Term
| DOES PERIODONTITIS AFFECT CHILDREN OR ADULTS? |
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Definition
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Term
| PERIODONTITIS IS DEFINED AS: |
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Definition
| •CONNECTIVE TISSUE ATTACHMENT LOSS WITH SUBSEQUENT ALVEOLAR AND SUPPORTING BONE DESTRUCTION |
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Term
| WHAT 2 FORMS OF PERIODONTITIS ARE THERE? |
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Definition
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Term
| PERIODONTITIS IS DIAGNOSED BASED ON _________ AND __________ FINDINGS |
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Definition
| •CLINICAL AND RADIOGRAPHIC |
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Term
| WHAT HISTOPATHOLOGICAL SIGNS OCCUR DURING PERIODONTITIS? |
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Definition
•ALVEOLAR BONE LOSS
•PERIODONTAL POCKET FORMATION
•B-CELL LESIONS
•MICROSCOPIC CHANGES OCCUR IN THE LAMINA PROPRIA AND EPITHELIUM |
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Term
| THE HISTOLOGICAL LESIONS OF PERIODONTITIS WERE INITIALLY CLASSIFIED AND PUBLISHED BY _____________ AND ______________ IN ______ |
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Definition
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Term
| PAGE AND SCHROEDER CLASSIFIED GINGIVITIS AND PERIODONTITIS ACCORDING TO: |
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Definition
•HISTOPATHOLOGY FROM ANIMAL MODELS AND SOME ADOLESCENT SPECIMENS
•ALTHOUGH STILL USED, IT IS NOT UP TO DATE |
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Term
| WHAT ARE THE STAGES OF HISTOPATHOGENESIS OF PERIODONTAL DISEASE? |
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Definition
•INITIAL
•EARLY
•ESTABLISHED
•ADVANCED |
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Term
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Definition
•THIS IS PERIODONTITIS
•THERE IS CLINICAL ATTACHMENT LOSS, AND THE ALVEOLAR AND SUPPORTING BONE HAS BEEN DESTROYED
•PLASMA CELLS (B-CELLS) PREDOMINATE |
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Term
| IN THE ADVANCED LESION, THE INFLAMMATORY INFILTRATE SPREADS IN THE ______________ |
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Definition
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Term
| WHAT IS THE DEFINITION OF A 'POCKET'? |
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Definition
| •A PATHOLOGICALLY DEEPENED GINGIVAL SULCUS OCCURRING BETWEEN THE ROOT SURFACE AND THE GINGIVA |
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Term
| JUNCTIONAL EPITHELIUM IS TRANSFORMED INTO POCKET EPITHELIUM WITH THE DEVELOPMENT OF: |
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Definition
•MICRO-ULCERATIONS AND EPITHELIAL RIDGES
•NORMALLY (IN HEALTH) THE JE DOES NOT HAVE RIDGES |
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Term
| IN THE PERIODONTAL POCKET, INFLAMMATION SPREADS FROM THE ________________ SUBJACENT TO THE __________________ |
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Definition
| •CORONAL LAMINA PROPRIA SUBJACENT TO THE JE INTO THE BODY OF CONNECTIVE TISSUE |
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Term
| IN A PERIODONTAL POCKET, THERE IS AN INCREASE IN THE NUMBER OF _____________ AND A DECREASE IN THE NUMBER OF ______________ |
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Definition
•INCREASE IN INFLAMMATORY CELLS
•DECREASE IN COLLAGEN |
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Term
| IN THE PERIODONTAL POCKET, ______________ ARE DESTROYED FOLLOWED BY __________ AND __________ MIGRATION OF THE JUNCTIONAL EPITHELIUM |
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Definition
•GINGIVAL FIBERS (COLLAGEN)
•APICAL AND LATERAL |
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Term
| HOW IS A PERIODONTAL POCKET FORMED? |
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Definition
| •AS THE EPITHELIUM IS DETACHED FROM THE ROOT SURFACE AND THE APICAL PORTION MIGRATES APICALLY, A PERIO POCKET IS FORMED |
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Term
| A "POCKET" REFERS ONLY TO _____________, NOT ___________ |
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Definition
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Term
| WHEN A PERIODONTAL POCKET IS FORMED, IT IS REFERRED TO AS _______________ |
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Definition
