Peri implantitis
What is chronic periodontitis in the tissues surrounding a dental impant?
35 or older
What is the most common age of onset for chronic perio?
Slowly over time
Does untreated chronic perio progress slowly over time or very quickly?
Localized chronic periodontitis
What is chronic perio in which 30% or less of sires in the mouth have attachment and bone loss?
Generalized chronic periodontitis
What is chronic perio in which more than 30% of sites in the mouth have attachment and bone loss?
Slight mild perio II
What is 1-2 mm of clinical attachment loss?
Moderate perio III
What is 3-4 mm of clinical attachment loss?
Severe perio IV
What is 5 or more mm of clinical attachment loss?
Recurrent
What are new signs or symptoms of periodontitis that reappear after therapy because of inadequate treatment or self care?
Refractory
What is periodontitis in a patient who has been monitored over time, who continues to exhibit additional arrachment loss in spite of adequate treatment and self care?
Aggressive periodontitis
What is aggregatibacter actinomycetemcomitans associated with?
Probe
What is the most accurate screening for detecting attachment loss?
Neutropenia
What are low levels of neutrophils, severe bone loss and tooth loss?
Familial and cyclic neutropenia
What is hereditary and congenital disorders that affect the bone marrow, appearing at a young age with low levels of neutrophils in the blood?
NUG
What is tissue necrosis limited to the gingival tissues?
NUP
What is necrosis of gingival tissue combined with attachment and alveolar bone loss?
NUG
What comes as sudden onset, painful, tissue sloughing, fiery red gingiva with bleeding, necrosis of interdental papilla?
NUP
What comes as a sudden onset, painful, tissue sloughing, fiery red gingiva with bleeding necrosis of interdental papilla, attachment loss, and deep craters in interdental alveolar bone?
Pseudomembrane
What consists of...
fibrin
necrotic tissue
leukocytes
erythrocytes
masses of bacteria
Secondary occlusal trauma
What is injury as a result of occlusal forces applied to a tooth that have previously experienced attachment or bone loss?
Secondary occlusal trauma
What are these signs of?
Tooth mobility
Fremitis
Tooth migration
Tooth fracture
Thermal sensitivity
Rapid bone loss
Pocket formation
Recession of the gingival margin
What is the most common mucogingival deformity?
Overt signs
readily available signs
changes in color
contour
consistency of the gingiva
Hidden signs
not readily available
bone loss
bleeding on probing
exudate
0
What phase is assessment and preliminary therapy?
I
What phase is nonsurgical periodontal therapy?
II
What phase is surgical therapy?
III
What phase is restorative therapy?
IV
What phase is periodontal maintenance?
II Surgical therapy
Which phase of management for patients with periodontal disease can dental hygienist NOT perform?
Enamel pearl
Palatolingual groove
What are some anatomic factors of a tooth that can predispose to plaque related gingival diseases?
Supportive
Sensory
Nutritive
Formative
Resorptive
What are the functions of PDL
Gingiva
Which tooth structure holds the tissue to the tooth during mastication?
True
False
T/F- it is easier to evaluate a population for dental caries or periodontal diesase? multiple variables used to define perio make the number or prevalence and incidence more specific?
Seals dentinal tubules
Protects dentin
Attaches periodontal fibers to the tooth
Seals and covers open dentinal tubules
Acts to protect the underlying dentin
Attaches periodontal fibers to the tooth
Periodontitis
What is characterized by apical migration of the junctional epithelium?
Gingivitis
What is inflammation that is confined to the gingival tissue with no effect on attachment level?
Bright red
What is the color of the gingiva in acute gingivitis?
Bluish to purplish
What is the color of the gingiva in chronic gingivitis?
Bulbous
What is a papilla that is enlarged and appears to bulge out of the interproximal space?
Blunted
What is a papilla that is flat and does not fill the interproximal space?
Cratered
What is a papilla that appears to have been "scooped out," leaving a concave depression?
Necrotizing Ulcerative Gingivitis
What are cratered papillae associated with?
Papillary
What is inflammation of the interdental papilla only?
Marginal
What is inflammation of the gingival margin and papilla?
Diffuse
What is inflammation of the gingival margin, papilla, and attached gingiva?
Extent
What is the area of tissue that is affected by inflammation? The extent or distribution of inflammation?
