Week 2: Periodontal Assessment Flashcards
systemic conditions that contribute to periodontal assessment
- AIDS
- leukemia
- diabetes
- hormonal fluctuations
how many times more likely are you to have severe periodontitis if you have uncontrolled/undiagnosed DM?
3x
Exaggerated systemic inflammation, insulin resistance, impair tissue repair
IAGE-RAGE
true/false? diabetes and periodontitis is a two way road; each influences the other
true, diabetes impacts periodontitis while periodontitis makes D.M. more difficult to control
do systemic medications impact periodontal disease?
yes, they do
do systemic conditions cause periodontal disease or amplify host response to periodontal disease?
AMPLIFY, does not cause
are smoking or diabetes a grade modifier in staging/grading?
both are
key A1C number for uncontrolled diabetes
7.0
why are diabetes and periodontitis associated?
high blood glucose in gingival crevicular fluid which allows bacteria to thrive
there is a ____ function in host response (______ cells specifically)
reduced, PNMs
key terms/broad ideas to be reminded of when associating diabetes and periodontitis
- high blood glucose
- poor wound healing
- interleukin
cancer of WBC and begins in bone marrow (usually)
leukemia
leukemia-associated gingivitis presents as (3 things)…
- inflammation of gingiva
- gingival enlargement
- oral infections
oral complications of leukemia therapy (chemotherapy/radiation)
- oral mucositis
- xerostomia
red band of severe erythema, not associated with CAL, clinical manifestation of AIDS
linear gingival erythema (LGE)
oral manifestations of HIV/AIDS
- hairy leukoplakia
- candidiasis
- herpes simplex
- herpes zoster
- recurrent aphthous ulcers
- kaposi sarcoma
pyogenic granuloma is a…
pregnancy tumor (benign)
examples of times that hormonal fluctuations occur…
puberty, pregnancy, menopause
examples of genetic factors
- down syndrome
- neutropenia
genetic condition in which patients are immunocompromised, high plaque scores/BOP/bone loss
neutropenia
condition with dry gums, dry mouth, increased bleeding with women in menopause
menopausal gingivostomatitis
Down Syndrome impacts on periodontal health: rapid destruction d/t…
- immune response
- impaired PMNs
- poor oral self-care
drugs that cause gingival overgrowth
anticonvulsant
Ca channel blocker
immunosuppressive
drugs that cause gingival inflammation
antihypertensive
drugs that cause increase biofilm formation
anti-anxiety
many medications cause _______
xerostomia
psychosocial/SES aspects that impact periodontal disease
LASO
- low SES
- access to care
- stress
- oral health literacy
lifestyle/social behaviors (page 1)
smoking, smokeless tobacco, alcohol, recreational drug use
smoking and periodontal disease are ____ correlated
positively
lifestyle/social behaviors (page 2)
oral self care habits, diet/nutrition, obesity
lack of quality ___ can lead to increased risk in PD
protein
calculus is a ___ risk factor for PD because bacteria lives ____ ____ surface
local, inside rough
does calculus cause PD?
No, it is a risk factor
local contributing factors for periodontal disease
calculus, tooth morphology, malocclusion, caries, orthodontic appliances, poor restorations
Dental Hx considerations in periodontal disease
- CC
- previous PD care
- existing restorations
- occlusion/malocclusion
- alignment
- orthodontic care
diseases that are infection-mediated destruction of tooth-supporting tissues, inflammation of the periodontium
periodontal disease
systematic collection of objective and subjective data that DH analyzes to determines current/potential needs of patients
assessments
DH process of care
assessment, diagnosis, planning, implementation, evaluation, documentation
redness histology
increased blood supply, dilation and stagnation of blood
swelling (edema) histology
flow of fluids, accumulates in tissues
bleeding histology
BV dilate thin
exudate histology
permeability of vessels allows fluid through
loss of stippling histology
thin epithelium, edema in CT
loss of stippling histology
thin epithelium, edema in CT
estimate of true periodontal support around tooth, measured with probe, determined by fixed point (CEJ)
clinical attachment loss
BOP indicates ____ disease
active
BOP of __% or less generally indicates
10
CAL (clinical attachment loss) is the measurement between…
CEJ, base of pocket
with gingival overgrowth, you need to ____ number from CAL
subtract
probing depth measurement +/- gingival margin level =
CAL
with gingival recession, ___ numbers to get CAL
add
probe depth = 4mm
recession = 3mm
CAL = __
7
probe = 6mm
gingival margin above CEJ = 2mm
CAL = ___
4
(free gingival groove to mucogingival margin) - pocket depth = _____
attachment
different grades of mobility
grade 0, 1/2, 1, 2, 3
classes of furcations
I, II, III, IV
furcation class with loss of attachment, furca clearly visible clinically
Class IV
furcation class where you can just start to feel furcation
Class I
normal bone loss is ___mm apical to the ____ _____
1-3 mm, junctional epithelium
an individual is __ ____ when exposed to a known disease-causing factor
at risk
a factor that increases the likelihood that an individual will develop the disease (not necessarily cause)
risk factor
types of risk levels
patient, mouth, tooth, site level
A1C __________ to 7 is a concern
greater than or equal to
