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PERIODONTOLOGY
PERIODONTOLOGY CHAPTER 6
45
Dentistry
Undergraduate 1
06/02/2014

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Term
SYSTEMIC DISEASES AND LOCAL IRRITATING FACTORS HAVE BEEN SHOWN TO:
Definition
•INCREASE INCIDENCE OF PERIODONTAL DISEASES
Term
NUMEROUS SYSTEMIC CONDITIONS POTENTIALLY MODIFY:
Definition
•BIOFILM ACCUMULATION AND DISEASE PROGRESSION
Term
A LARGE NUMBER OF GENETIC AND ENVIRONMENTAL FACTORS:
Definition
•PLACE INDIVIDUALS AT RISK FOR PERIODONTITIS
Term
WHAT ARE THE SOCIAL FACTORS THAT CONTRIBUTE TO PERIODONTAL DISEASE?
Definition
•TOBACCO
•STRESS
•ALCOHOL
•DRUGS
Term
SUSCEPTIBILITY TO PERIODONTAL DISEASES MAY BE DETERMINED BY ____________
Definition
•GENETICS
Term
________________ MAY INTENSIFY THE RESPONSE TO ORAL BIOFILMS
Definition
•SYSTEMIC CONDITIONS
Term
INTERLEUKIN-1
Definition
•CYTOKINE IN THE BLOOD
•PROTEIN PRODUCED AND SECRETED IN THE INFLAMMATORY RESPONSE
•GENE-POSITIVE; INCREASED SUSCEPTIBILITY TO PERIODONTAL DISEASE
•OCCURS IN 30% OF THE POPULATION
Term
_____________ OF PERIODONTAL DISEASE INCREASES WITH AGE DUE TO _____________
Definition
•INCIDENCE
•CUMULATIVE EFFECTS
Term
___________ HAVE A GREATER INCIDENCE AND SEVERITY RATES OF PERIODONTAL DISEASES
Definition
•MALES
Term
HOW DOES RACE CONTRIBUTE TO PERIODONTAL DISEASE?
Definition
•IT MAY NOT BE A SIGNIFICANT RISK FACTOR OTHER THAN GENETICALLY WITHIN FAMILIES
Term
HOW DOES STRESS CONTRIBUTE TO PERIODONTAL DISEASE?
Definition
•LONG TERM PHYSICAL AND PSYCHOLOGICAL STRESS SEEMS TO INCREASE SUSCEPTIBILITY TO PERIODONTAL DISEASE
•WHEN UNDER STRESS, PEOPLE TEND TO PAY LESS ATTENTION TO THEIR ORAL HYGIENE
Term
STRESS MAY DEPRESS IMMUNE RESPONSE TO PERIODONTAL PATHOGENS BY:
Definition
•INCREASED PRODUCTION OF GLUCOCORTICOSTEROIDS
Term
DIABETES MELLITUS
Definition
•INABILITY TO UTILIZE GLUCOSE (CARBS) EFFICIENTLY
•EFFECTS ALL ORGANS INCLUDING THE BLOOD VESSELS OF THE PERIODONTIUM
Term
TYPE 1 DIABETES
Definition
•ABSOLUTE DEFICIENCY OF INSULIN
Term
TYPE 2 DIABETES
Definition
•LOW INSULIN LEVELS AND INSULIN RESISTANCE
Term
PEOPLE WITH DIABETES ARE MORE PRONE TO PERIODONTAL DISEASE BECAUSE OF:
Definition
•POOR WOUND HEALING
•RECURRENT INFECTIONS
•PERIODONTAL ABSCESSES
•IMPAIRED PMN FUNCTION (CHEMOTAXIS AND PHAGOCYTOSIS)
Term
SMOKING + DIABETES MELLITUS =
Definition
•INCREASED INCIDENCE OF DESTRUCTIVE PERIODONTITIS
Term
DIABETICS HAVE IMPAIRED ___________ METABOLISM, WHICH MAY WEAKEN THE IMMUNE RESPONSE TO PERIODONTAL DISEASE
Definition
•COLLAGEN
Term
WHAT MIGHT PREGNANCY BE A CONTRIBUTING FACTOR TO PERIODONTAL DISEASE?
Definition
•ESTROGEN/PROGESTIN LEVELS ARE ELEVATED (HORMONES)
•THERE MIGHT BE AN EXAGGERATED GINGIVAL RESPONSE TO BIOFILMS
Term
WHAT IS THE BACTERIA ASSOCIATED WITH PREGNANCY GINGIVITIS?
Definition
•PREVOTELLA INTERMEDIA (ELEVATED DURING PREGNANCY)
•ASSOCIATED WITH ELEVATED ESTROGEN AND PREGESTERONE LEVELS
Term
INCREASED TOOTH MOBILITY DURING PREGNANCY INVOLVES:
Definition
•CHANGES IN THE PDL, BUT IT IS REVERSIBLE
Term
MENOPAUSE/OSTEOPOROSIS IS A ______________ TO PERIODONTAL DISEASE DUE TO ______________
Definition
•RISK INDICATOR
•ESTROGEN DEPLETION
•CAUSES BONE TO BECOME MORE POROUS
Term
WHAT ORAL BISPHOSPHONATES FOR OSTEOPOROSIS INHIBIT BONE RESORPTION?
