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19 Cards in this Set

  • Front
  • Back

Epidemiology

the study of the health and disease within the total population and the risk factors that influence health and disease

What are the 3 objectives for epidemiological research?

1) to determine the amount and distribution of a disease in a population


2) to investigate the causes of a disease


3) to apply this knowledge to the control of disease

Prevalence

refers to the number of all cases (both new and old) of a disease that can be identified within a specified population at a given point in time

Incidence

the number of new disease cases in a population that occur over a given period of time

Variables associated with prevalence of disease

1) Gender


2) Educational level and socioeconomic status


3) Age


4) Access to dental care

Who has the highest prevalence of gingivitis, adolescents, prepubertal children, or adults?

Adolescents

Who is more likely to have gingivitis, males or females?

Males of all age groups




especially high for males aged 13 to 17

Periodontal pathogens

bacteria that are capable of infecting the tissues of the periodontium

Calculus Theory

calculus deposits + tooth = disease

Bacterial Theory

bacteria (plaque biofilm) + tooth = disease

Host-Bacterial Interaction

bacteria + host response to bacterial infection = disease

Is bacterial plaque, alone, enough to cause periodontal disease?

NO

What theory is current?

the host-bacterial interaction theory

What are some risk factors for periodontal disease?

1) local oral conditions


2) habits


3) systemic disease


4) genetic factors

Continuous Progression Theory prior to 1980

states that periodontal disease progresses throughout the entire mouth in a slow and constant rate over the adult life of the patient




this case suggests that all cases of untreated gingivitis lead to periodontitis, and that all cases of periodontitis progress at a slow and steady rate of tissue destruction

Intermittent Progression Theory

CURRENT VIEW




states that periodontal disease is characterized by periods of disease activity and inactiviity




pg. 90

What are the major established risk factors for periodontitis?

1) specific bacterial pathogens


2) cigarette smoking


3) diabetes mellitus

What are the local and acquired risk factors?

1) dental plaque biofilm


2) local oral conditions


3) cigarette smoking

What is the systemic risk factor?

diabetes mellitus