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PERIODONTOLOGY
PERIODONTOLOGY CHAPTER 17
37
Dentistry
Undergraduate 1
06/14/2014

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Term
RADIOGRAPHS SERVE TO:
Definition
•IDENTIFY PREDISPOSING FACTORS
•DETECT EARLY TO MODERATE BONE CHANGES
•DETERMINE THE AMOUNT OF BONE LOSS
•BASELINE DATA
Term
WHAT ARE THE 3 PARAMETERS (CHOICES) THE DENTAL PROFESSIONAL SELECTS OF THE CONTROL PANEL OF AN X-RAY MACHINE?
Definition
•KILOVOLTAGE
•MILLIAMPERAGE
•EXPOSURE TIME
Term
WHAT IS THE MOST COMMONLY USED IMAGE RECEPTOR IN DENTISTRY?
Definition
•FILM
Term
SENSITIVITY, OR SPEED, OF FILM DETERMINES:
Definition
•HOW MUCH RADIATION FOR HOW LONG
•CATEGORY A IS THE SLOWEST
•CATEGORY F IS THE FASTEST
Term
WHICH X-RAY TECHNIQUE IS THE MOST PREFERED?
Definition
•PARALLELING
Term
PARALLELING TECHNIQUE:
Definition
•TEETH AND FILM ARE PARALLEL TO EACH OTHER
•CENTRAL RAY OF THE X-RAY IS PERPENDICULAR TO BOTH THE TEETH AND THE FILM
•THERE IS LESS DISTORTION IN PARALLELING WHICH GIVES A TRUER INDICATION OF BONE LEVELS
Term
BISECTING TECHNIQUE:
Definition
•FILM IS AS CLOSE TO TEETH AS POSSIBLE AND CENTRAL RAY IS DIRECTED TO AN IMAGINARY LINE BETWEEN THE TOOTH AND THE FILM
•CAUSES DISTORTION AND EXAGGERATION OF BONE LEVEL
•NOT RECOMMENDED FOR PERIO DIAGNOSIS
Term
CONVENTIONAL RADIOGRAPHS (PERIAPICAL, BITEWINGS, PANO) USED IN PERIODONTICS:
Definition
•GIVE A HISTORY OF PAST PERIO DESTRUCTION, BUT NO INFO ON CURRENT PERIO STATUS
•REPRESENTS A 2D VIEW OF A 3D OBJECT
Term
BITEWINGS ARE THE BEST RADIOGRAPH TO INTERPRET:
Definition
•POSTERIOR ALVEOLAR BONE LEVELS
•BONE LOSS WITH THE LEAST AMOUNT OF DISTORTION OR TECHNIQUE ERROR
Term
PANORAMIC RADIOLOGY
Definition
•SHOWS THE ENTIRE DENTITION AND SUPPORTING BONE STRUCTURE FROM CONDYLE TO CONDYLE
•DOESN'T HAVE THE SAME DEGREE OF DEFINITION AS INTRAORAL
•VERY LIMITED VALUE IN DIAGNOSING PERIO DISEASE
Term
INTERDENTAL SEPTUM
Definition
•CREST OF INTERPROXIMAL BONE RUNS PARALLEL TO A LINE DRAWN BETWEEN THE CEJ ON ADJOINING TEETH
-ABOUT 2mm APICAL TO THE CEJ
-ALVEOLAR CREST FLATTER ON POST. TEETH
Term
LAMINA DURA
Definition
THIN RADIOPAQUE LINE SURROUNDING THE TOOTH
Term
PDL SPACE
Definition
•PDL FIBERS TRANSVERSE FROM CEMENTUM TO BONE
Term
LIMITATIONS OF USING RADIOGRAPHS TO RECOGNIZE PERIODONTITIS:
Definition
•THEY ONLY SHOW PAST DISEASE ACTIVITY
•IN ORDER FOR BONE LOSS TO BE IDENTIFIED ON A RADIOGRAPH, ABOUT 30-50% LOSS OF MINERALIZATION MUST OCCUR
Term
WHAT DOES BONE LOSS LOOK LIKE ON A RADIOGRAPH?
Definition
•FUZZINESS IN THE LAMINA DURA
•WIDENED PDL SPACE
•PRESENCE OF AN INTACT CRESTAL LAMINA DURA REPRESENTS A PERIODONTAL STABLE SITE
Term
WHAT CONSTITUTES MILD, MODERATE, AND SEVERE BONE LOSS?
Definition
•MILD - 20%
•MODERATE - 20-50%
•SEVERE - GREATER THAN 50%
•PERCENTAGE OF BONE LOSS CALCULATION
Term
HOW DO YOU DETERMINE BONE LOSS?