Distribution
What describes the area where the gingival tissue is inflamed? The extent or distribution of inflammation?
Acute
Which gingivitis is of short duration and health returns? Chronic or acute?
Chronic
Which gingivitis is long lasting and may exist for years without ever progressing to periodontitis? Chronic or acute?
Non plaque induced gingivitis
What is gingivitis that is not caused by biofilm and does not disappear after plaque removal?
rapid destruction of PDL
rapid loss of supporting bone
high risk for tooth loss
poor response to periodontal therapy
no obvious signs of disease
characteristics of aggressive perio
Aggressive
Which periodontitis is attachment loss episodic, occurs in succession with acute destructive phases with intermittent and inactive phases?
Localized Aggressive Perio
What comes as an onset around puberty, a rapid tissue destruction around the permanent 1st molars and incisors, associated with AA, vertical bone loss?
Generalized Aggressive Perio
What comes as an onset with people under the age of 30, interproximal attachment loss affecting at least 3 permanent teeth other than the 1st molars and incisors, episodic progression?
I
What type of GAP do gingival tissues appear acutely inflamed, ulcerated and fiery red, and is a destructive phase of progression?
II
What type of GAP do gingival tissues appear pink, deep pockets, tissue response may concede with periods of disease inactivity?
Papillon Lefevre Syndrome
What is hyperkeratosis of the palms and hands and soles of feet, with severe periodontal destruction?
initial lesion
early lesion
established lesion
What are the three stages of gingivitis?
Initial lesion
Which stage of gingivitis develops within 4 days of biofilm accumulation, the sulcus is heavily populated with gram positive cocci?
Early lesion
Which stage of gingivitis is inflammation detected clinically after 7 days, and gram negative bacteria begin to flourish?
Established lesion
Which stage of gingivitis is there bleeding upon probing, and spirochetes and gram negative rods are detected?
Gingival margin
Where does the process of gingivitis begin?
Pyogenic granuloma
What is a localized mushroom-shaped gingival mass projecting from the gingival papilla?
Systemic
What kind of factors are these that contribute to gingival disease?
Puberty
Menstrual cycle
Oral contraceptives
Pregnancy
Diabetes
Pregnancy
Systemic
What type of factor is a pyogenic granuloma generally associated with?
Primary herpetic gingivostomatitis
What is a severe reaction to the initial infection of herpes simplex 1 virus?
Primary herpetic gingivostomatitis widespread inflammation of the marginal and attached gingiva, small clusters of vesicle, yellowish ulcers surrounded by a red halo, occurs on lips, tongue, palate or buccal mucosa. these describe what?
What is the widespread inflammation of the marginal and attached gingiva, small clusters of vesicles, yellowish ulcers surrounded by a red halo, occurs on lips, tongue, palate, or buccal mucosa?
Linear gingival erythema
What is the gingival manifestation of immunosuppression?
Linear gingival erythema
What is exaggerated inflammation, no evidence of attachment loss, no bleeding on probing, persists after removal of plaque, associated with HIV, and doesn't respond well to therapy or improved self care?
Free gingiva
Where does linear gingival erythema occur?
Lichen Planus
What causes itchiness, swollen rash on skin or mouth, related to an allergic reaction or immune reaction, usually chronic, not seen in children?
Lichen Planus
What is the most common mucocutaneous disease affecting the gingiva?
Buccal mucosa
Gingiva
Where does lichen planus occur?
Lichen Planus
What is erythema of gingiva, ulcerations of the gingiva causing pain, interlacing white lines on buccal mucosa, raised white lesion?
Erythema multiforme
What is the disorder of the skin and mucosa membrane due to an allergic reaction or infection?
Erythema multiforme
What is swollen lips with extensive crest formation, lesions that involve bullae that rupture and leave ulcers on the gingiva?
Allergic reaction
What describes diffuse fiery red gingivitis, sometimes with ulcerations?
Non plaque induced gingival lesions
What are these categorized as?
Allergic reaction
Erythema multiforme
Lichen planus
LGE
PHG
Chronic
What is the most frequently occuring form of perio?
Chronic
Which perio has swelling, redness, gingival bleeding, perio pockets, bone loss, tooth mobility, suppuration, moderate to heavy biofilm and calculus?
Clinical attachment loss
What is an estimate of the extent that the tooth supporting structures have been destroyed around a tooth?