Term
| what are the major diagnostic categories of periodontal disease? |
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Definition
| Gingivitis and Periodontitis |
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Term
communicating clinical findings accurately
presenting information to patient about their disease status
formulating individualized treatment plans
predicting treatment outcomes |
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Definition
| purpose of classification systems |
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Term
| AAP classification system for Periodontal Disease |
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Definition
| current periodontal disease classification system |
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Term
| fact gathering process designed to provide a comprehensive picture of the patient's periodontal health status |
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Definition
| Clinical periodontal Assessment |
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Term
| A clinical periodontal assessment is (?) performed by the clinician |
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Definition
| one of the most important functions |
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Term
| the information gathered during this assessment (?) for the patient |
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Definition
| forms the basis of the individualized treatment plan |
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Term
| an estimate of the true periodontal support around the tooth as measured with a periodontal probe |
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Definition
| Clinical attachment level (CAL) |
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Term
| Clinical Attachment Level (CAL) |
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Definition
| Distance measured from the CEJ to the JE |
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Term
| measured from the gingival margin to the base of the sulcus or periodontal pocket |
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Definition
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Term
| measured from a fixed point (CEJ) to the base of the sulcus or periodontal pocket |
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Definition
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Term
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Definition
| more accurate measurement of periodontal support than probing because the position of the gingival margin may change with tissue swelling or recession |
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Term
| when the gingival margin is AT or SLIGHTLY coronal to the CEJ |
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Definition
| no calculations are needed |
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Term
| when the gingival margin is SIGNIFICANTLY coronal to the CEJ |
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Definition
| subtract gingival margin level from probing depth |
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Term
| when gingival RECESSION is present |
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Definition
| add gingival margin level to probing depth |
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Term
| FGM is at or slightly coronal to the CEJ |
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Definition
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Term
| FGM is significantly coronal to the CEJ |
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Definition
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Term
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Definition
| recession of gingival margin |
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Term
| can there be gingival recession without increased probing depth? |
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Definition
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Term
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Definition
| # 1 etiologic factor for gingival recession |
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Term
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Definition
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Term
| junction between keratinized gingiva and nonkeratinized mucosa |
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Definition
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Term
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Definition
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Term
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Definition
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Term
-Gingival recession results in inadequate or diminished AG
-Probing depths extend to or beyond the MGJ into alveolar mucosa
-High frenum attachments pull gingiva away from tooth |
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Definition
| conditons for Mucogingival Involvement /Defect |
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Term
| injury to the attachment apparatus as a result of excessive occlusal forces |
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Definition
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Term
| attachment apparatus is everything but the gingiva |
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Definition
| if you include the gingiva you are talking about periodontium |
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Term
Primary, Secondary
Localized, Generalized |
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Definition
| classifications of occlusal trauma |
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Term
| excessive occlusal forces placed on a HEALTHY periodontium that produces changes in the periodontal tissues (e.g. a "high" restoration) |
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Definition
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Term
| Normal forces of mastication on a periodontium with bone loss (periodontitis) that produce changes in the tissues |
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Definition
| Secondary Occlusal Trauma |
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Term
| what is the most common clinical sign of occlusal trauma? |
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Definition
| increasing tooth mobility |
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Term
| what is the most common malpractice claim? |
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Definition
| Failure to diagnose periodontal disease |
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Term
| destructive periodontitis that continues despite appropriate homecare and treatment |
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Definition
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Term
| acute periodontal diseases may or may not |
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Definition
| be associated with gingivitis or periodontitis |
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Term
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Definition
| classification of acute periodontal diseases |
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Term
Gingival abscess
Periodontal abscess
Necrotizing periodontal abscess
Pericorneal abscess (pericornitis) |
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Definition
| types of acute periodontal diseases |
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Term
localized painful edema at free gingival margin or interdental papilla
can be caused by etiologic factors (nail, popcorn hull, seeds) lodged in gingival sulcus
Calculus is NOT usually the cause |
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Definition
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Term
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Definition
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Term
often occur in deep pockets or furcation sites (periodontitis)
tooth may be sensitive to percussion and may be mobile |
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Definition
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Term
smooth
shiny
painful area of swelling (fistula)
tender to touch
may have exudate and/or increase in probing depth |
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Definition
| Presentation of periodontal abscess |
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Term
infection through caries
traumatic fracture of tooth
trauma of a dental procedure |
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Definition
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Term
| Death of the cells comprising the gingival epithelium |
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Definition
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Term
| Loss of the gingival epithelium normally covering the underlying gingival connective tissue |
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Definition
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Term
| A gray white layer covering the necrotic areas of the gingiva |
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Definition
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Term
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Definition
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Term
| Acute infection limited to gingival tissues |
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Definition
| Necrotizing ulcerative gingivitis |
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Term
| necrotizing ulcerative gingivitis is also known as |
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Definition
| Vincent's Infection or Trench Mouth |
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Term
history of: smoking
poor nutrition
recent stress
impaired host response
Can be associated with HIV-positive status
Most common in 20 - 30 yrs old |
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Definition
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Term
oral pain
punched out or cratered papillae
tissue necrosis
gray white pseudo membrane formation
spontaneous bleeding
lymphadenopathy (swollen lymph nodes)
extreme halitosis (fetid) |
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Definition
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Term
similar to NUG
affects deeper structures of periodontium (bone)
can be accompanied by the formation of sequestrum - fragments of necrotic (dead) alveolar bone |
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Definition
| distinguishing features of NUP |
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Term
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Definition
| immediate referral to a periodontist and maybe an MD for underlying conditions |
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Term
| localized infection within tissue surrounding crown of a partially erupted tooth |
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Definition
| Pericorneal Abscess (pericornitis) |
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Term
Malaise
Fever
Lymphadenopathy
Trismus (lock jaw)
Exudate
Localized red, swollen, lesions that are painful to touch |
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Definition
| Presentation of pericorneal abscess |
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Term
| pericorneal abscess can be treated with |
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Definition
| debridement and irrigation along with antimicrobial rinses, antibiotics, and tissue recontouring or extraction |
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