Ocp Perio I

Front 1

Healthy gingival characteristics:
1) Color
2) Contour (2 parts)
3) Consistency
4) Miscellaneous (3)

Back 1

1) Coral pink (not red)
2) Knife-edged gingival margin, stifling (orange peel texture)
3) Firm
4) No bleeding, nice gingival band, no pocket at sulcus

Front 2

Normal alveolar bone:
1) angle
2) Bony margins
3)Grooving
4) Posterior architecture

Back 2

1) follows CEJ, 1-2 mm away (allows room for attachement (supracrestal))
2)Thin
3) Vertical grooving in alveolar
4) interdental bone is more coronal than FL bone (only slightly in posterior)

Front 3

How does normal alveolar bone relate to the contour of the CEJ

Back 3

Follows contour; is apical at midline of tooth, and coronal for proximals

Front 4

Gingivitis (Definition)

Back 4

Inflammation of gums. No bone/attachment loss :. reversible.

Front 5

Gingivities (characteristics):
1) color
2) contour
3) consistancy
4) Misc (1)

Back 5

1) Bright red
2) adenitis - gingival margin is swollen and rounded at tooth
3) squishy gingival
4) bleeds upon probing

Front 6

Adenitis: definition and possible causes

Back 6

swollen rounded gingival margin (?)
Gingivitis, meds, transplant, channel blocks, genetics, etc.

Front 7

Gingival recession

Back 7

Exposed CEJ. No blood to epithelium. Gingiva becomes inflammed and breaks down (due to sulcus epithelia going for nutrients). Sulcus epithelia creeps inward and interlocks with oral epithelium, gets strangled :. recession

Front 8

Periodontitis (Def.)

Back 8

Bone/attachment loss. Irreversible, but manageable

Front 9

Periodontitis:
Pseudopocket

Back 9

Gingival pocket. No bone/attachment loss. Gingival swells (:. deep pocket)

Front 10

Periodontitis:
Suprabony pocket

Back 10

Yes Bone/attachment loss. (bone beyond CEJ). Loss is even around perimeter of tooth

Front 11

Periodontitis:
Intrabony defect

Back 11

Loss of attachment, loss of bone deeper in 1 part of alveolar bone beyond CEJ

Front 12

Probe pressure

Back 12

10-20g

Front 13

How many readings recorded?

Back 13

6

Front 14

Bleeding on Probing (BOP) indicates ____________

Back 14

Inflammation (NOT necessarily LOA (loss of attachment))

Front 15

No BOP fairly reliable predictor of ___________

Back 15

no LOA (loss of attachment)

(BOP - bleeding on probing)

Front 16

How does smoking effect perio analysis?

Back 16

Masks periodontal disease b/c nicotine is a vasoconstrictor.

Front 17

What percentage does nicotine reduce bleeding?

Back 17

50%

Front 18

______ ______ is not an accurate basis for diagnosis of periodontal disease. Use _________ ________ instead

Back 18

Probing depth; attachment level

Front 19

dihiscence

Back 19

loss of alveolar bone on buccal or lingual side that is continuous w/ bony margin

Front 20

Fenestration

Back 20

Loss of alveolar bon on buccal or lingual side NOT continuous with bony margin (has "window")

Front 21

Reverse architecture (Osseous Form)

Back 21

Interdental bone more apical to FL bone

Front 22

Furcation

Back 22

"Tunnel" can be seen btw roots of tooth due to bone/attachment loss

Front 23

Furcations: Maxillary 1st premolars

Back 23

Takes lots of bone/attachment loss b/c roots (facial/palatal) are connected low.
Makes for mesial and distal furcations at middle and apical 1/3s of root

Front 24

Furcations: Maxillary molars

Back 24

3 roots. 3 furcas: Facial, distal, mesial

Front 25

Furcas: Mandib. molars

Back 25

Mesial and distal roots. Facial/lingual furcations at mid tooth (?).

Front 26

Furcation involvement:
1) Incipient
2) Definite
3) Through and through

Back 26

1) Fit the tip
2) Fit the tip deeper
3) all the way through

Front 27

Testing for mobility: How and classifications

Back 27

Attempt to move tooth BL direction with 2 instruments.
Class 1 - >1mm
Class 2 - <1mm
Class 3 - <1mm and depressable

Front 28

PST

Back 28

Genetic test for people genetically susceptible to perio disease

Front 29

Gingival-Crevicular Fluid Analysis

Back 29

heavier flow if infected (?)

Front 30

4 basic perio anatomy components

Back 30

1) Gingiva - mucosal tissue over alveolar bone
2) PDL (periodontal ligament). Specialized conn. tissue fibers that attach tooth to alveolar bone
3) Cementum - outer root shell
4) Alveolar bone - ridge of bone with tooth sockets

Front 31

Sulcus

Back 31

Area btw sulcular epithelium and tooth. Not attached

Front 32

OE (Oral Epithelium)

Back 32

Keratinized epithelium tissue with reedy pegs on inside

Front 33

Lamina propila

Back 33

N. Connective tissue. btw OE and JE/SE.

Front 34

Connective tissue papilla

Back 34

Pegs at interface with oral epithelium

Front 35

sulcular Epithelium

Back 35

no keratination, not attached to tooth. No reedy pegs (unless inflammed

Front 36

Junctional Epithelium (JE)

Back 36

initial attachment to tooth. If inflammed, reedy ridges break down quickly. No keratinization. Two basal laminas - external/internal. Circular fibers and transseptal fibers

Front 37

Transseptal fibers

Back 37

In junctional epith. Connect between proximal region of teeth

Front 38

Epithelia: Basal lamina attaches to epithelium via _______________. Basal cell layer connects to one onother via ____________

Back 38

hemidesmosomes; desmosomes

Front 39

Supracrestal Connective Tissue

Back 39

tooth attachment; very strong (?)

Front 40

Mucogingival Junction

Back 40

where attached gingiva meets unattached (alveolar) mucosa

Front 41

Col

Back 41

Depression in interdental gingiva directly apical to contact of 2 adjacent teeth
(not present if adjacent teeth are not in contact or if gingiva has receded.

Front 42

Cementum (2)

Back 42

1) Acellular - no more remodeling after apex

2) Cellular - constant remodeling at apex