Dental Hygiene Perio Disease

Front 1

each tooth must be attached by each of the following to remain in the oral cavity?

Back 1

periodontal ligament
fibers of the gingiva
alveolar bone
junctional epithelium

Front 2

attaches gingiva to tooth

Back 2

junctional epithelium

Front 3

network of fibers that surround the root of tooth. these attach to bone on one side and cementum of root on the other

Back 3

fibers of the gingiva

Front 4

surrounds root of teeth, supports and protects the root

Back 4

alveolar bone

Front 5

pd can cause?

Back 5

loss of tissue attachment
destruction of alveolar bone

Front 6

leading cause of tooth loss in adults?

Back 6

PERIO DISEASE

Front 7

systemic conditions: links to periodontal disease

Back 7

preterm low birthweight
cardiovascular disease
respiratory disease

Front 8

cause of PD?

Back 8

plaque aka biofilm

Front 9

calculus is called what in older patients?

Back 9

tartar`

Front 10

contributing factors to PD

Back 10

smoking
osteoporosis
hiv/aids
diabetes
meds (dilantin)
poor OH
stress

Front 11

signs of PD (6)

Back 11

red
swollen
tender
bleeding
loose teeth
pain or pressure when chewing
pus around teeth/gingiva

Front 12

sulcus that has been deepened by disease?

Back 12

periodontal pocket

Front 13

tightly connected to cementum on root, CT that covers alveolar bone

Back 13

attached gingiva

Front 14

distance from gingival margin to base of sulcus or periodontal pocket

Back 14

probing depth

Front 15

tip touches the tooth near the cej , tissue will blanche and appear white

Back 15

healthy probing depth situation

Front 16

probe tip touches root somewhere below the cej bleeding usually occurs

Back 16

unhealthy probe situation

Front 17

healthy mouth, most of tooth root is surrounded by bone, crest of bone is located close to crowns, only 1-2 mm apical to CEJ of tooth

Back 17

health case type I

Front 18

inflammation of gingiva characterized by:
changes in color, gingival position, surface appearance, bleeding, exudate
NO LOSS OF BONE, CREST OF ALVEOLAR BONE IS ONLY 1-2 MM FROM cej

Back 18

case type 1: gingival disease gingivitis

Front 19

progression of gingival inflammation into deeper perio structures and alveolar bone crest, SLIGHT bone loss, SLIGHT loss of CT attachment to alveolar bone, inflammation is from free gingiva to attached gingiva

Back 19

case type II: early periodontitis

Front 20

advanced stage, increased destruction of Perio structures and NOTICEABLE loss of bone support, maybe tooth mobility, inflammation from attached gingiva to mucogingival junction

Back 20

Case type III: moderate Periodontitis

Front 21

fruther progression of periodontitis, MAJOR loss of alveolar bone, increased tooth mobility, furcation involvement

Back 21

case type IV: advanced periodontitis

Front 22

those with multiple disease sites that continue to demonstrate attachment loss after therapy, sites continue to be infected by perio pathogens no matter the treatment, includes those with recurrent disease at single or multiple sites

Back 22

case type V: refractory periodontitis

Front 23

pocket formed by gingival enlargement WITHOUT apical migration of Junctional epithelium, these are always suprabony

Back 23

gingival pocket

Front 24

gingival pockets are always infra or supra bony?

Back 24

supra!

Front 25

base of pocket is coronal to alveolar bone crest

Back 25

suprabony pocket

Front 26

pcoket formed from disease of gingival sulcus where junctional epithelium migrates apically

Back 26

periodontal pocket

Front 27

base is below alveolar bone crest

Back 27

infra or intra bony

Front 28

inner boundary of pocket?

Back 28

tooth surface

Front 29

outer boundary of pocket?

Back 29

sulcular epithelium or pocket epithelium

Front 30

where inner and outer walls meet at the base of the pocket? junctional epithelium

Back 30

base boundary

Front 31

process of inflammation: (4)

Back 31

1. bacteria makes toxins
2. sulcular epithelium is invaded
3. inflammatory rxn caused by increased blood flow to area
4. may have edema( inflam), exudate, gingival pocket formed from gingival swelling, enlargement

Front 32

is a gingival pocket reversible?

Back 32

yes,

Front 33

if a gingival pocket is continued with bad OH what happens?

Back 33

bacteria will go from gram + to gram -, chronic gingivitis will develop, tissue may bleed or may not

Front 34

progression of gingival inflammation depends on: (4)

Back 34

iatrogenic dentistry (caused by clinician)
host defense
bacterial plaque (not all gingivitis progresses to perio)
systemic factors: meds, med conditions, dilantin,

Front 35

progressive apical migration occurs due to:

Back 35

pt unable to keep pocket clean, bacteria matures, more loss of attachment, disease continues

Front 36

role of calculus and PD: (3)

Back 36

provides home for plaque
provides a surface that can store toxic irritants
plaque covers calculus