Risk Factor Overview Flashcards
Name some systemic risk factors for PDD
smoking, genetics, uncontrolled diabetes
What is the difference between primary, secondary and tertiary prevention?
Primary = preventing before the disease has occurred
Secondary = reduce impact of disease that has already occurred
Tertiary = reduce the negative impact of an established disease by restoring function and reducing disease related complication
What is the difference between primary, secondary and tertiary prevention?
Primary = preventing before the disease has occurred
Secondary = reduce impact of disease that has already occurred
Tertiary = reduce the negative impact of an established disease by restoring function and reducing disease related complication
What is the increase in risk of a smoker compared to a non smoker getting PDD?
4x more for a smoker
Is there a dose dependant relationship between smoking and pdd?
yes, more someone smokes:more severe the disease
How many years may it take a former smoker to have the same risk of PDD as a never smoking?
11 years
How does smoking affect periodontal treatment?
Reduced predictability and response to surgical and non surgical therapy
What should dentists do if a smoker comes for an appt?
Advise the patient on the increased risk of PDD.
Smoking cessation advice: ASK, ADVICE, ASSESS, ASSIST, ARRANGE
Refer to NHS stop smoking service
If a patient has diabetes, what hba1c result shows good glycemic control?
<6.5%
above 7% shows poor control
Explain the bidirectional relationship between diabetes and periodontal disease
Worse controlled diabetes = higher risk of PDD
Worse PDD = increased risk of diabetes
How to manage a patient with diabetes?
- Communicate increased risk of PDD
- Communicate with GP to help improve control
- Tell patient with rapid PDD rate that they should be tested for diabetes
What other risk factors should be considered than smoking and diabetes?
Stress
Genetics
Age
Poor oral hygiene
