| Term | Definition |
| False. (Dallas book is incorrect.) | True or False: The PDL maintains position of gingival fibers. |
| to anchor tooth to bone | What is the primary function of the PDL? |
| yes (touch, pain, and pressure) | Does the PDL transmit sensation? |
| Apical, Alveolar crest, Oblique, Horizontal, and Interradicular | Name the 5 PDL fibers: |
| Oblique | Which PDL group is largest and most significant? |
| Principal fiber groups or dentoalveolar fiber groups | PDL fibers fall within a group of fibers called: (2 possibilities) |
| vertical | PDL Fibers: Apical fibers resist what type of force? |
| vertical and unexpected strong forces | PDL Fibers: Oblique fibers resist what type of force? |
| tipping of the tooth | PDL Fibers: Horizontal fibers resist what type of force? |
| intrusive forces | PDL Fibers: Alveolar crest fibers resist what type of force? |
| vertical and lateral | PDL Fibers: Interradicular fibers resist what type of force? |
| Dentogingival, Alveologingival, Circumferential (Circular), Dentoperiosteal, and Transseptal | Name the 5 gingival fiber groups: |
| Dentogingival fibers | Which gingival fiber does this describe: From cementum into the free gingiva |
| Alveologingival fibers | Which gingival fiber does this describe: From the alveolar crest into the free gingiva |
| Circumferential or circular (helps maintain tooth in position) | Which gingival fiber does this describe: Continuous around the neck of the tooth |
| Dentoperiosteal fibers | Which gingival fiber does this describe: From the cementum over the alveolar crest into the periosteum |
| Transseptal fibers | Which gingival fiber does this describe: From cementum of one tooth to the cementum of another tooth |
| Fibroblasts | Which cell is the most prominent in the PDL? |
| Fibroblasts | Which cells are responsible for collagen synthesis? |
| Fibroblasts, Cementoblasts, and Osteoblasts | Which three cells are found in the PDL? |
| True | True or false: Dental plaque induced gingival diseases can be modified by systemic factors? |
| True | True or false: Dental plaque induced gingival disease is caused only by plaque. |
| non-plaque enduced gingival disease | Gingival disease caused by viral, fungal, or genetic influences: |
| proliferation | Leukemia is a _____________ of leukocytes. |
| Phenytoin, CCB, Cyclosporine | Which three categories (drugs) cause gingival hyperplasia? |
| disease characterized by periodontitis and thickened palms of hands and feet, most will loose permanent dentition by age 14 | What is Papillon-LeFevre? |
| Spriochetes (specifically Treponema denticola), Fusobacterium, Prevotella intermedia, P. gingivalis | The bacterias most often associated with NUP/NUG: |
| T.F.P.P. Tina Felt Peter's Pony | Acronym for NUP/NUG bacteria: |
| Tetracycline | Typical drug of choice for NUP/NUG |
| NUP/NUG | Punched out papilla and fetid odor are key words describing: |
| a pseudomembrane | What creates a white-ish film over tissue infected by NUP/NUG? |
| True | T or F: NUP/NUG is painful. |
| Gingival abscess | An abscess that results from topical injury to the gingiva: |
| Periodontal abscess | An abscess that results from infection that spreads deep in a pocket and become blocked |
| Pericoronal abscess | An abscess that develops in inflamed dental follicular tissue overlying the crown of a partially erupted tooth: |
| Periapical abscess | An abscess that develops as a result from pulp infection: |
| False | True or False: A periodontal cyst will show up on a radiograph. |
| pneumatization | What is it called when the maxillary sinus drops into the site of extraction? |
| pulpal hyperemia (reversible pulpititis) | A mild pulpal inflammation usually resulting from placement of a deep restoration: |
| True | True or False: Neutrophil dysfunction plays an active role in periodontal disease. |
| 1) Acquired Pellicle, 2) Adhesion, 3) Colonization | Steps in plaque formation: |
| False | True or false: Accumulation of plaque is the only factor in the initiation of periodontitis. |
| adherance | What is the #1 virulence factor in plaque etiology? |
| False | True or False: Hyperplastic is a term used to describe gingival contour. |
| False | True or False: Chronic periodontitis almost always causes pain. |
| False | True or False: Aggressive periodontitis is always characterized by poor oral hygiene. |
| First molars and incisors | Localized Aggressive Periodontitis usually affects what teeth: |
| Apical migration of JE | Major difference between gingivitis and periodontitis: |
| glossy (due to fluid infiltration) | Edematous tissue usually appears ____________. |
| False | True or false: Marginal tissue is stippled. |
| highly stippled | Fibrotic tissue appears: |
| edema | What is the most obvious result of vasodilation in gingival tissue? |
| rods | As disease progresses, cocci bacteria are replaced by: |
| rod | Most bacteria found at a diseased site are what shape? |
| planktonic bacteria | Non-adherent plaque is also known as: |
| facultative anaerobes | What type of bacteria increases in number as plaque matures? |
| motile | Which is more disease oriented? motile or non-motile |
| C. rectus and P. intermedia | Bacteria associated with pregnancy: |
| yes | Is cyanotic tissue highly vascular? |
| A.A, P. gingivalis, and C. rectus | Name 3 of the most common bacteria associated with periodontal diseases: |
| Endotoxins | Associated with Gram negative bacteria, part of the cell wall, only released upon cell death |
