Week 3: Staging/Grading

Question 1

previously used periodontal classification system

Answer 1

AAP 1997

Question 2

AAP 2017 includes health for what?

Answer 2

dental implants

Question 3

categories of periodontal health, gingival disease/conditions

Answer 3

• periodontal and gingival health
• gingivitis: dental biofilm induced
• gingival disease: non-dental biofilm induced

Question 4

categories of periodontitis

Answer 4

• necrotizing periodontal disease
• periodontitis
• periodontitis as a manifestation of systemic disease

Question 5

stable vs unstable, health on reduced periodontium

Answer 5

based on BOP; <10% BOP

Question 6

stage/grade with patients who have

Answer 6

CAL

Question 7

• associated with biofilm alone
• systemic/local risk factors can mediate
• drug-induced gingival enlargemetn

Answer 7

dental biofilm induced gingivitis

Question 8

examples of causes for non-dental biofilm induced gingivitis

Answer 8

genetic/developmental, endocrine/nutrition, neoplasms, immune conditions

Question 9

scaling in the presence of gingivitis code

Answer 9

D4346

Question 10

D4346 must have ___ of periodontitis, and won’t require _____

Answer 10

absence, staging/grading

Question 11

periodontitis

Answer 11

-have CAL on 2 or more non-adjacent teeth
-Bu & Li CAL greater than or 3mm PLUS pocketing greater tha nor equal to 3 mm on 2 or more teeth
AND
-have radiographic bone loss

Question 12

stages of periodontitis

Answer 12

I, II, III, IV

Question 13

patients do not _____ to lower stage

Answer 13

retrogress

Question 14

components of staging

Answer 14

severity, complexity, extent/distribution

Question 15

stage I and II usually have ___ bone loss

Answer 15

horizontal

Question 16

stage III and IV usually have ___ bone loss

Answer 16

vertical

Question 17

class II or III furcation involvement bumps a patient to an automatic

Answer 17

stage III

Question 18

usually it only takes __ complexity factor to bump a patient up a stage

Answer 18

one

Question 19

stage I and II patients have ____ due to periodontitis

Answer 19

no tooth loss

Question 20

normal physiological bone loss is…

Answer 20

1-3mm apical to CEJ

Question 21

coronal 1/3 bone loss =

middle 1/3 and beyond bone loss =

Answer 21

stage I/II

stage III/IV

Question 22

indicator of the rate of periodontitis progression

Answer 22

grading

Question 23

indirect evidence examples

Answer 23

radiographic bone loss/age = %

Question 24

assume everyone is at _____, and seek evidence to shift

Answer 24

Grade B (moderate rate)

Question 25

True/false, grading can be modified on the presence of risk factors (ex, Grade C to Grade A)

Answer 25

true

Question 26

example calculation ratio of RBL
% bone loss of root length = 40
patient age = 50

Answer 26

40/50 = 0.8

Question 27

periodontal condition notes options

Answer 27

• health
• gingivitis (localized v. generalized, mild/moderate/severe)
• periodontitis (stage and grade)

Question 28

reminder
__ stage
__ grade
___ patient

Answer 28

one stage
one grade
one patient

Question 29

it only takes one ______ to classify a patient as unstable in staging/grading

Answer 29

grade modifier