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29 Cards in this Set

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Discuss what and why periodontal classification systems are necessary

The periodontal classification systems provide information necessary in


1) communicating clinical findings to other dental health care providers


2) presenting information to the patient about his or her disease


3) formulating individualized treatment plan


4) predicting treatment outcomes

Which aap case type 1 through 5 systems are gingivitis and which one are periodontitis?

Case type 1 is gingivitis


Case type 2 3 4 5 or periodontitis

Identify how the AAP 1999 gingival diseases are classified

1) dental plaque induce gingival disease


2) non plaque induced gingival diseases

What are considered to be dental plaque induced gingival diseases

Modified by systemic factors


Modified by medications


Modified by malnutrition

What are considered to be non plaque induced gingival diseases

1) bacterial infection


2) viral infection


3) fungal infection


4) genetic origin


5) systemically related


6) trauma


7) reaction to foreign bodies

Identify significant features of chronic periodontitis

1)Most common and adults older than 35


2) initiated and continued by dental plaque


3) swelling redness bleeding pockets bone loss mobility pot and calculus


4) slow to moderate rate of disease progression

Identify significant characteristics of aggressive periodontitis

1) rapid attachment loss and alveolar bone


2) no obvious signs or symptoms


3) lack of clinical inflammation


4) deep pockets


5) runs in families

State characteristics of a localized aggressive periodontitis

1) happens around the time of puberty


2) rapid tissue destruction around the first molar and incisors


3) most common in females


4) associated with abnormal neutrophil function

List characteristics of generalized aggressive periodontitis

1) most common in people younger than 30


2) rapid tissue destruction


3) associated with abnormal neutrophil function

Indicate some factors that could be related to periodontitis stated in the AAP 1999 classification type 4 through 8 grid

1) periodontitis as manifestation of systemic disease


2) necrotizing periodontal diseases


1) periodontitis as manifestation of systemic disease2) necrotizing periodontal diseases3) abscesses of the periodontium4) periodontitis associated with endodontic lesions5) deformities and conditions


1) periodontitis as manifestation of systemic disease2) necrotizing periodontal diseases3) abscesses of the periodontium4) periodontitis associated with endodontic lesions5) deformities and conditions


1) periodontitis as manifestation of systemic disease2) necrotizing periodontal diseases3) abscesses of the periodontium4) periodontitis associated with endodontic lesions5) deformities and conditions


1) periodontitis as manifestation of systemic disease2) necrotizing periodontal diseases3) abscesses of the periodontium4) periodontitis associated with endodontic lesions5) deformities and conditions


1) periodontitis as manifestation of systemic disease2) necrotizing periodontal diseases3) abscesses of the periodontium4) periodontitis associated with endodontic lesions5) deformities and conditions


3) abscesses of the periodontium


4) periodontitis associated with endodontic lesions


5) deformities and conditions

What is considered to be periodontitis as manifestation of systemic diseases

Blood disorders and genetic factors

What is considered to be deformities and conditions

Tooth related, Micro gingival conditions, Micro gingival deformities, and occlusal trauma

What is Lakeland classification system based on

It is based on the number of teeth present, the amount of calculus, stain and pocket depth

What are the five top signs and symptoms of patient in denial

1 gums bleed every time they brush


2 sharp molar pain when they eat ice cream or drink coffee


3 floss shreds between their teeth


4 always cuts corn off the cob


5 only smiles when hand is covering mouth

What is the most common form of periodontitis

Chronic generalized adult periodontitis

Case type 1 is what

Early/ chronic gingivitis

Case type 2 is what

Early/ slight periodontitis

Case type 3 is what

Moderate periodontitis

Case type 4 is what

Advanced periodontitis

Case type 5 is what

Adult chronic refractory or aggressive progressive periodontitis

What is involved in the AAP case type

1) Divides diagnosis and two levels of severity


2) intentionally vague, does not define specific does not define specific periodental infections


3) used for treatment planning and insurance

Characteristics of case type 1 early chronic gingivitis

1. Gingival inflammation


2. No attachment loss


3. No mobility


4. No furcation involvement


5. Bop


6. Less than 4 millimeter pocket depth

Characteristics of case type 2 early slight periodontitis

1) 1 - 2 millimeter loss of clinical attachment


2) less than 10% reduction in bone


3) no mobility


4) furcation is less than grade 1


5) 4 - 5 milimeter pocket depth


6) bop

Characteristics of case type 3 moderate periodontitis

1) 3 - 4 millimeter loss of clinical attachment


2) moderate bone loss less than 33%


3) mobility less than grade 1


4) furcation less than grade 2


5) 5 - 6 millimeter pocket depth


6) bop

Characteristics of case type 4 advanced periodontitis

1) greater than 5 millimeter loss of clinical attachment


2) greater than 33% bone loss


3) less than grade 3 mobility


4) less than grade 3 furcation involvement


5) less then 6 millimeter probing depth


6) bop

Characteristics of case type 5 adult chronic refractory

1) less than grade 3 mobility


2) less than grade 3 furcation


3) greater than 6 millimeter pocket depth


4) bop


5) redness, greater than 33% bone loss


6) rapid progression

How are AAP periodontal disease type 2 & 3 conditions classified

1) chronic periodontitis


2) aggressive periodontitis



Both of them have localized and generalized

What does AAP stand for

American Academy of Periodontology

Differentiate aap case types from aap classification

AAP case type divides diagnosis into 6 levels of severity based on case type, BOP, boneloss, pocket depth, mobility and calculus



AAP classification focuses on histologic and systemic factors, it is a diagnosis of the etiology and conditions