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Term
| AS A CONSEQUENCE TO DESTRUCTION OF THE GINGIVAL FIBERS AND APICAL MIGRATION OF THE JE, THERE IS _______________ |
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Definition
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Term
| INCREASED DEPTH OF PERIO POCKETS MAKES IDEAL AREAS FOR _______________ DUE TO ______________ |
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Definition
•BACTERIAL GROWTH
•DIFFICULTY IN MAINTAINING |
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Term
| THE 2 TYPES OF PERIO POCKETS ARE ______________ AND _____________ DEPENDING ON THE _______________ |
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Definition
•SUPRABONY AND INFRABONY
•PATTERN OF BONE LOSS |
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Term
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Definition
•CONNECTIVE TISSUE ATTACHMENT LOSS AND BONE LOSS
•CORONAL TO THE ALVEOLAR CREST
•HORIZONTAL BONE LOSS |
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Term
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Definition
•CONNECTIVE TISSUE ATTACHMENT LOSS AND BONE LOSS
•APICAL TO THE ALVEOLAR CREST
•VERTICAL OR ANGULAR BONE LOSS |
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Term
| WHAT HAPPENS TO THE ROOT SURFACE WHEN PERIO POCKETS FORM? |
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Definition
| •THE SURFACE BECOMES ROUGH DUE TO DETACHMENT OF CONNECTIVE TISSUE |
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Term
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Definition
•AKA: DISEASE CEMENTUM
•WHEN PERIO POCKETS FORM, CAUSING THE ROOT SURFACE TO BECOME ROUGH, IT CAN MORE EASILY ABSORB ENDOTOXINS AND BACTERIA AND THEIR BY-PRODUCTS, THIS IS CALLED NECROTIC CEMENTUM |
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Term
| THE INFLAMMATORY PROCESS DURING PERIO DISEASE CAUSES: |
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Definition
| •BONE DESTRUCTION (RESORPTION) |
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Term
| SUBSTANCES INVOLVED IN BONE RESORPTION ARE: |
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Definition
•PROSTAGLANDINS
•ENDOTOXINS
•CYTOKINES
•B-CELLS |
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Term
| DURING BONE RESORPTION, MACROPHAGES AND PMNs: |
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Definition
| •RELEASE PROSTAGLANDINS (WHICH DESTROY BONE) |
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Term
| DURING BONE RESORPTION, ENDOTOXINS AND CYTOKINS: |
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Definition
| •DESTROY BONE BY RELEASING GRAM - BACTERIA |
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Term
| EXPLAIN SITE-SPECIFIC LOCALIZATION OF PERIODONTAL DESTRUCTION |
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Definition
•POCKET FORMATION AND BONE DESTRUCTION DOES NOT OCCUR IN ALL AREAS OF THE MOUTH AT THE SAME TIME
•IT CAN OCCUR ON A FEW TEETH AT A TIME WHILE OTHERS ARE HEALTHY AND CAN BE EPISODIC |
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Term
| DURING POCKET FORMATION, THE DEGREE OF BONE LOSS IS NOT NECESSARILY CORRELATED WITH: |
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Definition
•THE DEPTH OF THE POCKETS
•THERE CAN BE EXTENSIVE BONE LOSS WITH SHALLOW POCKETS |
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Term
| WHAT ARE SOME REASONS A PATIENT MAY HAVE EXTENSIVE BONE LOSS, BUT NO DEEP POCKETS? |
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Definition
•THE PATIENT MAY HAVE HAD SURGERY AND THE POCKETS WERE REDUCED
•THE PATIENT DOES NOT CURRENTLY HAVE SEVERE PERIODONTITIS EVEN THOUGH RADIOGRAPHS SHOW SEVERE BONE LOSS |
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Term
| THE PATTERN OF BONE LOSS DEPENDS ON: |
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Definition
| •THE ROUTE OF THE INFLAMMATORY INFILTRATE FROM THE GINGIVA TO THE BONE VIA BLOOD VESSELS |
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Term
| WHAT IS THE ROUTE OF TISSUE DESTRUCTION IN PERIO DISEASE? |
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Definition
| •GINGIVA --> BONE --> PDL (PRINCIPLE FIBERS) |
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Term
| WHAT ARE THE 2 PATTERNS OF BONE LOSS? |
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Definition
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Term
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Definition