Definition
•FOSAMAX
•ACTONEL
•BONIVA
Term
WHAT INTRAVENOUS BISPHOSPHONATES FOR BONE METASTASES (CANCER) INHIBIT BONE RESORPTION?
Definition
•AREDIA
•ZOMETA
Term
WHAT ARE THE RISK FACTORS FOR ONJ?
Definition
•(OSTEONECROSIS OF THE JAW)
•CORTICOSTEROID THERAPY
•DIABETES
•SMOKING
•ALCOHOL USE
•POOR ORAL HYGIENE
•CHEMOTHERAPEUTIC DRUGS
Term
NUG
Definition
•MAY BE THE FIRST SIGN OF HIV
•PUNCHED OUT PAPILLAE, GINGIVAL BLEEDING, PAIN
Term
NUP
Definition
•NECROTIZING ULCERATIVE PERIODONTITIS
•NECROSIS OF GINGIVAL TISSUES, PDL, AND BONE
•RAPID DESTRUCTION OF UNDERLYING BONE
•SEVERE PAIN
Term
VITAMIN C CONTRIBUTES TO THE NORMAL FUNCTION OF WHAT CELLS?
Definition
•FIBROBLASTS
•OSTEOBLASTS
•ODONTOBLASTS
Term
VITAMIN C DEFICIENCY CAUSES:
Definition
•IMPAIRED WOUND HEALING
Term
SMOKING IS A ____________ FOR PERIODONTAL DISEASE
Definition
•RISK FACTOR
Term
THE MORE PACKS YOU SMOKE, THE MORE ____________
Definition
•DESTRUCTIVE THE PERIODONTITIS
Term
SMOKING CAUSES:
Definition
•DECREASED HEALING
•ALTERED BLOOD FLOW (NICOTINE IS A VASOCONSTRICTOR
Term
SMOKELESS TOBACCO
Definition
•MAY ALSO CONTRIBUTE TO PERIODONTAL DISEASE
•MAY LEAD TO CANCEROUS CHANGES
•COMMON TO SEE GINGIVAL RECESSION
Term
CHRONIC INTAKE OF ALCOHOL PRESENTS AN INCREASED RISK FOR PERIODONTITIS BECAUSE OF:
Definition
•POOR ORAL HYGIENE DUE TO NEGLECT
•MALNUTRITION
Term
WHAT KINDS OF DRUGS CAUSE DRUG-INDUCED GINGIVAL ENLARGEMENT?
Definition
•PHENYTOIN (ANTI-SEIZURE)
•CYCLOSPORIN (FOR TRANSPLANT PATIENTS)
•CALCIUM CHANNEL BLOCKERS
Term
FIBROBLASTS INCREASE ______________ PRODUCTION
Definition
•COLLAGEN
Term
WHAT SYSTEMIC DISEASES ARE ASSOCIATED WITH PERIODONTITIS?
Definition
•DIABETES MELLITUS
•CARDIOVASCULAR DISEASE
•PRETERM, LOW-BIRTH WEIGHT BABIES
•RESPIRATORY DISEASES
•ALZHEIMER'S DISEASE
Term
HOW DOES PERIODONTAL DISEASE LEAD TO CARDIOVASCULAR DISEASE?
Definition
•PERIODONTAL PATHOGENS ENTER THE BLOODSTREAM
•THIS INCREASES PRODUCTION OF INFLAMMATORY SUBSTANCES (INTERLEUKINS)
•INTERLEUKINS MAY INCREASE FIBRINOGEN LEVELS WHICH MAY CAUSE CLOT FORMATION
Term
CRP
Definition
•C-REACTIVE PROTEIN
•INFLAMMATORY SERUM MARKER FOR CARDIOVASCULAR DISEASE AND POSSIBLY PERIODONTAL DISEASE
•RESULTS IN ARTHEROSCLEROSIS
Term
IF A PATIENT HAS PERIODONTITIS, THERE IS A ___ INCREASE IN RISK FOR HEART DISEASE
Definition
•25%
Term
PGE2
Definition
•PROSTAGLANDINS
Term
LEVELS OF PGE2 ARE _____________ IN PERIODONTAL INFLAMMATION
Definition
•ELEVATED
Term
PGE2 IS RESPONSIBLE FOR ________________
Definition
•UTERINE CONTRACTIONS (INDUCE LABOR)
Term
PATIENTS WITH PERIODONTAL DISEASE MAY BE AT RISK FOR RESPIRATORY DISEASES SUCH AS:
Definition
•PNEUMONIA
•BRONCHITIS
•EMPHYSEMA
Term
RISK FACTORS
Definition
•ARE NOT CAUSATIVE
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