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Chapter 3&7 Perio.
from P.P.
Question | Answer |
---|---|
usually occur as a single isolated deep pocket or are present in the furcation of a specific tooth | Endodontic Lesions |
occur when the gingival margin is coronal to the CEJ and there is often no attachment loss. This is common on the distals of the 2nd and 3rd molars | Pseudopockets |
may be caused by an underlying osseous defect or it may represent trauma from toothbrushing or other abrasion | Gingival recession |
Most common & accepted method of detecting periodontal disease is careful assessment of the attachment level around all surfaces of all teeth with a | periodontal probe |
As in gingivitis, _______ _____ ______ is the principal cause of all forms of periodontitis | dental plaque biofilm |
Does dental calculus by itself cause periodontal disease? | no |
Overhanging or poorly contoured dental restorations, food retention or impaction areas, furcations, space between teeth, increase the likelihood of ____________ | perio |
Known risk factor for perio and has been clearly associated with increased attachment lossHas an effect on healing after periodontal therapy | Tobacco Use |
Indicated in the treatment of perio when mechanical therapy has been unsuccessful | Systemic Antibiotics |
Treatment considerations are stomach upset, diarrhea, abdominal pain, dizziness and muscle weakness. An important side effect from tetracycline is that it can interfere with | birth control. |
places the antibiotic directly at the site of infection and reduces the risk of allergic side effects from systemic administrationThe first type was a tetracycline fiber | Locally Delivered Controlled-Release Antibiotics |
gel that becomes semi-solid when heated to body temp (Atridox) | Doxycycline |
is biodegradable and contains no antibiotic | Chlorhexidine chip (periochip |
ointment that is in a globule and inserted with a custom designed syringe (Arestin) | Minocycline |
The study of health and disease and associated factors in human populations | Epidemiology |
Number of cases of disease present in a given population at one time | Prevalence |
Rate of occurrence of new disease in a population over a given period of time | Incidence |
Level of disease; How bad is the population effected | Severity |
Indices are defined and used to measure disease in epidemiologic studies are: | Plaque DebrisCalculusBleedingInflamationEpithelial attachment (pocket)Bone loss |
_____# of adults have calculus and this number increases with age | 1/3 |
risk factors of perio disease | Sex – men increased riskAgeSocioeconomicTobacco useSystemic DiseaseObesityAlcoholOthers-level of education; HIV/AIDS |
Formerly juvenile periodontitisAssociated with Actinobacillus actinomycetemcomitansAfrican Americans at greater riskBoys more likely to develop than girls | Localized Aggressive Periodontitis |
91% of women and 73% of men with HIV or AIDS had periodontal disease. Other oral manifestations are hairy leukoplakia, candidiasis, Kaposi’s sarcoma, and ulcers were present in 92% | HIV Associated Periodontitis |
Contributing Factors to perio disease | MedicationSystemicViralFungalBiofilm inducedGenetic |