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12 Cards in this Set
- Front
- Back
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Cross-sectional studies on smoking and PDD shows what?
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Smokers have more severe periodontal disease
Smokers have more bone loss than non-smokers Smokers have more deep pockets, more teeth with deep pockets Smokers have more sites with attachment loss Smokers have more teeth with furcation involvement Smokers have more tooth loss |
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What is the influence of smoking in Periodontal disease?
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It has potential to modify:
• The susceptibility to periodontal disease • The clinical presentation of disease progression • The response to treatment |
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What is the impact of smoking in the treatment of the Periodontal
Disease? |
Smoking impairs the healing in ALL aspects of periodontal non-surgical and surgical treatment.
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Which are the most common local predisposing factors to Periodontal disease and what is the mechanism with which they affect the periodontal health?
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- Overhanging Restorations
- Subgingival Restorations - Calculus - Furcation Involvement Allows accumulation of plaque and increases difficulty of removal of plaque |
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What is the association of stress and psychosocial factors to periodontal disease?
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More stressed people have reduced improvement in PD health after treatment
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What is the association of osteoporosis to Periodontal Disease?
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There is indication on the epidemiological level suggesting a relation between Osteoporosis and Periodontal disease.
But not enough evidence linking it as a modifying or true risk factor |
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What is the role of SPT in the periodontal treatment ?
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almost complete periodontal stability
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Which are the clinical procedures included in an SPT session?
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• systemic health update
• pocket registration • bleeding on probing • Registration of Oral Hygiene (reinforcement) • Plaque removal • Calculus removal (supragingival or subgingival) • Iatrogenic retentive factors ? • Smoking ? • Lifestyle / behavioral factors ? |
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How is the necessity for SPT documented ? What are the risks in the absence of structured SPT for the periodontal patient ?
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Periodontal disease progression after active
periodontal therapy could be arrested if supportive periodontal therapy is initiated At the absense of structured SPT, progression of periodontal disease resulting in attachment and tooth loss is very likely |
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• How do we decide the frequency of SPT appointments? Which are the main factors included in the patient risk assessment?
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Depending on the susceptibility of the patient.
– Percentage of bleeding on probing – Prevalence of residual pockets greater than 4 mm – Loss of teeth from a total of 28 teeth – Loss of periodontal support in relation to the patient’s age – Systemic and genetic conditions – Environmental factors such as cigarette smoking |
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• What does the presence of Bleeding on probing indicate and what its absence?
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Presence: risk of progressing attachment loss
absence: 100% periodontal stability |
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What is the meaning of Bone loss /Age ?
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Rate of progression of periodontal destruction.
Indirectly, it indicates the degree of susceptibility of the patient. |
