Risks for Perio Disease 3: Other Risk Factors

Question 1

What is root proximity in terms of local risk factors?

Answer 1

If roots are very close there is very little if any bone in between them.

There is an increase correlation b/w interproximal distances and perio pockets

Question 2

What is true about occlusal trauma as a perio disease risk factor?

Answer 2

It does NOT initiate periodontal disease

Question 3

If occlusal trauma doesn’t initiate perio disease, then why is it a risk factor?

Answer 3

It can impact the progression of perio disease by altering the inflammatory cell filtrate within the periodontal tissues

Question 4

What was impaired in impacted 3rd molar extractions in patients over 30?

Answer 4

Periodontal healing

Question 5

What made the lack of healing after impacted wisdom tooth extraction even worse for those over 30?

Answer 5

Smoking and widened follicles (halo around impacted molar on radiograph)

Question 6

What are perio-endo combined lesions?

Answer 6

Associated with necrotic pulp where perio and endo components coincide

Question 7

What are the clinical findings of a perio-endo lesion?

Answer 7

Pain
Negative pulp tests
Narrow and Deep probing depth
Tooth mobility
Furcation involvement
Radiographic bone loss

Question 8

What shaped lesion is an indicator of a Perio-Endo lesion?

Answer 8

J-shaped

Question 9

How would you go about making a risk assessment?

Answer 9

ID persons at risk for development or progression of perio disease

Ongoing

Provide an inventory of patients current preventive practices

Serve as a guide for patient management

Question 10

How would you address age?

Answer 10

Patient education

Encourage more frequent visits

Question 11

What is the etiology of anything!?

Answer 11

Bacteria