is class III mobility?

Answer 14

tooth moves buccal-lingually >1 mm or is depressible in the socket

Question 15

how do you check for fremitus?

Answer 15

place finger on facial of tooth
ask pt to gently tap up and down
feel for vibration or movement of tooth

Question 16

how do you check for pathologic tooth migration?

Answer 16

check occlusion
check for habits (tongue thrust)

Question 17

what are the signs of occlusal trauma?

Answer 17

mobility
widened PDL
vertical defects
pathologic tooth migration
root resorption

Question 18

what are parafunctional habit examples?

Answer 18

bruxism
clenching
holding objects b/w teeth

Question 19

what are the issues of the plunger cusp?

Answer 19

may lead to: food impaction, tooth migration, open contact formation (opens up the contact)

Question 20

absence of _________ is a good predictor of future periodontal stability

Answer 20

BOP

Question 21

how do you determine the biologic depth?

Answer 21

histologically

Question 22

T/F biologic depth is the same as the biologic width

Answer 22

FALSE

Question 23

what is the biologic depth?

Answer 23

distance b/w gingival margin and the base of the pocket (coronal end of the junctional epithelium)

Question 24

how do you determine the probing depth?

Answer 24

clinically

Question 25

what is the Hamp classification?

Answer 25

furcation bone loss or
furcation involvement

Question 26

what is degree I of hamp classification?

Answer 26

<3 mm, roof of furcation detectable

Question 27

what is degree II of hamp classification?

Answer 27

≥3 mm, not completely through furcation

Question 28

what is degree III of hamp classification?

Answer 28

probe passes completely through furcation, covered with tissue

Question 29

what is grade IV of Glickman classification?

Answer 29

through-and-through loss of interradicular bone, with total exposure of furcation owing to gingival recession

Question 30

what is the equation for CAL?

Answer 30

CAL = PD + Gingival margin

Question 31

when is the gingival margin positive?

Answer 31

when it is apical to CEJ

Question 32

when is the gingival margin negative?

Answer 32

when it is coronal to CEJ

Question 33

what laboratory aids can you use for the pt?

Answer 33

blood tests
genetic tests