Term
What are the thee subdivisions of periodontitis? |
|
Definition
-chronic -aggressive -less common types |
|
|
Term
What are some less common causes of periodontitis? |
|
Definition
-systemic disease -necrotizing -endontic lesions -developmental or acquired lesions -abscess of the periodontium |
|
|
Term
What is the most common form of periodontitis? |
|
Definition
|
|
Term
What is the etiology of chronic perio? |
|
Definition
|
|
Term
Is chronic perio reversible? |
|
Definition
|
|
Term
Is there bone loss with recession? |
|
Definition
|
|
Term
What age is chronic perio seen in? |
|
Definition
>35 but can occur in children and adolescents |
|
|
Term
What plays an essential role in tissue destruction? |
|
Definition
|
|
Term
What is the disease cycle of periodontitis? |
|
Definition
-pocket harbors bacteria -biofilm forms -patient cannot disrupt b/c of depth -inflammatory response -connective tissue loss |
|
|
Term
What rate does chronic perio progress at? |
|
Definition
|
|
Term
Is chronic perio localized or generalized? |
|
Definition
|
|
Term
What are some factors that chronic perio can be modified by? |
|
Definition
-smoking -local factors(occlusion, restoration) -systemic diseases |
|
|
Term
What are some signs/symptoms of perio disease? |
|
Definition
-swelling -redness -bleeding -pockets -bone loss -tooth mobility -suppuration |
|
|
Term
Is pain usually a symptom of chronic perio? |
|
Definition
|
|
Term
What are some warning signs of chronic perio? |
|
Definition
-red, swollen gingiva -bleeding during brushing -bad taste in mouth -bad odor -sensitivity -loose teeth -pus |
|
|
Term
Why is it bad that pain is not a symptom of chronic perio? |
|
Definition
people don't go get help because it doesn't hurt or they do not know they have it |
|
|
Term
is clinical appearance a reliable indicator of the presence or severity of chronic perio? |
|
Definition
no, may exhibit pronounced or minimal changes |
|
|
Term
What is bleeding an indicator of? |
|
Definition
|
|
Term
What are the papilla like in chronic perio after a long time? |
|
Definition
|
|
Term
What are the three main signs of chronic perio? |
|
Definition
|
|
Term
What happens when there is a loss of attachment? |
|
Definition
-JE migrates apically -destruction of gingival fibers -destruction of PDL -loss of bone |
|
|
Term
What does the loss of attachment relate to? (4) |
|
Definition
-amount of biofilm accumulation -local factors -smoking -systemic factors |
|
|
Term
CAL of 1-2 mm can be found in how many people? |
|
Definition
nearly everyone in the adult population |
|
|
Term
Mild loss= Moderate loss= Severe loss= |
|
Definition
mild 1-2 CAL mod 3-4 CAL sevee >5 CAL |
|
|
Term
Accumulation of pus is a BLAK response related to disease. |
|
Definition
|
|
Term
|
Definition
|
|
Term
What is the recurrence of periodontitis? |
|
Definition
-had perio -got treatment, it worked -have it again |
|
|
Term
What is recurrent disease? |
|
Definition
-new signs and symptoms -after therapy b/c disease was not brought under control |
|
|
Term
What is refractory disease? |
|
Definition
-additional attachemnt loss in pt who has been treated and have good home care but is still getting worse -refer to periodontitis |
|
|
Term
What is materia alba made of? |
|
Definition
plaque, sloughed tissue, biofilm |
|
|
Term
|
Definition
|
|
Term
What are the 3 goals of treatment with chronic periodontitis? |
|
Definition
-control plaque levels -eliminate risk factors -arrest disease progression |
|
|
Term
What can effect the outcome of chronic perio? |
|
Definition
-pt care -maintenance -availability to reach pocket depths -host response |
|
|