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34 Cards in this Set

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What does the pre-anesthetic exam assess?

Occlusion, Missing teeth


Gingival health


Presence of oral masses, fractures, etc.

What is done during an oral exam under anesthesia?
Scaling, probing, charting, radiograph

Periodontitis


Is this reversible?

Inflammation and infection of the supporting structures of the teeth usually characterized nu destruction of the periodontal ligament and the alveolar bone.




No just managable

Gingivitis


Is this reversible?

Inflammation of the gingiva




Yes

When salivary glycoprotein attach to tooth what type of bacteria is this?
Gram Negative
Production of what forms plaque?

polysaccharide complex

Once plaque has formed what happens to the tooth and gingiva?


Stimulates Inflammation of tissues




Allows growth of gram negative anaerobic bacteria

Calculus/ tarter is what?

mineralized plaque

What is the normal sulcus depth in a dog?

2-3 mm

What is the normal sulcus depth in a cat?

0.5-1 mm
What happens during local impact of periodontal disease?


Bone loss, gingival recession, tooth mobility, progression of infection



What happens during the systemic impact of periodontal disease?

Possible spread of infection to heart, liver, lungs, kidneys, etc
Clinical signs of periodontal disease?


Halitosis


Dysphagia


Ptyalism


Facial swelling


Nasal discharge


Pawing at mouth


Bloody discharge from mouth



Stippling

blood vessels at gingival margin

Stage of periodontal disease: Gingivitis


Smooth, coral pink +/- pigment


Sharp margins against teeth


GI0

healthy

GI1


Mild; mildly red, swollen, no bleeding on probing sulcus depth




GI2

Moderate; markedly red, swollen, bleeding on probing sulcus depth
GI3

Severe; Severely red, swollen, spontaneous bleeding, ulceration
Stages of periodontal disease: Furcation


Branching point of the tooth




becomes exposed as gingival recession advances

Fe0

Normal- No furcation

Fe1

Felt with explorer and probe

Fe2
Partial furcation exposure

Fe3


Complete furcation exposure




able to pass probe through to palatal/lingual

Stages of periodontal disease: Tooth Mobility

Vertical or Horizontal movement in pocket
M0

No mobility

M1

Horizontal movement


1mm or less

M2

Horizontal movement


>1mm


M3

Vertical and Horizontal movement
PD1 (early gingivitis) signs

Gingival redness, Supragingival plaque, defined stippling difficult to see, no furcation or mobility
PD2 (advanced gingivitis) signs


PD 1 w/additions




Increased inflammation/ edema


irregular gingival topography


Subgingival plaque, some mobility and furcation


PD3 (early periodontitis) signs


Cherry red gingiva


+/- bleeding


hypotrophy


recession of the gums


Subgingival calculus


10-30% loss bone support: loss of periodontal ligament, moderate pocket 4-8mm


Mobility, furcation



PD4 (established periodontitis) signs


Severe gingival inflammation/ pus


deep pocket, severe gingival recession


>12mm pocket


Tooth mobility, furcation Fe3


Rads; Subgingival calculus, alveolar bone loss


Irreversible- extraction

What are the 2 requirements for an LVT to remove a tooth?

M3 and PD4