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Chapter 15, 16, & 17
Periodontitis: Chronic, Aggressive, Other, pt 1
33
Agriculture
8th Grade
03/31/2013

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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
chronic
Term
What is the etiology of chronic perio?
Definition
bacteria
Term
Is chronic perio reversible?
Definition
no!
Term
Is there bone loss with recession?
Definition
yes
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
host response
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
slow to moderate
Term
Is chronic perio localized or generalized?
Definition
could be either
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
no
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
inflammation
Term
What are the papilla like in chronic perio after a long time?
Definition
blunted
Term
What are the three main signs of chronic perio?
Definition
-CAL
-bleeding
-exudate
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
inflammatory
Term
What is pus?
Definition
dead white blood cells
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
What requires a med con?
Definition
systemic risk factors
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
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