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AU17: Perio > Risk Assesment/Treatment Planning > Flashcards

Risk Assesment/Treatment Planning Flashcards

1
Q

What is a risk determinant?

A

A substitute term for risk factor - but cannot be modified

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2
Q

What are some risk determinants in the periodontium?

A
  1. Genetic factors
  2. Age (older > younger)
  3. Gender (men > women)
  4. Socioeconomic status
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3
Q

What is a risk indicator?

A

A probable risk factor - but has not been confirmed in longitudinal studies

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4
Q

What are some risk indicators in the periodontium?

A
  1. Microbiota
  2. Inflammation
  3. HIV/AIDS
  4. Osteoporosis
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5
Q

What are risk predictors?

A

May not be part of the causal chain - but are associated with elevated risk for disease

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6
Q

T/F: Risk predictors are useful in identifying likely interventions.

A

False

Good for identifying who is at risk

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7
Q

What are some risk predictors in the periodontium?

A
  1. Hx of PD
  2. BoP
  3. Fewer teeth
  4. Periodontal support in relation to age
  5. Calculus
  6. Furcations
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8
Q

What is a prognostic factor?

A

An environmental, behavioral or biological factor that directly effects the outcome of therapy

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9
Q

What are some prognostic factors in the periodontium?

A
  1. Extent and severity of disease
  2. Level of oral hygiene
  3. Infrequent dental visits
  4. Smoking
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10
Q

T/F: Once risk assessment is complete, you should immediately modify the treatment plan.

A

False

Risk assessment -> prognosis -> treatment plan -> patient education

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11
Q

Compare an etiologic factor with a risk factor.

A

Etiologic - contributes to cause of disease

Risk - associated with increased change of developing disease

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12
Q

What is a mucogingival defect?

A

When sulcus depth is at or apical to the mucogingival junction

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13
Q

Differentiate between Class I️, II, and III furcation involvements.

A

I️ - catch with no radiolucency
II - catch with radiolucency
III - through and through

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14
Q

Differentiate between class I️, II, and III mobility.

A

I️ - 1mm
II - 2mm or in two directions
III - 3mm or in three directions

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15
Q

T/F: All craters are two walled defects.

A

True

But all two walled defects are not craters

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16
Q

What determines if tissue regeneration will work in a vertical bone loss?

A

Number of remaining walls

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17
Q

T/F: If a patient has a reduced periodontia then they are always diagnosed with periodontitis.

A

False

Can be healthy/gingivitis on top of stable but reduced periodontia

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18
Q

What are the three requirements in order to move forward with a treatment plan?

A
  1. Data collection (initial exam)
  2. Diagnosis
  3. Prognosis
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19
Q

What are the short and long term goals of a periodontal treatment plan?

A

Short - eliminate bacterial plaque, and eliminate infectious/inflammatory processes

Long - reconstruction of healthy dentition that is functional and esthetic

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20
Q

Goals of treatment are to have BoP be less than _____ and to have no probe depths greater than or equal to _____.

A

25%; 5mm

21
Q

What are the major goals in treatment for control of risk factors?

A
  1. Proper plaque control
  2. Smoking cessation
  3. Proper control of diabetes
22
Q

What are the four phases of therapy?

A
  1. Systemic phase
  2. Initial (hygiene phase)
  3. Corrective phase
  4. Maintenance phase
23
Q

After initial treatment during the initial phase, how long should you wait before reevaluation?

A

4-6 weeks

45 days for collagen regrowth and 2 weeks for JE regrowth

24
Q

At what phase of therapy would periodontal surgery, implant surgery, endo, or restorative work be completed?

A

Corrective phase

25
Q

What phase of therapy involves patient education and oral hygiene instruction?

A

Initial phase

26
Q

Extraction of hopeless teeth, scaling and root planing, and antibiotic therapy are all part of the __________ phase of treatment.

A

Initial

27
Q

What would the recall schedule be like for a typical PD patient in the maintenance phase?

A

Every 3 months

28
Q

When is the prognosis established?

A

After diagnosis and before treatment plan

29
Q

T/F: Individual tooth prognosis can be determined before the overall prognosis.

A

FALSE

Overall prognosis must be determined first!

30
Q

T/F: Age, systemic factors, patient compliance all fall into factors affecting individual tooth prognosis.

A

False

Overall

31
Q

What are the five possible prognosis classifications in the McGuire and Nunn system?

A

Very good, good, fair, poor, hopeless

32
Q

Give prognosis for 25% attachment loss and/or class I️ Furcation involvement.

A

Good

33
Q

Give prognosis for 50% attachment loss.

A

Fair

34
Q

Give prognosis for easily accessible Grade II Furcation involvement.

A

Fair

35
Q

If there is over 75% attachment loss the prognosis is _________.

A

Hopeless

36
Q

If there is over 50% attachment loss the prognosis is _________.

A

Poor

37
Q

If tooth mobility is class II+ and there are grade II/III Furcation involvements the prognosis is ___________.

A

Hopeless

38
Q

A patient with slightly under 50% attachment loss but has many systemic/environmental complications would have a prognosis of ________.

A

Poor

39
Q

Root proximity gives a prognosis of _______.

A

Hopeless

40
Q

In patients with similar clinical features, a prognosis is normally better in (older/younger) patients?

A

Better in older patients

Likely not aggressive

41
Q

T/F: Pocket depth is less important in prognosis than level of attachment.

A

True

42
Q

T/F: More walls = a worse prognosis in vertical defects.

A

False

More walls = better prognosis

43
Q

T/F: If a tooth has a vertical defect effecting only one side (ex. just mesial but not distal) the bone height of the unaffected side should be used when determining prognosis.

A

True

44
Q

T/F: Smoking cessation can effect prognosis.

A

True

45
Q

T/F: Prognosis is poor for teeth with shorter roots and larger crowns.

A

True

46
Q

What are some anatomic factors that can cause a worse prognosis?

A

CEPs, enamel pearls, bifurcation ridges, root concavities, short roots

47
Q

T/F: Aggressive periodontitis would have a fair prognosis.

A

Poor

48
Q

Patients with periodontitis as a manifestation of systemic disease present with a ___________ prognosis.

A

Fair-poor

49
Q

T/F: NUG patients have a good prognosis unless _________.

A

There are repeated episodes - downgraded to fair

AU17: Perio (15 decks)

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