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Paediatric Dentistry BDS3 > Periodontal Screening and Management of Periodontal Conditions in Children > Flashcards

Periodontal Screening and Management of Periodontal Conditions in Children Flashcards

1
Q

what were the aims of the 2021 guidance

A

outline method of screening
provide guidance on periodontal management

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2
Q

what are the different classifications of periodontal conditions

A

periodontal health
gingivitis dental biofilm induced
gingival diseases non biofilm induced
necrotising periodontal diseases
periodontitis
periodontitis as manifestation of systemic disease
systemic diseases affecting periodontal supporting tissues
perio and endo abscesses
mucogingival deformities and conditions
traumatic occlusal forces
tooth and prosthesis related factors

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3
Q

what is periodontal health

A

a state free from inflammatory periodontal disease that allows an individual to function normally that avoids physical or mental consequences to current or past disease

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4
Q

what are the features of gingival health

A

gingival margin several millimetres coronal to CEJ
gingival sulcus 0.5mm-3mm deep
alveolar crest situated between 0.4mm-1.9mm apical to CEJ

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5
Q

what can a reduced periodontium be due to

A

crown lengthening surgery
recession
stable periodontitis

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6
Q

what should bleeding on probing be in gingival health

A

<10%

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7
Q

what are the types of gingivitis

A

plaque biofilm induced
non-plaque biofilm induced

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8
Q

what is plaque induced gingivitis

A

as supragingival plaque accumulates on teeth an inflammatory cell infiltrate develops in gingival connective tissue
junctional epithelium is disrupted
apical migration of plaque and increase in gingival sulcus depth

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9
Q

what are the features of necrotising gingivitis

A

pain
necrosis of interdental papilla
ulceration
spontaneous bleeding
pseudomembrane present
lymphadenopathy
fever

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10
Q

what are the predisposing factors for periodontal diseases

A

malocclusion
traumatic dental injury
dental biofilm retentive factors

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11
Q

what are the modifying risk factors for periodontal diseases

A

smoking
metabolic factors - diabetes
pharmacological agents
nutritional factors
increase sex steroids
haematological conditions

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12
Q

what is gingival overgrowth related to

A

systemic and metabolic diseases
genetic factors
local factors
side effects from medications

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13
Q

how do you treat gingival overgrowth

A

rigorous home care
PMPR
surgery

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14
Q

when would you consider urgent referral to a physician for haematinic screening

A

where extent of condition is inconsistent with level of oral hygiene observed

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15
Q

what is periodontitis

A

chronic multifactorial inflammatory disease associated with dysbiotic plaque biofilms and characterised by progressive destruction of tooth supporting apparatus

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16
Q

what are the key features of periodontitis

A

apical migration of CEJ
loss of attachment of periodontal tissues to cementum
transformation of junctional epithelium to pocket epithelium
alveolar bone loss

17
Q

what is an early clinical sign of periodontitis

A

> 1mm loss of attachment

18
Q

what systemic diseases have periodontitis as a manifestation

A

papillon lefevre
downs
neutropenias

19
Q

what is recorded re the gingival condition

A

gingival colour
contour
swelling
recession
suppuration
inflammation
marginal bleeding

20
Q

how do you assess OH status

A

description of plaque status
describe surfaces covered by plaque
is plaque easily visible
detectable only on probing
use of plaque free scores

21
Q

who is the simplified BPE used on

A

co-operative children aged 7-18 years old

22
Q

why is the BPE simplified for children

A

quick
easy
well tolerated
avoid false pocketing

23
Q

what teeth are used for simplified BPE

A

16, 11, 26, 36, 31, 46

24
Q

what codes are used for ages 7-11

A

BPE 0-2

25
Q

what codes are used for ages 12-17

A

BPE 0-4

26
Q

what is the plaque scores like for children

A

it is out of 10 with 10 being the best and 2 being the worst

27
Q

what happens when the BPE is code 3 or 4

A

6ppc
check alveolar bone level with radiographs

28
Q

what oral health messages are important in prevention

A

affective toothbrushing
fluoride advice
smoking cessation
oral health measures

29
Q

what is recall for someone with BPE of 3

A

3 months for full periodontal assessment and 6ppc in affected sextants

30
Q

what are the s3 guidelines for treating younger age groups

A

preventive advice
health education
OHI

31
Q

what is step 1 of s3 guidelines

A

behaviour change/motivation to controlling plaque biofilm
supragingival PMPR

32
Q

what is step 2 of s3 guidelines

A

subgingival PMPR

33
Q

what is step 3 of s3 guidelines

A

further subgingival instrumentation

34
Q

what is step 4 of s3 guidelines

A

maintenance

Paediatric Dentistry BDS3 (8 decks)

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