•BONE IS LOST EQUALLY ON THE SURFACES OF 2 ADJACENT TEETH
•INTERPROXIMAL BONE LEVEL REMAINS FLAT AND CORONAL TO THE ALVEOLAR CREST
•BONE RESORPTION OCCURS FROM THE OUTER ASPECT |
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Term
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Definition
•INFLAMMATION TRAVELS DIRECTLY FROM THE GINGIVA INTO THE PDL
•INTERPROXIMAL LEVEL IS NOT FLAT
•BONE LOSS IS MORE RAPID ON ONE SIDE OF THE TOOTH THAN THE OTHER
•DEEPEST PART IS APICAL TO THE ALVEOLAR BONE CREST |
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Term
| INFRABONY DEFECTS ARE CLASSIFIED ACCORDING TO: |
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Definition
| •THE NUMBER OF OSSEOUS (BONY) WALLS SURROUNDING THE TOOTH |
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Term
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Definition
| •THREE BONY WALLS REMAIN AND ONE IS MISSING |
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Term
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Definition
| •TWO BONY WALLS REMAIN AND TWO ARE MISSING |
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Term
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Definition
| •ONE BONY WALL REMAINS AND THREE ARE MISSING |
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Term
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Definition
•TYPE OF INFRABONY DEFECT
•BUCCAL AND LINGUAL INTERPROXIMAL WALLS REMAIN
•MESIAL AND DISTAL WALLS ARE DESTROYED
•AKA: 2 WALL DEFECT |
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Term
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Definition
•TYPE OF INFRABONY DEFECT
•A PORTION OF ONE BONY WALL REMAINS
•AKA: 1 WALL DEFECT |
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Term
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Definition
•TYPE OF INFRABONY DEFECT
•3-WALLED DEFECT THAT HAS CANCELLOUS BONE BEHIND THE WALLS
•CAN ONLY BE DETERMINED DURING SURGERY |
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Term
| THE _____________ DETERMINES THE PATTERN OF BONE LOSS |
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Definition
| •RANGE OF BONE DESTRUCTION |
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Term
BONE DESTRUCTIVE PROCESS RADIATES FROM THE PLAQUE MASS __ TO __mm
BONE DESTRUCTION ONLY OCCURS OUTSIDE THE __mm RADIUS |
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Definition
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Term
| MANDIBULAR INCESORS THAT HAVE THIN TO NO CORTICAL PLATES OF BONE AND LITTLE TO NO CANCELLOUS BONE WILL MOST LIKELY SHOW _____________ BONE DESTRUCTION BECAUSE _______________ |
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Definition
•HORIZONTAL
•THERE WASN'T A LOT OF BONE THERE INITIALLY |
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Term
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Definition
•LOCALIZED (LESS THAN 30% OF SITES INVOLVED)
•GENERALIZED (MORE THE 30% OF SITES INVOLVED) |
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Term
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Definition
•BASED ON THE AMOUNT OF CLINICAL ATTACHMENT LOSS
•SLIGHT (CAL 1-2mm)
•MODERATE (CAL 3-4mm)
•SEVERE (CAL 5+ mm) |
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Term
| THE MOST COMMON FORM OF PERIODONTITIS IS _____________ |
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Definition
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Term
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Definition
•REPLACES THE OLDER TERM "ADULT PERIODONTITIS"
•HAS A SLOW RATE OF PROGRESSION |
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Term
| CHRONIC PERIODONTITIS IS DIRECTLY RELATED TO: |
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Definition
| •THE PRESENCE OF PLAQUE (BIOFILM) |
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Term
| WHAT ARE SOME FACTORS THAT MIGHT MODIFY CHRONIC PERIODONTITIS? |
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Definition
•SMOKING
•DIABETES MELLITUS
•GENETICS
•HIV
•STRESS
•LOCAL FACTORS |
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Term
| WHAT 3 PATHOGENS ARE FOUND AT PERIODONTITIS SITES? |
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Definition
•P GINGIVALIS
•T FORSYTHENSIS
•E CORRODENS |
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Term
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Definition
•LESS COMMON THAN CHRONIC
•REPLACES THE OLDER TERM "EARLY ONSET PERIODONTITIS"
