Term
| What is Keratinized Epithelium? |
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Definition
| thicker the tissue, the lighter the color. It covers the alveolar ridge and hard palate. |
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Term
| What is Non-Keratinized Epithelium? |
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Definition
| Buccal and Labial Mucosa, Soft palate and floor of the mouth. Sulcular Epithelium |
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Term
| What are the 4 Periodontal Tissues? |
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Definition
Epithelium
Connective Tissue
Bone
Tooth Structure |
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Term
| what are the 3 tooth structures? |
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Definition
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Term
| What is Attached Gingiva? |
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Definition
| is tightly bound to underlying periosteum of alveolar bone. |
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Term
| Where is the attached gingiva? |
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Definition
| at free gingival groove to the mucoginigival junction (MGJ) & width varies in different areas of the mouth. |
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Term
| What is Interdental Gingiva? |
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Definition
| Occupies the gingival embrasure between teeth. Can Be Pyramidal in shape. |
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Term
| Free gingival margin to base of sulcus? |
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Definition
| should be 1-3mm wide (high) |
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Term
| what is the free (magical) gingiva? |
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Definition
| forms the soft tissue wall of the gingival sulcus. |
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Term
| What is the Gingival Sulcus? |
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Definition
| Bounded by the tooth and lining of free gingiva |
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Term
| What is a very healthy gingival pocket depth? |
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Definition
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Term
| What is a normal gingival pocket depth? |
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Definition
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Term
| what color is normal healthy gingiva? |
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Definition
| coral or salmon pink pigmentation. |
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Term
| what color does a localized inflamed gingiva look like? |
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Definition
| Fiery Red, Cyanotic or magenta |
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Term
| what does the contour of healthy free gingival margin look like? |
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Definition
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Term
| what does the contour of severe disease free gingival margin look like? |
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Definition
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Term
| What does the contour of slightly inflamed Free gingiva margin look like? |
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Definition
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Term
| what does the contour of normal interdental papilla look like? |
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Definition
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Term
| What does the contour of slightly unhealthy interdental papilla look like? |
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Definition
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Term
| what does the contour of severely unhealthy interdental gingiva look like? |
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Definition
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Term
| what 4 things do you look at for a gingival assessment? |
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Definition
Color
Contour
consistency
Texture |
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Term
| what should normal consistency of gingival tissue look like? |
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Definition
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Term
| what will the consistency of unhealthy gingival tissue look like? |
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Definition
| Edematous (swollen), Fibrotic (not compressible), retractable` |
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Term
| what is the Texture of Normal gingival assessment? |
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Definition
| Stippled (orange peel look) |
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Term
| what texture does NOT normal gingival tissue look like? |
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Definition
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Term
| What is the Procedure for looking at the Gingiva of a patient? |
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Definition
| Dry the tissues prior to examination to remove salica that may cause glare and evaluate the -color -contour -consistency -texture |
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Term
| Overall what should Normal healthy gingival look like during a gingival Assessment? |
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Definition
-Coral pink
-Knife like papilla
-Firm
-Stippled Surface |
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Term
| Color of Gingival Inflammation? |
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Definition
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Term
| Contour of Gingival inflammation? |
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Definition
| Rolled/ rounded/ Clefted/ Bulbous papilla |
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Term
| Consistency of a gingival inflammation? |
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Definition
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Term
| Texture of gingival Inflammation? |
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Definition
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Term
| What are the components of the comprehensive Periodontal Examination? |
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Definition
-Medical & Dental History
-EO & IO
- Radiographs
- Evaluation of plaque and Calculus
-Description of gingival tissue
- Full mouth Periodontal Probings & Document Results
-Identification of areas with furcation Invasions
-Evaluation of tooth mobility
- Identification of Mucogingival involvement (recession)
- Add diagnostic aids
- Document Clinical Findings in pt record
- Referrals based on findings |
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Term
| What is Periodontal Disease Linked to? |
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Definition
| Systemic Disease (like Diabetes) |
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Term
| what should you do if your patient has a pocket that is 6mm deep? |
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Definition
| Refer them out to a Periodontist |
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Term
| what is the only reliable method for detecting pockets? |
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Definition
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Term
| what other factors should you look at to determine if a deep pocket may be present? |
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Definition
| the color and shape of the Gingival tissue |
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Term
| are periodontal pockets painful? |
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Definition
| generally painless unless an abscess arises |
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Term
| What is the examination for periodontal pockets includes systemic? |
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Definition
-Presence and distribution on each tooth surface
-Pocket depth
-Level of attachment on the root
- Type of pocket (supra bony or intrabony) |
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Term
| What is the Technique for probing? |
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Definition
-walk prob around each tooth and document 6 readings per tooth.
-Parallel to long axis of tooth
-Slight angle to reach interproximal areas |
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Term
| What are the 6 Prob readings? |
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Definition
Mesial Facial
Facial
Distal Facial
Mesial Lingual
Lingual
Distal Lingual |
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Term
| What are the Factors Affecting Accuracy? |
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Definition
-Proper Technique
-Force
-Shape & Size of probe
-Probe angulation
-Location of tooth in the mouth
-Presence of restorations
-Tissue sensitivity
- Degree of tissue inflammation
-Calculus deposits |
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Term
| what are 3 types of probes? |
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Definition
-Williams Markings
-Nabers |
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Term
| what does Bleeding on Probing indicate? |
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Definition
| BOP can indicate early signs of disease , earlier than color change. |
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Term
| How do you test for bleeding with a prob? |
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Definition
| Walk the prob along the pocket depth. |
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Term
| How long should you wait to see bleeding after probing? |
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Definition
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Term
| is the prob bleeding test used for the progression of disease? |
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Definition
| No but as an excellent predictor of periodontal stability. |
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Term
| what is Periodontal Probing: Suppuration? |
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Definition
-Presence of neutrophils in gingival fluid results in a purulent exudate (puss comes out).
- Place index finger along lateral aspect of the marginal gingiva and apply pressure towards the crown. |
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Term
|
Definition
| Occurs due to apical migration of the free gingival margin. (measure for CEJ to FGM) |
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Term
| What is Etiology Recession? |
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Definition
-Trauma (toothbrushing)
-Periodontal Disease and bone loss
-Tooth and alveolar bone anatomy and location in the arch
-Bruxism
-Frenal Attachment |
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Term
| what is Gingival Hyperplasia? |
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Definition
| An apical or coronal direction due to inflammation or gingival overgrowth should also be documented. |
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Term
| what are some Radiographic Findings when looking at Horizontal Bone Loss? |
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Definition
-The crest bone margin is horizontal and parallel to CEJ
-The bottom of pocket is coronal to the adjacent alveolar bone. |
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Term
| What are some Radiographic Findings when looking at Vertical Bone Loss? |
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Definition
| -The crestal bone margin is not parallel to the cementoenamel junction Bottom of pocket is apical to the adjacent alveolar bone. |
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Term
| Healthy Periodontium depth? |
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Definition
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Term
| Gingivitis Periodontal disease pocket depth? |
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Definition
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Term
| Periodontitis would need to be called into effect the pocket depth would be around? |
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Definition
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