Term
|
Definition
| what occurs in the development of disease or abnormal condition |
|
|
Term
| What are the three basic states? |
|
Definition
1.health
2.gingivitis
3.periodontitis |
|
|
Term
| What is periodontal disease? |
|
Definition
| bacterial infection of the periodontium |
|
|
Term
| What are the three stages of microscopic changes? |
|
Definition
1.subclinical
2.gingivitis
3.periodontitis |
|
|
Term
| Is periodontal disease and periodontitis the same thing? |
|
Definition
| no, periodontitis and gingivitis are forms of perio disease |
|
|
Term
|
Definition
| bacterial infection confined to the gingiva |
|
|
Term
| Is tissue damage from gingivitis reversible? |
|
Definition
|
|
Term
| What is subclinical gingivitis? |
|
Definition
| a stage of periodontal disease that can only be detected microscopically |
|
|
Term
| Is subclinical gingivitis seen before or after inflammatory response? |
|
Definition
|
|
Term
|
Definition
| a bacterial infection of all parts of the periodontium |
|
|
Term
| What are the aspects of the periodomtium? |
|
Definition
1.gingiva
2.PDL
3.Bone
4.Cementum |
|
|
Term
| Is tissue damage from periodontitis reversible? |
|
Definition
|
|
Term
| What is the number one sign of inflammation? |
|
Definition
|
|
Term
| What is the color of healthy gingiva? |
|
Definition
| pink pigmentation, exact pigmentation related to genetics |
|
|
Term
| Gingival margin in healthy gingiva? |
|
Definition
|
|
Term
| Interdental papilla in healthy gingiva? |
|
Definition
|
|
Term
| Texture of healthy gingiva |
|
Definition
attached- stippled
free-smooth |
|
|
Term
| Sulcus depth of healthy gingiva? |
|
Definition
|
|
Term
| What is a healthy JE like? |
|
Definition
-firmly atached by hemidesmosomes to enamel
-coronal to CEJ |
|
|
Term
| Is the JE a smooth or random boundary? |
|
Definition
|
|
Term
| What should the gingival fiber bundles be like? |
|
Definition
| in tact and supporting the JE |
|
|
Term
| Where should a healthy alveolar bone crest be? |
|
Definition
| 2 mm apical to base of JE |
|
|
Term
| How soon after plaque accumulation in the sulcus do you see gingivitis? |
|
Definition
4-14 days
so if you don't floss foe 4 days you could begin to develop gingivitis! |
|
|
Term
| What is the duration like in acute gingivitis? |
|
Definition
|
|
Term
| What is acute gingivitis characterized by? |
|
Definition
| fluid in gingival connective tissues |
|
|
Term
| What does the gingiva look like in acute gingivitis? |
|
Definition
| apprears swollen(edema), vascular, red in appearance |
|
|
Term
| What is the duration of chronic gingivitis? |
|
Definition
|
|
Term
| How does the body attempt to repair tissue damage in chronic gingivitis? |
|
Definition
| by forming new collagen fibers |
|
|
Term
| What does the tissue appear like in chronic gingivitis? |
|
Definition
|
|
Term
| Is the gingiva red in chronic gingivitis? |
|
Definition
| no, excess collagen fibers mask redness, it is lacking bright red appearance |
|
|
Term
| What determines if a patient's gingivitis will move to perio disease? |
|
Definition
| the patient's host response |
|
|
Term
| What are two things that may cause gingival enlargement? |
|
Definition
|
|
Term
| Where is the gingival margin in gingival enlargement? |
|
Definition
| it covers more of the crown, this results in greater probe depths |
|
|
Term
| What can gingival enlargement cause? |
|
Definition
|
|
Term
| How big will the gingival pocket be in gingival enlargement? |
|
Definition
|
|
Term
| What happens in pseudo pocketing? |
|
Definition
| the gingiva is swollen but the JE remains coronal to the CEJ |
|
|
Term
| What is the progression of gingivitis to periodontitis like? |
|
Definition
| gingivitis may persist for years without progressing to periodontitis |
|
|
Term
| What is the color of the gingiva in clinical gingivitis? |
|
Definition
|
|
Term
| What is the gingival margin like in clinical gingivitis? |
|
Definition
| rounded, covers more of the crown |
|
|
Term
| What is the consistency like in clinical gingivitis? |
|
Definition
|
|
Term
| Is there bleeding found in clinical gingivitis? |
|
Definition
| yes, bleeding upon gentle probing |
|
|
Term
| What is the sulcus like in clinical gingivitis? |
|
Definition
| may be more than 3 mm, but the JE has not apically migrated |
|
|
Term
| Where is damage found in clinical gingivitis? |
|
Definition
| in supragingival fiber bundles, reversible with bacterial infection control |
|
|
Term
| Has the bacterial infection progressed to the alveolar bone in gingivitis? |
|
Definition
|
|
Term
| Is the tissue destruction in periodontitis reversible? |
|
Definition
|
|
Term
| What is periodontitis characterized by? |
|
Definition
-apical migration of the JE
-loss of connective tissue attachment
-loss of alveolar bone |
|
|
Term
| What does bluntness of the interdental papilla tell you? |
|
Definition
| that there is interdental attachemnt loss |
|
|
Term
| Is tissue destruction in periodontitis a continuous process? |
|
Definition
| no, it occurs intermittently |
|
|
Term
| What is tissue destruction in periodontitis like? |
|
Definition
| extended periods of inactivity followed by short periods of destruction |
|
|
Term
| Does tissue destruction occur at the same rate throughout the whole mouth? |
|
Definition
| no, it occurs at different rates throughout the mouth |
|
|
Term