•CAN OCCUR AT ANY AGE, NOT JUST PEOPLE UNDER 35 |
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Term
| AGGRESSIVE PERIODONTITIS IS ALSO DIVIDED IN _____________ AND _____________ |
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Definition
| •LOCALIZED AND GENERALIZED |
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Term
| WHAT ARE SOME COMMON FEATURES OF LOCALIZED AND GENERALIZED AGGRESSIVE PERIODONTITIS? |
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Definition
•PATIENTS ARE SYSTEMICALLY HEALTHY
•RAPID ATTACHMENT LOSS AND BONE DESTRUCTION
•FAMILIAL PREDISPOSITION |
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Term
| DURING AGGRESSIVE PERIODONTITIS, THERE MAY BE ELEVATED LEVELS OF _______ |
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Definition
•AA BACTERIA
•PROSTIGLANDINS
•INTERLEUKIN |
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Term
| DURING AGGRESSIVE PERIODONTITIS, THERE MAY BE ABNORMALLY FUNCTIONING ____________ |
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Definition
| •PHAGOCYTES (PMNs AND MACROPHAGES |
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Term
| WHAT ARE SOME FEATURES SPECIFIC FOR LOCALIZED AGGRESSIVE PERIODONTITIS? |
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Definition
•OCCURS AROUND THE AGE OF PUBERTY
•MINIMAL BIOFILM ACCUMULATION
•HIGH LEVELS OF SERUM ANTIBODIES
•LOCALIZED DESTRUCTIVE SITES |
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Term
| WHAT ARE SOME FEATURES OF GENERALIZED AGGRESSIVE PERIODONTITIS? |
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Definition
•POOR SERUM ANTIBODY RESPONSE TO THE SPECIFIC BACTERIA
•GENERALIZED INTERPROXIMAL ATTACHMENT LOSS ON AT LEAST 3 PERMANENT TEETH OTHER THAN THE FIRST MOLARS AND INCISORS |
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Term
| DURING AGGRESSIVE PERIODONTITIS, WHICH CELLS ARRIVE LATE AT THE SITE OF THE INFECTION? |
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Definition
| •PHAGOCYTES AND CHEMOTAXIS (MALFUNCTION) |
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Term
| DURING AGGRESSIVE PERIODONTITIS, THERE IS A DEFECT IN ___________ OR ____________ BUT NOT BOTH |
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Definition
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Term
| DEFECTS IN PMNs AND MACROPHAGES ARE SEEN IN ___ TO ___% OF PATIENTS WITH AGGRESSIVE PERIODONTITIS BUT IS NOT SEEN IN ____________________ |
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Definition
•70-80%
•CHRONIC PERIODONTITIS |
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Term
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Definition
| •A TYPE OF PERIODONTITIS WHEREIN PATIENTS PREVIOUSLY TREATED WITH CONVENTIONAL PERIO THERAPY THAT DO NOT RESPOND FAVORABLY TO THE THERAPY ARE CONSIDERED RESISTANT TO TREATMENT |
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Term
| IN REFRACTORY PERIODONTITIS, THERE ARE HIGH NUMBERS OF WHICH BACTERIA? |
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Definition
•P INTERMEDIA
•B FORSYTHUS
•T FORSYTHENSIS
•F NUCLEATUM
•P GINGIVALIS |
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Term
| 30% OF PATIENTS WITH REFRACTORY PERIODONTITIS ARE _______________ |
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Definition
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Term
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Definition
| •REVERSIBLE INFLAMMATION IN THE GINGIVA AROUND A FUNCTIONING IMPLANT |
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Term
| THE PRIMARY RISK FOR PERI-IMPLANT DISEASE IS: |
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Definition
| •THE PRESENCE OF PATHOGENIC BACTERIA |
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Term
| WHICH BACTERIA IS PRESENT WITH PERI-IMPLANT DISEASE? |
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Definition
•GRAM - ANAEROBES
•FUSOBACTERIUM
•P INTERMEDIA |
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Term
| TREATMENT FOR PERI-IMPLANT DISEASE: |
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Definition
| •DEPENDS ON PROPER CLINICAL AND RADIOGRAPHIC DIAGNOSIS |
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Term
| TREATMENT FOR PERIODONTITIS |
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Definition
•PT ED
•ORAL HYGIENE CARE
•NONSURGICAL THERAPY
•SMOKING CESSATION
•RE-EVALUATION
•SURGICAL INTERVENTIONS
•SPM
•ANTIBIOTIC REGIMENS |
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