Definition
•DRAW A LINE CONNECTING ADJACENT CEJs
•IF THE ALVEOLAR CREST IS MORE THAN 2mm APICAL TO THE CEJ, THERE IS BONE LOSS
Term
WHAT CAN LEAD TO A FALSE IMPRESSION OF VERTICAL BONE LOSS?
Definition
•EXTRUDED, INTRUDED, OR TIPPED TEETH
Term
CALCULUS
Definition
•MINERALIZED PLAQUE
•EARLY DEPOSITS ARE NOT FULLY CALCIFIED AND ARE NOT SEEN ON RADIOGRAPHS
Term
HOW DOES CALCULUS APPEAR ON A RADIOGRAPH?
Definition
•AS IRREGULARLY POINTED PROJECTIONS FROM PROXIMAL ROOT SURFACES
Term
WHAT IS THE DESIRABLE CROWN-TO-ROOT RATIO AND WHY IS THIS IMPORTANT?
Definition
•2:1
•IT IS IMPORTANT IN PROSTHODONTICS
Term
HOW DO YOU DETECT MILD PERIODONTITIS ON A RADIOGRAPH?
Definition
•SLIGHT CHANGES IN THE ALVEOLAR CREST
•TRIANGULATION (WIDENING OF THE PDL SPACE AT THE CRESTAL AREA)
Term
HOW DO YOU DETECT MODERATE PERIODONTITIS ON A RADIOGRAPH?
Definition
•BONE LOSS MAY BE APPARENT IN BOTH HORIZONTAL AND VERTICAL PLANES
•RADIOLUCENCIES APPEAR IN FURCA AREAS
• DIFFERENCE IN DENSITY INDICATES DIFFERENT LEVELS OF BONE ON BUCCAL AND LINGUAL SURFACES
Term
HOW DO YOU DETECT SEVERE PERIODONTITIS ON A RADIOGRAPH?
Definition
•OBVIOUS VERTICAL/HORIZONTAL BONE LOSS
•FURCATION INVOLVEMENT
Term
EVERY NEW PATIENT SHOULD HAVE A __________________
Definition
•FULL MOUTH SERIES
Term
WHAT X-RAYS SHOULD BE TAKEN AT A RECALL APPOINTMENT?
Definition
•RADIOGRAPHS TO EVALUATE PREVIOUS PERIO THERAPY OR DRAMATIC CHANGES IN PROBING DEPTHS
Term
DIGITAL IMAGING CAN REDUCE UP TO ___% RADIATION EXPOSURE
Definition
•90%
Term
PERCENTAGE OF LIGHTNESS AND DARKNESS ON A RADIOGRAPH DETERMINES __________
Definition
•BONE LOSS
Term
DIGITAL SUBTRACTION RADIOLOGY
Definition
•2 IMAGES TAKEN AT THE SAME TIME ARE COMPARED (ANY CHANGES IN BONE LEVEL ARE IN COLOR SHADED AREA)
•NOT USED IN PRIVATE PRACTICE
Term
DIGITAL SUBTRACTION ____________ IMAGES ALLOWING FOR DETECTION OF _____________
Definition
•MAGNIFIES
•SMALL OSSEOUS CHANGES (BONE LOSS)
Term
WHAT ARE THE CONVENTIONAL RADIOGRAPHS IN IMPLANTOLOGY AND WHAT ARE THEY USED FOR?
Definition
•PANORAMIC, PERIAPICAL, OCCLUSAL
•FOR SCREENING IMPLANT PATIENTS
Term
WHICH CONVENTIONAL RADIOGRAPHS ARE MOST COMMONLY USED IN IMPLANTOLOGY?
Definition
•PANORAMIC (TO VIEW THE MAXILLA AND MANDIBLE AND TO SEE THE POSITION OF THE NERVES)
Term
COMPUTED TOMOGRAPHY SCANS
Definition
•3D
•1-1.5mm THICK SLICE OF EDENTULOUS AREA
Term
WHAT DOES A CT SCAN LOCATE IN IMPLANTOLOGY?
Definition
•THE AMOUNT AND QUALITY OF BONE AVAILABLE FOR IMPLANT PLACEMENT ABOVE THE MANDIBULAR CANAL AND MAXILLARY SINUSES
Term
CONE BEAM CT SCAN
Definition
•USES MUCH LESS RADIATION THAN A CONVENTIONAL CT SCAN
Term
WHAT DOES POST OP IMPLANT EVALUATION CONSIST OF?
Definition
•RADIOGRAPHS
•MONITOR BONE LEVEL AROUND THE IMPLANT (PERIAPICALS)
•FOLLOW UP RADIOGRAPHS TAKEN EVERY YEAR FOR 3 YEARS AND THEN ONCE EVERY OTHER YEAR
Term
WHAT IS CONSIDERED ACCEPTABLE BONE LOSS AFTER THE FIRST YEAR OF IMPLANT PLACEMENT?
Definition
•LESS THAN 2mm PER YEAR
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