Periodontics

Question 1

what is localised gingivitis

Answer 1

10-30% BOP

Question 2

what is generalised gingivitis

Answer 2

> 30% BOP

Question 3

what is localised periodontitis

Answer 3

bone loss affecting <30% of teeth

Question 4

what is generalised periodontitis

Answer 4

bone loss affecting >30% of teeth

Question 5

what is stage 1 periodontitis

Answer 5

<15% bone loss (or <2mm attachment loss from CEJ)

Question 6

what is stage 2 periodontitis

Answer 6

coronal third of root

Question 7

what is stage 3 periodontitis

Answer 7

mid third of root

Question 8

what is stage 4 periodontitis

Answer 8

apical third of root

Question 9

what is grade A periodontitis

Answer 9

<0.5

Question 10

what is grade B periodontitis

Answer 10

0.5-1.0

Question 11

what is grade C periodontitis

Answer 11

> 1

Question 12

how do you work out the grade of periodontal disease

Answer 12

% bone loss / patient age

Question 13

how do you work out the stage of periodontal disease

Answer 13

interproximal bone loss

Question 14

what is stable periodontal disease

Answer 14

BOP <10%
PPD <4mm
no BOP at 4mm sites

Question 15

what is periodontal disease that is currently in remission

Answer 15

BOP >10%
PPD <4mm
no BOP at 4mm sites

Question 16

what is periodontal disease that is currently unstable

Answer 16

PPD >5mm
PPD >4mm and BOP

Question 17

what is in a 6PPC

Answer 17

pocket depth
gingival margin
attachment loss
BOP
furcations
mobility

Question 18

what is BPE 1

Answer 18

BOP

Question 19

what is BPE 2

Answer 19

calculus/plaque retentive factors

Question 20

what is BPE 3

Answer 20

black band partially visible

Question 21

what is BPE 4

Answer 21

black band disappeared

Question 22

what is step 1 periodontal treatment

Answer 22

explain the disease
OHI
reduce risk factors
supragingival PMPR

Question 23

what is step 2 periodontal treatment

Answer 23

reinforce everything in step 1
subgingival instrumentation

Question 24

what is step 3 periodontal treatment

Answer 24

re-instrumentation of non-responding sites
consider referral

Question 25

what pocket depth would you re-instrument

Answer 25

4-5mm

Question 26

what pocket depth would you start considering alternative causes

Answer 26

>6mm

Question 27

what is step 4 periodontal treatment

Answer 27

maintenance targeted PMPR OHI

Question 28

what does an engaging patient look like

Answer 28

>50% improvement in plaque and marginal bleeding scores plaque levels <20% and bleeding levels <30% patient has met targets outline by plan

Question 29

what does a non-engaging patient look like

Answer 29

insufficient improvement in OH indicated by <50% improvement in plaque and marginal bleeding scores plaque levels >20% and bleeding levels >30% patient states preference to a palliative approach to periodontal care

Question 30

what are the signs of necrotising gingivitis

Answer 30

necrosis and ulcer in the interdental papilla gingival bleeding pain pseudomembrane formation halitosis regional lymphadenopathy

Question 31

what are the signs of necrotising periodontitis

Answer 31

same as NG periodontal attachment and bone destruction

Question 32

what are the signs of necrotising stomatitis

Answer 32

bone denudation extended through the alveolar mucosa larger areas of osteitis and bone sequestrum

Question 33

what is type 1 recession

Answer 33

gingival recession with no loss of interproximal attachment

Question 34

what is type 2 recession

Answer 34

gingival recession associated with loss of interproximal attachment amount is less than or equal to the amount of buccal attachment loss

Question 35

what is type 3 recession

Answer 35

gingival recession associated with loss of interproximal attachment amount is greater than the buccal attachment loss

Question 36

what are the BSP guidelines for scoring a 3 on BPE

Answer 36

review sextant after treatment with 6PPC

Question 37

what are the SDCEP guidelines for scoring a 3 on BPE

Answer 37

6PPC before and after treatment

Question 38

what is the mini sickle for

Answer 38

supra-gingival scaling

Question 39

what is the hoe scaler for and what colours are for where

Answer 39

tenacious bits of calculus yellow - buccal and lingual red - mesial and distal

Question 40

what is the grey gracey for

Answer 40

anteriors

Question 41

what is the orange gracey for

Answer 41

mesial posterior

Question 42

what is the blue gracey for

Answer 42

distal posterior

Question 43

what is the green gracey for

Answer 43

buccal and lingual surfaces posterior

Question 44

what is the columbia/universal curette for

Answer 44

anywhere but limited access to deep pockets

Question 45

what does the HbA1C have to be to know that you have controlled diabetes

Answer 45

<7%

Question 46

what drugs can cause gingival hyperplasia

Answer 46

phenytoin (anticonvulsants) cyclosporin (immunosuppressants) nifedipine/amlodipine (Ca channel blockers)