| What color is the gingiva in clinical periodontitis? |
|
Definition
|
|
Term
| What is the gingival margin like in clinical periodontitis? |
|
Definition
| swillon, fibrotic, may be apical to the CEJ |
|
|
Term
| What is the interdental papailla like in periodontitis? |
|
Definition
| bulbus, blunted, flat, cratered away, not not fill embrasures |
|
|
Term
| Is there bleeding with periodontitis patients? |
|
Definition
| yes, and may have suppuration |
|
|
Term
| What are the pocket depths in periodontitis? |
|
Definition
| 4mm or greated, apical migration of the JE |
|
|
Term
| What happens to the JE in periodontitis? |
|
Definition
| apically migrates, located on cementum |
|
|
Term
| What determines the patient's chance of getting periodontal disease and the severity to which they will get it? |
|
Definition
|
|
Term
|
Definition
| the body's reaction to injury or invasion by disease-producing organisms |
|
|
Term
| What does inflammation cause in periodontitis? |
|
Definition
| results in permanent tissue destruction |
|
|
Term
| What is included in this destruction? |
|
Definition
-gingival connective tissues
-PDL
-alveolar bone |
|
|
Term
| WHat are the two patterns of bone loss? |
|
Definition
|
|
Term
| Is horizontal or vertical boneloss more common? |
|
Definition
|
|
Term
| Is the boneloss in horizontal even? WHat kind of pocket does it produce? |
|
Definition
| fairly even overall reduction, produces suprabony pocket |
|
|
Term
| Is vertical bone loss even? |
|
Definition
| no, this is when bone resorption progresses more rapidly in the bone next to the root surface |
|
|
Term
| What kind of pocket does vertical boneloss cause? |
|
Definition
|
|
Term
| Does vertical bone loss typically affect all teeth? |
|
Definition
|
|
Term
| What are infrabony defects? |
|
Definition
| classified on the basis of the number of osseous(bony) walls remaining |
|
|
Term
| What is a 1 wall bony defect? |
|
Definition
only one wall of the bone around a tooth remains
EX: facial, lingual, and distal plates of the canine are missing but the mesial wall of the premolar remains |
|
|
Term
| What is a 2 wall bony defect? |
|
Definition
2 walls remain
EX: L and M plate remains of the premolar but the distal and facial plates of the canine remain |
|
|
Term
| What is a three-wall infra bony defect? |
|
Definition
3 walls of bone around the tooth remain
EX: F, M, & L plates remain of premolar |
|
|
Term
| How many teeth does an interproximal osseous crater effect? What is it? |
|
Definition
| affects 2 teeth, bowl shaped(dip) osseous defect interdentally |
|
|
Term
| example of an interproximal osseous crater |
|
Definition
| bone loss at mesial of premolar and distal of canine |
|
|
Term
| Inflammation spreads through the path of... |
|
Definition
| least resistance(gingival tissue, alveolar bone, PDL space) |
|
|
Term
| What is the order in which inflammation spreads in vertical bone loss? |
|
Definition
1.gingival fibers
2.directly into the PDL space(sharpeys fibers)
3.Alveolar bone |
|
|
Term
| What happens in vertical bone loss when the crestal fiber bundles are weakened? |
|
Definition
| once they are weakened, they are no longer an effective barrier |
|
|
Term
| What else can weaken crestal fibers? |
|
Definition
|
|
Term
| What is the order of disease in Horizontal bone loss |
|
Definition
1.connetive tissue sheaths
2.into bone
3. into periodontal ligament space |
|
|
Term
| In periodontal pockets how does tissue destruction spread? |
|
Definition
|
|
Term
| Does every root surface of a tooth have the same pocket reading? |
|
Definition
| they can have different ones |
|
|
Term
| Where is the disease site? How big are they? |
|
Definition
| area of tissue destruction, may involve only a single surface of a tooth |
|
|
Term
| What does an active disease sit show? |
|
Definition
| apical migration of JE over time |
|
|
Term
| What is an inactive disease site? |
|
Definition
-stable
-attachment level of JE remains the same over time |
|
|
Term
| What is bleeding a sign of? |
|
Definition
| inflammation, NOT disease |
|
|
Term
| What is disease activity assessed with? |
|
Definition
|
|
Term
| What reading indicated a healthy sulcus? |
|
Definition
|
|
Term
|
Definition
| area of destruction left by the disease process |
|
|
Term
| Does a presence of a pocket always indicate active disease? |
|
Definition
|
|
Term
| Are a majority of pockets in adult patients active or inactive? |
|
Definition
|
|
Term
| What are gingival pockets? |
|
Definition
| deepening of the gingival sulcus solely as a result of gingival enlargement |
|
|
Term
| IS there destruction of PDL fibers or alveolar bone in a pseudo pocket? |
|
Definition
|
|
Term
| Is there apical migration of the JE with gingival pockets? |
|
Definition
| no, it remains coronal to the CEJ, there is just an increased probe depth caused by edema |
|
|
Term
| What are periodontic pockets? |
|
Definition
| pathologial deepening of gingival sulcus |
|
|
Term
| What are periodontal pockets caused by? |
|
Definition
1.apical migration of the JE
2.destruction of PDL fibers
3.destruction of alveolar bone |
|
|
Term
| Suprabony pockets occur when BLANK bone loss is present. The JE is located BLANK to the crest of the alveolar bone. |
|
Definition
|
|
Term
| Infrabony pockets occur when BLANK bone loss is present. JE is located BLANK to the crest of the alveolar bone. |
|
Definition
|
|
