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Periodontics > Unit 8 - Periodontitis > Flashcards

Unit 8 - Periodontitis Flashcards

1
Q

What is periodontitis?

A

The body’s reaction to stimulus resulting in a hyperactive response to produce inflammatory mediations that destroy its own healthly cells and tissues.

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2
Q

What did we used to think was causing peiodontitis

A

The bacteria within the periodontium that linked poor oral health to various systemic diseases in the body

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3
Q

What does research now show is causing periodontitis?

A

Inflammation may be responsible for the association. Treating the inflammation may not only help manage periodontal disease but may help with the management of orther chronic inflammatory conditions.

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4
Q

What are the major diagnostic tools for periodontitis?

A

CAL
BOP
Radiographic bone loss

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5
Q

What is the number one cause of tooth loss in adults?

A

Periodontitis

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6
Q

How much of the US population is affected by periodontitis?

A

60-65%

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7
Q

True or False: once a client is diagnosed with periodontitis they remain a periodontal patient for life

A

True

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8
Q

Determinants of periodontal diseases involve a multifactorial process between:

A

Subgingival microbiota (agent)
Host immune and inflammatory responses (host)
Environmental modiyfing factors (environment)

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9
Q

What older terminology is out there for stages and grades of periodontitis?

A

Chronic periodontitis
Aggressive periodontitis
localized juvenile periodontitis

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10
Q

What are the clinical features of periodontitis?

A

Abudance of mature plaque and calculus
Reddish to purplish tissue or tissures may appear pale
Gingival bleeding
Rolled margins and/or flattened papillae
Loss of attachment (mobilities)
Tissue edema (swelling)
Suppuration (pus)
Usually painless

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11
Q

What are some contributing factors to periodontitis?

A

Environmental such as smoking
Systemic such as HIB or diabetes
Genetics
Intraoral factors such as resto overhangs or crowding

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12
Q

In most cases, if left untreated, periodontitis progression is

A

Slow

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13
Q

What is recurrent periodontitis?

A

A return of destructive periodontitis that had been previously arrested by conventional periodontal therapy

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14
Q

What is refractory periodontitis?

A

Periodontitis in a client who has been monitored over time and who exhibits continued attachment loss despite periodontal therapy and good self care.

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15
Q

What are the five steps to classifying periodontal disease?

A
  1. Determine presence of inflammation
  2. Determine the area of greatest CAL loss and RBL, confirm pattern of bone loss, assess periodontitis related tooth loss, determine complexity through probing depths, furcations, occlusion, multi-disciplinary treatment
  3. Determine stage
  4. Determine grade (assume Grade B by default)
  5. Determine treatment plan
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16
Q

True or False: stage of periodontitis never changes or decreases with surgical treatment

A

True

17
Q

What stage of periodontitis is the borderline between gingivitis and periodontitis and represents the early stage attachment loss?

A

Stage I

18
Q

What stage is severe periodontitis with significant destruction and potential for tooth loss?

A

Stage III

19
Q

What stage is moderate/established periodontitis?

A

Stage II

20
Q

What stage is advanced periodontitis with extensive tooth loss?

A

Stage IV

21
Q

What is staging based on?

A

The severity of the periodontal disease and complexity of the management of the case

21
Q

What stage is the initital stage of attachment loss?

A

Stage I

22
Q

What is the grading of periodontal disease?

A

The estimated rate of progression

23
Q

What does grade A mean?

A

Slow progression

24
Q

What does Grade B mean?

A

Moderate progression

25
Q

What does Grade C mean?

A

Rapid progression

26
Q

What are the primary critera for grading?

A

Direct evidence for progression as seen by x-rays
Indirect evidence like percentage of bone loss divided by age

27
Q

What are grade modifiers

A

Smoking and diabetes

28
Q

What is case phenotype?

A

The reaction of the body to biofilm

29
Q

What type case phenotype has a mouth full of plaque, with low levels of tissue inflammation and bleeding?

A

Slow rate

30
Q

What case phenotype has very little biofilm with severe tissue destruction?

A

Rapid rate

31
Q

What case phenotype has tissue destruction and inflammatory response within expectations of the present biofilm?

A

Moderate rate

32
Q

What are the periodontitis systemic risk factors?

A

Tobacoo/smoking
Diseases/conditions - undx or uncontrolled diabetes, leukemia, neutropenia
Horomonal influences - pregnancy, puberty, menopause, hormone therapy
Medications

33
Q

What are the local contributing factors to periodontitis?

A

Calculus
Tooth related deformaties
Poor restorations
Appliances - ortho and prostho
Oral habits
Recession, frenum attachments
Occlusal trauma
Xerostomia

Periodontics (15 decks)

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