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39 Cards in this Set

  • Front
  • Back

Healthy gingiva is found on

Intact periodontium ( no CAL or bone loss)


Reduced periodontium (CAL loss due to recession or history of perio)

Both gingivitis and periodontitis are forms of periodontal disease*

*

Gingivitis can be caused by biofilm or not biofilm instead a disease *

*

Gingivitis is not caused by biofilm if

It does not resolve after plaque removal

The best indicator of periodontium health

BOP

The lamina dura should be ________ in a healthy periodontium

Laterally and at the alveolar crest

Is variable in size radiographically which is not a useful indicator of gingival health

PDL space

Clinical manifestations of gingivitis

Red ,swollen, bleeding

Histological manifestations of gingivitis

JE at CEJ


Supragingival fiber destruction


AB and PDL are intact

Acute gingivitis is characterized by

CT edema

Chronic gingivitis is characterized by

Excess of collagen fiber formation

Tissue consistency of acute gingivitis

Swollen and spongy

Tissue consistency of chronic gingivitis

Fibrotic

Gingivitis is characterized by

Changes in gingiva


Perio pocketing (false pockets)


BOP

Gingivitis microscopically is

JE attaches to enamel coronal to the CEJ


JE extends ridges into CT

Periodontitis is characterized by

Apical migration if JE


Loss of CT attachment


Loss of AB

Clinical manifestations of periodontitis

Pink/purplish, swollen/fibrotic, bleeding

Histological manifestations of periodontitis

JE on cementum


Supagingival fibers, AB, and PDL destruction

Periodontitis: microscopically, changes in the JE

Rete peg formation


Apical migration

Periodontitis: microscopically changes in the SE

Rete peg formation


Ulcerations exposing underlying CT

Changes in the cementum due to periodontitis

Exposed and infected with plaque and biofilm

Pattern of bone loss where the crest is parallel to adjacent CEJ

Horizontal

Pattern of bone loss where the crest is not parallel to adjacent CEJ

Vertical

Most common pattern of bone loss

Horizontal

Least common pattern of bone loss

Vertical

Pattern of bone loss: The pathway of inflammation into alveolar bone is into the crest of bone then into the PDL

Horizontal

Pattern of bone loss: The pathway of inflammation into alveolar bone is into the PDL then into the crestal bone

Vertical

Type of pattern of bone loss that produces a suprabony pocket

Horizontal

Type of pattern of bone loss that produces a infrabony pocket

Vertical

Type of pattern of bone loss where Inflammation spreads from the CT to AB to PDL

Horizontal

Type of pattern of bone loss where Inflammation spreads from the CT to PDL to AB

Vertical

Infrabony defects are classified based on the

Number of osseous walls

Active disease site of periodontal disease shows continued ________migration of JE

Apical

The most common form of periodontal disease

Gingivitis

If gingivitis persist for 2-3 weeks it becomes

Chronic gingivitis

Most common form of gingivitis is

Plaque induced

*color changes in the gingiva is an important sign

*

Microorganism that is related to puberty and pregnancy plaque induced gingivitis

Prevotella intermedia

Color change in gingivitis is characterized by

Blood vessels-number and size


Epithelium thickness and keratinization


Pigments with in the epithelium