Term
| what is the primary clinical and diagnostic difference between gingivitis and periodontitis? |
|
Definition
| loss of attachment of bone |
|
|
Term
| what is the most apical portion of maginal gingiva? |
|
Definition
|
|
Term
| where are interradicular fibers found and what is the function? |
|
Definition
| at furcation and connect cementum and tooth |
|
|
Term
| what is the mildest form of periodontal disease? |
|
Definition
|
|
Term
| what is periodontal disease mostly caused by? |
|
Definition
| biofilm and inflammation follows |
|
|
Term
true or false
junctional epithelium moves coronally? |
|
Definition
| false, junctional epithelium moves apically... |
|
|
Term
| what are some risk factors of periodontal disease? |
|
Definition
-diabetes
-tobacco use
-genetically influenced inflammatory mediators |
|
|
Term
| which periodontal disease is more common in children? |
|
Definition
|
|
Term
| what is bidirectional synergism? |
|
Definition
| the study of oral and systemic links of periodontal disease and which came first |
|
|
Term
|
Definition
| clinical attachment loss at j.e. |
|
|
Term
| what are 4 anatomic structures that support teeth? |
|
Definition
-gingiva
-periodontal ligament
-cementum
-alveolar bone |
|
|
Term
| where is gingival tissue? |
|
Definition
-covers cervical area of enamel and root
-maxillary and mandibular alveolar process
-marginal area that surrounds tooth
-most coronal gingiva is marginal gingiva |
|
|
Term
| where is mariginal groove found? |
|
Definition
| boundary between attached gingiva and marginal gingiva |
|
|
Term
| what is function of periodontal ligament? |
|
Definition
| to hold gingival tissue to alveolar bone |
|
|
Term
| what is a word for shallow space around each tooth? |
|
Definition
|
|
Term
| what are the 5 principal fibers |
|
Definition
alveolar crest
horizontal
oblique
apical
interrradicular
transseptal |
|
|
Term
| how soon can an inflammatory response happen? |
|
Definition
|
|
Term
| if biofilm matures 7-14 days and has gingival enlargement, redness and bleeds easily it could be ? |
|
Definition
|
|
Term
| what are some signs a lesion has progressed? |
|
Definition
-lots of fluid and leukocyte migration
-sulcus increases to above 3mm
-collagen destruction continues
-tissue is spongy |
|
|
Term
| what are the 2 types of pockets? |
|
Definition
| -gingival and periodontal |
|
|
Term
| what kind of pocket has no JE migration and inflammation creates larger probe #? |
|
Definition
|
|
Term
| what type of pocket has JE migration and may have inflammation and larger probe numbers due to loss of JE attachment? |
|
Definition
|
|
Term
| how would you treat a periodontal pocket? |
|
Definition
-scaling and root planning soft tissue management
-removal of calculus
-daily disorganization of biofilm |
|
|
Term
| what are some substances found in pockets |
|
Definition
-microorganisms
-gingival sulcus
-desquamated epithelial cells
-leukocytes (WBC)
-purulent exudate |
|
|
Term
| what are some contributing factors of pockets? |
|
Definition
-poor saliva flow
-iatrogenic(caused by professionals)
-diet/habits
-drugs like anticonvulsents
-anti rejection drugs
-calcium blocker |
|
|
Term
| what are some medical conditions that can lead to perio pockets>? |
|
Definition
-down syndrome
-diabetes
-osteoporosis
-stress |
|
|
Term
| if someone is taking a cyclosporine (anti rejection drug) what could this be for? |
|
Definition
|
|
Term
| if someone is taking nifedipine induced drugs like calcium blockers what could this be for? |
|
Definition
|
|
Term
| phenytoin or dilantin are drugs for what? |
|
Definition
anticonvulsents
taking drugs like these can cause overgrowth in gums |
|
|
Term
| what are 3 cellular immunologic defenses? |
|
Definition
-recognize invaders (antigens)
(chemotactic, edema, increase in vascular, increase in pmns)
-destry or neutrolize invaders (phagocytosis)
-repair damage |
|
|
Term
| what are 2 major categories of perio disease? |
|
Definition
-plaque induced
-non plaque induced(systemic issues, genetic, tramatic occlusion, foreign body reactions |
|
|
Term
| what are the classifications of periodontal diseas? |
|
Definition
-chronic-occurs over time slowly progresses 3 stages slight, moderate, advanced
-aggressive-destructive localized and generalized
-necrotizing-sudden onset of stress lesions are punched out
-abcessing-pericoronal lesion(around crown) in gingiva and the apex may be absessed
developmental or acquired (modifiers of susceptibility )
endodontic-requires root canal
refractory-does not respond to treatment and progresses |
|
|
Term
| what is the first sign of periodontal disease? |
|
Definition
|
|
Term
| what does colgate have in it to get rid of s. mutans |
|
Definition
| chlorhexadine, triclosan , novamin |
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