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Periodontology > Week 2: Periodontal Assessment > Flashcards

Week 2: Periodontal Assessment Flashcards

1
Q

systemic conditions that contribute to periodontal assessment

A
  • AIDS
  • leukemia
  • diabetes
  • hormonal fluctuations
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2
Q

how many times more likely are you to have severe periodontitis if you have uncontrolled/undiagnosed DM?

A

3x

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3
Q

Exaggerated systemic inflammation, insulin resistance, impair tissue repair

A

IAGE-RAGE

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4
Q

true/false? diabetes and periodontitis is a two way road; each influences the other

A

true, diabetes impacts periodontitis while periodontitis makes D.M. more difficult to control

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5
Q

do systemic medications impact periodontal disease?

A

yes, they do

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6
Q

do systemic conditions cause periodontal disease or amplify host response to periodontal disease?

A

AMPLIFY, does not cause

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7
Q

are smoking or diabetes a grade modifier in staging/grading?

A

both are

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8
Q

key A1C number for uncontrolled diabetes

A

7.0

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9
Q

why are diabetes and periodontitis associated?

A

high blood glucose in gingival crevicular fluid which allows bacteria to thrive

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10
Q

there is a ____ function in host response (______ cells specifically)

A

reduced, PNMs

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11
Q

key terms/broad ideas to be reminded of when associating diabetes and periodontitis

A
  • high blood glucose
  • poor wound healing
  • interleukin
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12
Q

cancer of WBC and begins in bone marrow (usually)

A

leukemia

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13
Q

leukemia-associated gingivitis presents as (3 things)…

A
  • inflammation of gingiva
  • gingival enlargement
  • oral infections
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14
Q

oral complications of leukemia therapy (chemotherapy/radiation)

A
  • oral mucositis

- xerostomia

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15
Q

red band of severe erythema, not associated with CAL, clinical manifestation of AIDS

A

linear gingival erythema (LGE)

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16
Q

oral manifestations of HIV/AIDS

A
  • hairy leukoplakia
  • candidiasis
  • herpes simplex
  • herpes zoster
  • recurrent aphthous ulcers
  • kaposi sarcoma
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17
Q

pyogenic granuloma is a…

A

pregnancy tumor (benign)

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18
Q

examples of times that hormonal fluctuations occur…

A

puberty, pregnancy, menopause

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19
Q

examples of genetic factors

A
  • down syndrome

- neutropenia

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20
Q

genetic condition in which patients are immunocompromised, high plaque scores/BOP/bone loss

A

neutropenia

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21
Q

condition with dry gums, dry mouth, increased bleeding with women in menopause

A

menopausal gingivostomatitis

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22
Q

Down Syndrome impacts on periodontal health: rapid destruction d/t…

A
  • immune response
  • impaired PMNs
  • poor oral self-care
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23
Q

drugs that cause gingival overgrowth

A

anticonvulsant
Ca channel blocker
immunosuppressive

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24
Q

drugs that cause gingival inflammation

A

antihypertensive

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25
Q

drugs that cause increase biofilm formation

A

anti-anxiety

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26
Q

many medications cause _______

A

xerostomia

27
Q

psychosocial/SES aspects that impact periodontal disease

A

LASO

  • low SES
  • access to care
  • stress
  • oral health literacy
28
Q

lifestyle/social behaviors (page 1)

A

smoking, smokeless tobacco, alcohol, recreational drug use

29
Q

smoking and periodontal disease are ____ correlated

A

positively

30
Q

lifestyle/social behaviors (page 2)

A

oral self care habits, diet/nutrition, obesity

31
Q

lack of quality ___ can lead to increased risk in PD

A

protein

32
Q

calculus is a ___ risk factor for PD because bacteria lives ____ ____ surface

A

local, inside rough

33
Q

does calculus cause PD?

A

No, it is a risk factor

34
Q

local contributing factors for periodontal disease

A

calculus, tooth morphology, malocclusion, caries, orthodontic appliances, poor restorations

35
Q

Dental Hx considerations in periodontal disease

A
  • CC
  • previous PD care
  • existing restorations
  • occlusion/malocclusion
  • alignment
  • orthodontic care
36
Q

diseases that are infection-mediated destruction of tooth-supporting tissues, inflammation of the periodontium

A

periodontal disease

37
Q

systematic collection of objective and subjective data that DH analyzes to determines current/potential needs of patients

A

assessments

38
Q

DH process of care

A

assessment, diagnosis, planning, implementation, evaluation, documentation

39
Q

redness histology

A

increased blood supply, dilation and stagnation of blood

40
Q

swelling (edema) histology

A

flow of fluids, accumulates in tissues

41
Q

bleeding histology

A

BV dilate thin

42
Q

exudate histology

A

permeability of vessels allows fluid through

43
Q

loss of stippling histology

A

thin epithelium, edema in CT

44
Q

loss of stippling histology

A

thin epithelium, edema in CT

45
Q

estimate of true periodontal support around tooth, measured with probe, determined by fixed point (CEJ)

A

clinical attachment loss

46
Q

BOP indicates ____ disease

A

active

47
Q

BOP of __% or less generally indicates

A

10

48
Q

CAL (clinical attachment loss) is the measurement between…

A

CEJ, base of pocket

49
Q

with gingival overgrowth, you need to ____ number from CAL

A

subtract

50
Q

probing depth measurement +/- gingival margin level =

A

CAL

51
Q

with gingival recession, ___ numbers to get CAL

A

add

52
Q

probe depth = 4mm
recession = 3mm
CAL = __

A

7

53
Q

probe = 6mm
gingival margin above CEJ = 2mm
CAL = ___

A

4

54
Q

(free gingival groove to mucogingival margin) - pocket depth = _____

A

attachment

55
Q

different grades of mobility

A

grade 0, 1/2, 1, 2, 3

56
Q

classes of furcations

A

I, II, III, IV

57
Q

furcation class with loss of attachment, furca clearly visible clinically

A

Class IV

58
Q

furcation class where you can just start to feel furcation

A

Class I

59
Q

normal bone loss is ___mm apical to the ____ _____

A

1-3 mm, junctional epithelium

60
Q

an individual is __ ____ when exposed to a known disease-causing factor

A

at risk

61
Q

a factor that increases the likelihood that an individual will develop the disease (not necessarily cause)

A

risk factor

62
Q

types of risk levels

A

patient, mouth, tooth, site level

63
Q

A1C __________ to 7 is a concern

A

greater than or equal to

Periodontology (9 decks)

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