Unit 7 - Periodontal Health, Gingival Diseases and Conditions Flashcards
Define gingival health
Less than 10% BOP is classified as health
What is the difference between pristine health and clinical periodontal health?
Clinical health is no inflammation allowing a person to function normally but can still have some bleeding etc, while pristine health is incredibly rare with no CAL loss, no BOP, no loss of any perio structures, no inflammation.
Signs of periodontal health are abscence or minimal amounts of:
BOP
Erythema (redness)
Edema (swelling)
Client symptoms
What are the three categories of periodontal health?
Periodontal health on an intact periodontium
Periodontal health on a reduced periodontium in a non perio patient
Periodontal health on a reduced periodontium in a successfully treated stable periodontitis patient
What health category would be described by a client exhibiting no clinical signs of gingival inflammaion and no previous loss of periodontal tissues?
Periodontal health on an intact periodontium
What health category would be described by a client experiencing gernalized recession with no evident signs of clinical inflammation and no bone loss?
Peridontal health on a reduced periodontium
Which health/perio condition would have no history of periodontitis, no CAL loss, no detectable RBL, pockets = or <3mm, BOP <10%, and controlled modifying and predisposing factors?
Clinical gingival health on intact peridontium
What health/perio condition would have no history or periodontitis, non-periodontitis associated CAL loss, possible RBL, pockets = or <3mm, BOP <10%, and controlled modifying and predisposing factors?
Clinical gingival health on a reduced periodontium in a non perio patient
What recare frequency would gingival health on intact periodotium require?
6 month
What recare frequency would gingival health on reduced periodontium non-perio need?
6 month
What category of health/perio disease is an active disease, inflammatory lesion resulting from interactions between the dental plaque and the host’s immunie-inflammatory response?
Gingivitis: Dental Biofilm Induced
What are the characteristics of gingivitis dental biofilm induced?
Inflammation in confined to the gingiva
Intitiated by plaque biofilm
No CAL associated with the inflammation
Inflammation is reversible with plaque removal but may progress to periodontitis
What is the most common type of periodontal disease?
Gingivitis dental biofilm induced
What are factors that increase a indivdual’s susceptibility to a disease?
Modifying factors
What are systemic modifying factors?
Characteristics present in an individual, which negatively influence the immune-inflammatory response
What are local modifying factors?
Intraoral conditions or habits that increase an individual’ susceptibility to periodontal diseases
What are examples of systemic modifying factors for gingivitis?
Sex steroidal hormones
Hyperglycemia
Leukemia
Smoking
Malnutrition
What are examples of local modifying factors for gingivitis?
Drug induced inflammation
Restoration
Tooth anatomy
Hyposalivation
Why is puberty a systemic modifying factor of dental biofilm induced gingivitis?
During puberty there is an increase in steroid hormone levels that can cause inflammation of the gingiva
Why is the menstrual cycle a systemic modifying factor of gingivitis?
Studies show modest inflammatory changes during ovulation
What is a pregnancy associated pyogenic granuloma or pregnancy tumor?
A gingival paillae can react so strongly to a small amount of plaque biofilm during pregnancy that it can result in those conditions.
Do new concentrations of oral contraceptive induce clinical changes previously associated with oral contraceptives?
No
True or False: Gingivitis is often seen in children and adults with poorly controlled diabetes mellitus.
False. Gingivitis is often seen in children with poorly controlled diabetes mellitus but there is limited evidence in adults.
What condition has an exaggerated inflammatory response that results in gingiva that appears swollen, spongy, deep red and shiney. Tissues may appear friable and bleed easily. Inflammation often initiates in the interdental papilla.
Leukemia
What is one of the major lifestyle risk factors for periodontal disease?
Smoking
True or False: Smokers have fewer clinial signs and symptoms of gingival inflammation therefore masking gingivitis.
True
True or False: Vitamin C or ascorbic acid deficiency can exhibit characterisitics similar to gingivitis.
True
What types of pharmacological agents can drug-influenced gingivitis?
Anticonvulsants
Calcium channel blockers
Immunosuppressants
What are retention factors in relation to local risk factors?
Things like margins of subgingival restorations that can increase plaque biofilm retention
Can non-biofilm induced gingival disease be resolved by plaque removal?
No
Can the presece of plaque worsen non-biofilm induced gingival disease?
Yes
Is non-biofilm induced gingivitis painful?
Often yes
What causes non-biofilm induced gingivitis?
Gentic/developmental disorders
Specific infections
Inflammatory and immune conditions
Reaction processes
Neoplasms (eg squamous cell carcinoma)
Endocrine, nutritional, and metaboblic diseases
Traumatic lesions
