Periodontal Handbook

Question 1

Define gingivitis.

Answer 1

Inflammation confined to gingival tissue.

Question 2

How is gingivitis characterised ?

Answer 2

Redness and swelling of marginal gingivae (cardinal signs of inflammation).
BOP.
+/- false pocketing from gingival swelling, resulting in increased probing depth.

Question 3

What are the characteristics of periodontitis ?

Answer 3

Apical extension of inflammation.
Destruction of CT attachment.
Apical migration of junctional epithelium.
Loss of alveolar bone.
True pocketing.
Inflammation.

Question 4

What differentiates gingivitis and periodontitis ?

Answer 4

Attachment loss associated with periodontitis.

Question 5

Define peri-implant mucositis.

Answer 5

Inflammation in mucosa where implant is placed with NO loss of supporting bone.

Question 6

What are signs of peri-implant mucositis ?

Answer 6

BOP.
+/- redness and swelling.
Will resolve with plaque removal and improved OH.

Question 7

Define peri-implantitis.

Answer 7

Inflammation of mucosa at osteoporosis-integrated implant with loss of supporting bone.

Question 8

What are features of peri-implantitis ?

Answer 8

Increased probing depths.
BOP/
+/- suppuration.
Loss of supporting bone.
+/- mobility of implant.

Question 9

What can be the causes of peri-implantitis ?

Answer 9

Microbial plaque.
Immune response to plaque.
Excess cement.
Poorly fitting substructures.
Poorly positioned implant.

Question 10

You suspect a patient has peri-implantitis. How would you manage this patient ?

Answer 10

Refer to implant specialist.