Term
| What are some systems effected by perio? (4) |
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Definition
1.cardiovascular
2.endocrine
3.reproductive
4.respiratory |
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Term
| What are some cardiovascular diseases effected by perio? (5) |
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Definition
1.coronary heart disease(build up of plaque in arteries)
2.atherosclerosis(thickening of artery walls)
3.angina(chest pain in area that does not get enough blood flow)
4.myocardial infarction(block of blood flow-heart attack)
5.cerebrovascular accident(stroke) |
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Term
| What is an endocrine system disorder affected by perio? |
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Definition
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Term
| What are some reproductive system issues with perio? |
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Definition
| adverse pregnancy outcomes |
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Term
| What are some of these adverse pregnancy outcomes? |
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Definition
-preterm birth
-low birth weights
-preclampsia |
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Term
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Definition
| when a pregnant women develops high blood pressure and protein in urine, in 2nd of 3rd trimester(20th week) |
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Term
| What are some respiratory diseases that perio negatively affects? |
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Definition
-hospital acquired pneumonia
-COPD |
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Term
| When are bacteria introduced to the blood stream in a perio patient? |
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Definition
| when brushing, flossing, or with sublingual irrigation |
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Term
| Is the link between crdiovascular disease (CVD) and perio strong? |
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Definition
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Term
| What are 4 possible explanations for how perio is related to CVD? |
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Definition
1.direct effect of perop pathogens on plateltes
2.cross reactivity
3.perio pathogen invasion of vessels
4.proinflammatory cytokins |
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Term
| How is perio thought to effect platelets? |
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Definition
| induces clot and thrombus formation |
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Term
| How is cross reactivity between perio and CVD thought to work? |
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Definition
| perio initiates the immune response, then endothelial cells of blood vessels are thought to be targeted, causes atherosclerosis |
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Term
| What does the periodontal pathogen invasion of blood vessels cause? |
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Definition
-systemic inflammation
-atherosclerosis |
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Term
| What are cytokins produced by? |
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Definition
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Term
| How does perio effect pregnancy? |
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Definition
| presence of gram negative bacteria MAY have a negative impact on pregnancy outcomes |
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Term
| What does diabetes increase the chance for? |
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Definition
| perio disease, and vice versa |
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Term
| How does perio effect diabetes? |
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Definition
| because perio disease may impact glycemic control |
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Term
| What is the goal of blood sugar before a meal? After? |
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Definition
Before- <110 mg/dL
After- <140 mg/dL |
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Term
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Definition
| average blood glucose control for 2-3 months |
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Term
| Does the AIC number replace daily self testing of blood glucose? |
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Definition
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Term
| What is the normal range of AIC numbers? Person with diabetes? |
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Definition
Normal-4-6%
Diabetes- want them at less than 7% |
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Term
| What is the blood glucose number that reflects poor glycemic control? |
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Definition
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Term
| What does hospital acquired pneumonia result from? |
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Definition
| organisms called potential respiratory pathogens (PRP's) |
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Term
| Where can PRP's colonize? What does this cause? |
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Definition
| in dental plaque, causes increased risk for pneumonia |
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Term
| BLANK can reduce the risk of hospital acquired pneumonia. |
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Definition
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Term
| Is there a proven link between perio and COPD? |
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Definition
| no, there i a hypothesis though |
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Term
| What % is considered mild, moderate, and severe bone loss? |
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Definition
Mild- 20%
Moderate- 20-50%
Severe- 50% |
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Term
| Where is the alveolar crest to the CEJ in mild, moderate, severe bone loss? |
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Definition
Mild- 3-4 mm apical
Moderate- 4-6 mm apical
Severe- >6 mm apical |
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Term
| What % mineralization must occur to see bone loss? |
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Definition
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Term
| What radiographs should every new patient with perio disease get for diagnostic purposes? |
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Definition
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Term
| What radiographs should be done on a recare pt with perio? |
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Definition
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