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BDS3 CLINICAL Paeds > Periodontal Screening and management of periodontal conditions > Flashcards

Periodontal Screening and management of periodontal conditions Flashcards

1
Q

What are the aims of the 2012 guidelines

A

early recognition of gingival and periodontal conditions
a practical guide for primary care
appropriate treatment or early referral to pediatric or periodontal specialist services
early OHI to encourage good dental habits for life

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2
Q

What is an mnemonic for classification 2017

A 
please 
give 
greg 
nine
mercy
pigs 
straight
past 
meal
time 
tonight
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3
Q

What is the staging

A

inter proximal bone loss at worst site of bone loss

stage 1,2,3,4

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4
Q

What is grading

A

rate of progression
%bone loss/age
grade A,B,C

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5
Q

How do we assess current periodontal status

A

currently stable
currently in remission
currently unstable

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6
Q

Where is the GM often seen in a healthy periodontium

A

several mm coronal to CEJ

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7
Q

How deep can the gingival sulcus be in a healthy periodontium

A

0.5-3mm deep

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8
Q

Where is the alveolar crest usually seen in a healthy periodontium

A

0.4-1.9mm apical to CEJ (teens)

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9
Q

What is the aim BOP

A

<10%

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10
Q

What are the statistics on the prevalence of gingivitis in children

A

2/3 of 8-12 year olds
1/3 of 5 YO
half of 15 YO

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11
Q

What are the types of gingivitis

A

dental biofilm induced (localized, generalized)

gingival diseases and conditions: non dental-biofilm induced

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12
Q

What happens in gingivitis

A

supra gingival plaque accumulates on teeth
inflammatory cell infiltrate develops on gingival connective tissue
JE becomes disrupted
allows apical migration of plaque and an increase in gingival sulcus depth
results in false pocket

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13
Q

What is the appearance of necrotising ulcerative gingivitis

A

blunted papilla
malodour
painful gingival
no attachment loss

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14
Q

What is the etiology of NUG

A

fusiform and spirochete

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15
Q

What are px risk factors for NUG

A

smoking, stress, immunosuppression, poor diet

HIV status or other underlying condition

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16
Q

What is puberty gingivitis

A

increased inflammatory response to plaque that is mediated by hormonal changes
in teens gingivitis can progress to early periodontitis
local and systemic factors can influence progression

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17
Q

What are causes of gingival diseases that are non-dental biofilm induced

A 
trauma
genetic
infective
drug induced
manifestations of systemic disease
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18
Q

Give examples of aetiologies of non-dental biofilm induced gingival disease

A

cyclosporin
phenytoin
OFG: full thickness
gingivitis in leukemia

19
Q

Give examples of haematological conditions that lead to gingivitis

A

agranulocytosis

cyclic neutropenia

20
Q

Give examples of granulomatous inflammations that lead to gingivitis

A

crohn’s disease
sarcoidosis
granulomatosis

21
Q

What can gingival overgrowth beyond biofilm induction relate to

A 
systemic and metabolic disease
genetic factors, local factors
side effects of some emdications
cyclosporin, nifedipine, phenytoin
greater incidence seen in puberty
22
Q

What is the treatment of gingivitis

A

rigorous OH/home care
frequent scaling
surgery may be necessary esp with drug induced

23
Q

What are the 4 key features of periodontitis

A

apical migration of junctional epithelium beyond CEJ
loss of attachment of periodontal tissues to cementum
transformation of junctional epithelium to pocket epithelium (often thin and ulcerated)
alveolar bone loss

24
Q

What are the early clinical signs of periodontitis in teenagers

A

> 1mm loss of attachment of cementum to PDL

25
Q

What are the pathogens seen in periodontitis in teens

A

similar to adults
p. gingivalis
prevotella intermedia
AA

26
Q

How do we assess the gingival condition

A 
colour
contour
swelling
recession
suppuration
inflammation
consider use of marginal bleeding free chart
27
Q

How do we assess OH status

A

description of plaque status

describe surfaces covered by plaque

28
Q

How do we assess the calculus present

A

chart location

29
Q

How do we assess local risk factors

A 
plaque retention factors
low renal attachments
malocclusion
incompetent lip seal
mouth breathing
30
Q

What is the effect of an incompetent lip seal

A

reduced upper lip coverage - labial and palatal gingivitis

increased lip separation

31
Q

What is the effect of mouth breathing

A

palatal gingivitis due to drying

32
Q

What age is normal BPE used

A

12-17

33
Q

Who is simplified BPE used on

A

all cooperative children aged 7-11

34
Q

What teeth are looked at for simplified BPE

A 
UR6
UR1
UL6
LR6
LL1
LL6
35
Q

What are the BPE codes for simplified BPE

A

0,1,2

36
Q

What are the SDCEP plaque level scores

A 
out of 10
anterior and posterior teeth 
4/10
6/10
8/10
10/10
37
Q

What is a 4/10 plaque score

A

middle 1/3rd of crown covered

38
Q

What is a 6/10 plaque score

A

cervical 1/3rd of crown covered

39
Q

What is 8/10 plaque score

A

line of plaque around cervical margin

40
Q

What is 10/10 plaque score

A

perfectly clean tooth

41
Q

Who should fluoride mouthwash 225ppm be prescribed for

A

px undergoing fixed appliance therapy

42
Q

When do we screen a code 0 again

A

within 1 year

43
Q

When do we screen a code 1,2 again

A

6 months

44
Q

When do we screen a code3,4 again

A

3 months

BDS3 CLINICAL Paeds (14 decks)

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