B-1 Test Review (Periodontitis Adult And Juvenile)

Front 1

What is inflammation of the supporting structures of the teeth?

Back 1

Periodontitis

Front 2

A progressive feature of periodontitis includes an extension of inflammation into the _____ bone

Back 2

Adjacent

Front 3

Progressive feature of periodontitis includes loss of bone and the ______ _______

Back 3

Periodontal ligament

Front 4

A pathologically deepened gingival sulcus that is formed by the destruction of the underlying periodontal tissue

Back 4

Periodontal pocket

Front 5

What are used to locate periodontal pockets? (2 things)

Back 5

Periodontal probe, Periapical radiographs

Front 6

What is a major sign of periodontal disease?

Back 6

Continued bleeding on probing

Front 7

What are the clinical signs of periodontal disease? (5 things)

Back 7

Bleeding on probing, Swollen gingiva, Purulent exudate, Pain, Extrusion or mobility

Front 8

What is the primary local factor of periodontitis?

Back 8

Dental microbial plaque

Front 9

What are contributing factors once periodontitis has begun? (3 things)

Back 9

1) Nutritional problems 2) Systemic diseases 3) Occlusal trauma

Front 10

What are the predisposing factors? ( 6 thing)

Back 10

1) Gingivitis 2)Systemic diseases 3) Local Factors 4) Occlusion 5)Habits - bruxism 6) Stress

Front 11

Seeds, popcorn hulls, calculus pushed to the depth of the pocket are examples of:

Back 11

Foreign body impaction

Front 12

What causes periodontal abscess? ( 3 things)

Back 12

1) Microorganisms 2) Foreign body impaction 3) Pulpal disease

Front 13

Characteristics of periodontal abscess? ( 6 things)

Back 13

1) Some pain 2) Swelling 3) Little drainage 4) Teeth mobile 5) Teeth are vital 6) Usually NO radiolucency at the radiographic apex

Front 14

How many periodontal class types are there?

Back 14

5

Front 15

Periodontal class type "Gingivitis"

Back 15

Class type I

Front 16

Periodontal class type "Slight periodontitis"

Back 16

Class Type II

Front 17

Periodontal class type "Moderate periodontitis"

Back 17

Class Type III

Front 18

Periodontal class type "Severe Periodontitis"

Back 18

Class Type IV

Front 19

Periodontal class type "Refractory Periodontitis"

Back 19

Class Type V

Front 20

Periodontal class type that includes pocket depths of 3-4mm, slight loss of connective tissue attachment, clinical color changes, prescence of bleeding or exudate

Back 20

Class Type I - Gingivitis

Front 21

Periodontal class type that includes pocket depths of 3-6mm, radiographic bone loss of 1-20%, mobility (>0.5mm), possible class I furcation involvement

Back 21

Class Type II - Slight periodontitis

Front 22

Periodontal Class type that includes pocket depths of 4-7mm,Radiographic bone loss of 20-50%, mobility (0.5-1mm), furcation involvement (class I or II)

Back 22

Class Type III - Moderate periodontitis

Front 23

Periodontal class type that includes pocket depths of 4-7mm,radiographic bone loss of 50% or greater, significant mobility, furcation involvement in multi-rooted teeth

Back 23

Class Type IV - Severe periodontitis

Front 24

Periodontal class type that includes rapid bone and attachment loss even after appropriate therapy, resistance to therapy w/ continued inflammation and pocket formation

Back 24

Class Type V - Refractory Periodontitis

Front 25

Scaling of root surface will cause ______ attachment loss

Back 25

Permenant

Front 26

Scaling of root surface will remove the _____ ____ fibers

Back 26

Connective Tissue

Front 27

Soft tissue wall of the pocket should be carefully _____ to remove debris/purulence w/o touching tooth surface

Back 27

Curetted

Front 28

Curettage, incision, and drainage, and antibiotics results in ______ damage to the connective tissue

Back 28

Reversible

Front 29

What are the two forms of juvenile periodontitis?

Back 29

Localized and Generalzed

Front 30

A disease of the periodontium occuring in an otherwise healthy young individual (deciduous teeth are rarely involved)

Back 30

Juvenile Periodontitis

Front 31

This form of juvenile periodontitis only involves the permanent first molars and incisors

Back 31

Localized

Front 32

This form of juvenile periodontitis have most of the teeth involved

Back 32

Generalized

Front 33

When does juvenile periodontitis usually occur?

Back 33

Puberty (11-13 yrs old)

Front 34

Periodontitis affects male/females more

Back 34

Females

Front 35

Juvenile periodontitis have a _______ predisposition

Back 35

Familial

Front 36

In juvenile periodontitis, extreme attachment loss is ____ proportional with the minimal amount of local irritants

Back 36

NOT

Front 37

Gingival color and consistency is often _____ in juvenile periodontitis

Back 37

Normal

Front 38

There is a rapid progression of attachment loss of 50-75% within ____ yrs in juvenile periodontitis

Back 38

4-5 yrs

Front 39

In juvenile periodontitis, angular bone loss occur in the ___ and ____ regions

Back 39

Molar and Incisors

Front 40

What are the two microogranisms involved in juvenile periodontitis?

Back 40

Capnocytophaga and Actinobacillus actinomycetemcomitans (Aa)

Front 41

What microorganism is involved with tissue invasion?

Back 41

Aa

Front 42

Patients with juvenile periodontitis may have 50% ____________ with impaired chemotactic capacities

Back 42

Polymorphonucelocytes

Front 43

Chemotactic inhibition by Aa is a ______ factor

Back 43

Virulence

Front 44

_____ from Aa is extremely toxic

Back 44

Endotoxin

Front 45

Aa and Capnocytophaga elicit proteolytic enzymes and fibroblast growth inhibitors (True/False)

Back 45

True

Front 46

Early subgingival curettage and root planning with systemic tetracycline and plaque control is used for ______ ______

Back 46

Juvenile periodontitis

Front 47

How long is the tetracycline therapy for juvenile periodontitis?

Back 47

3 weeks

Front 48

After pocket formation in juvenile periodontitis, what is the name for resection or grafting?

Back 48

Surgical pocket elimination

Front 49

Treatment for juvenile periodontitis after pocket formation (3 things)

Back 49

1)Surgical pocket elimination 2)Tetracycline therapy 3) Plaque control and recall

Front 50

Subgingival calculus is _____ initially for juvenile periodontitis

Back 50

Uncommon