| Exotoxins | Bacterial waste products are called: |
| Endotoxins | What is the number one cause of inflammation? |
| release of endotoxins | What harmful activity can cause damage to PMNs? |
| extracellular matrix | What makes up the bulk of plaque? |
| holds cells together | What does the extracellular matrix do? |
| endotoxins | What bacterial product is associated with gram negative bacteria only? |
| gram negative | Endotoxins are associated with _______ bacteria only. |
| 4-7 days | How long does it take for clinical signs of gingivitis to appear? |
| Stage 2 - Gingivitis / Early Lesion | In what stage of lesion development are rete pegs formed on the sulcular lining? |
| 1) Initial Lesion, 2) Gingivitis/Early Lesion 3) Established Lesion, 4) Advanced Lesion/Periodontitis | Name the stages of lesion development: |
| False | True or False: Once the "advanced lesion" has been established, the condition can be reversed |
| Stage IV - Advanced Lesion | In what stage of lesion development are osteoclasts present? |
| vasocontstriction; vasodilation | Edema/Inflammation starts with ___________________ followed immediately by __________________ of the blood vessels. |
| Diapedesis/Emigration | The process by with neutrophils squeeze between the endothelial cells and enter into the tissue from the blood vessel |
| neutrophil (PMN) | Most prevalent cell in acute inflammation |
| chemotaxis | Movement of cells to a site of inflammation by chemical means |
| neutropenia | What is a lack of neutrophils termed? |
| ADD recession plus pocket depth and SUBTRACT tissue enlargement if edema is present | To calculate CAL: |
| True | True or False: Scaling in shallow pockets can lead to loss of attachment. |
| True | True or False: A gingival pocket is the same thing as a pseudopocket. |
| suprabony pocket | A pocket in which the base of the pocket is coronal to the crest of the alveolar bone |
| infrabony pocket | A pocket in which the base of the pocket is below the crest of the alveolar bone |
| True | True or False: Infrabony pockets are the same as intrabony pocket |
| True | True or False: The number of leukocytes in a pocket increase as inflammation increases. |
| False | True or False: Cementum and Enamel always meet edge to edge. |
| True | True or False: A neutrophil disorder is present in Addison's disease. |
| 1-2 | In health, the crest of the alveolar bone should be ______ mm below the CEJ. |
| False | True or False: Occlusal trauma can cause periodontal disease. |
| True | True or False: Occlusal trauma can enhance periodontal disease. |
| Primary occlusal trauma | Excessive force on tooth with normal bone support: |
| Secondary occlusal trauma | Excessive force on tooth with loss of support |
| yes | Is candidiasis a risk for diabetes patient? |
| Prevotella intermedia | Pregnancy gingivitis is associated with which bacteria? |
| virus | If a condition exhibits itself unilaterally, it is typically caused by a _______. |
| apthous ulcer | What oral condition has a characteristic "erythematous halo"? |
| recurrent apthous stomatitis | Apthous ulcers are also called: |
| True | True or false: Apthous ulcers are a characteristic of HIV. |
| True | True or false: A person going through smoking cessation may develop apthous ulcers. |
| sodium laurel sulfate (foaming) | Apthous ulcers may form from what ingredient in toothpaste? |
| anterior | Gingival hyperplasia typically occurs in the ____________ regions of the gingiva. |
| hypertrophy | Enlargement due to an increase in size: |
| hyperplasia | Enlargement due to increase in cell numbers: |
| Class I | Mobility of less than 1 mm horizontally |
| Class II | Mobility of more than 1 mm horizontally with no vertical depression |
| Class III | Mobility of more than 1 mm with vertical depression |
| False: less likely | True or False: A smoker is more likely to develop apthous ulcers. |
| microvasculature vasoconstriction | Smokers are at increased risk for developing periodontal disease due to: |
| HIV | Hairy leukoplakia is associated with: |
| HIV | Marginal band, diffuse erythema linear gingival erythema is characteristic of: |
| gingivectomy | What is the most common procedure to reduce pocket depths? |
| distance cells have to travel to migrate in the wound healing progress. | Suture are used to increase apposition of incision edges and decrease ____________________________. |
| more | A bony wall defect with more or less walls has a better prognosis. |
| barrier membrane | During guided tissue regeneration, a __________________ is used to block migration of epithelial cells. |
| tissue contour | Periodontal dressings maintain what? |
| 1) blood clotting, 2) wound cleansing, 3) rebuilding tissue, 4) wound remodeling | Name the 4 stages of wound healing: |
| neovascularization | What is the term used for proliferation of new small blood vessels? |
| granulation tissue | Cellular, edematous, and highly vascular tissue created during the rebuilding stage of healing is called: |
| Fibroblasts | What cells are in charge of creating granulation tissue? |
| dehiscence | Loss of bone that leaves a characteristic oval, root exposed defect from the CEJ apically |
| fenestration (french for "window") | A window of bone loss on the facial or lingual aspect of a tooth that places the exposed root directly in contact with gingival or mucosal tissue |
| facial aspect of tooth | Dehiscence typically occurs where? |