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Periodontology Final Exam

Terms in this set (41)

Periodontal Screening Assessment
quick process to determine of a more comprehensive assessment is needed
Comprehensive Periodontal Assessment
intensive and in-depth information gathering process
Components of a periodontal assessment
gingival inflammation
level of free gingival margin
recession of the gingiva
level of mucogingival junction
Probe depth measurements
bleeding in probing
presence of exudate
tooth mobility
furcation involvement
presence of deposits on the teeth
presence of plaque
gingival descriptors
tissue color
tissue contour
tissue consistency
tissue texture
signs of gingival inflammation
erythema
exudate
other signs
Free gingival margin slightly coronal to the CEJ
normal position of the CEJ
free gingival margin significantly coronal to the CEJ
gingival enlargement
free gingival margin slightly apical to the CEJ
gingival recession
horizontal tooth mobility
movement of a tooth in the facial lingual direction-most common type of mobility
vertical tooth mobility
movement of a tooth in which it is capable of being depressed into the socket
class 1 mobility
slight mobility, up to 1mm of horizontal displacement in a facial lingual direction
class 2 mobility
moderate mobility greater than 1mm but less than 2mm of horizontal displacement in a facial-lingual direction
class 3 mobility
severe mobility greater than 2mm of displacement in a facial lingual direction or any amount of vertical displacement
what are local irritating factors?
calculus
plaque
overhanging margins
attachment
loss of _______________ is a critical factor in determining the difference between gingivitis and periodontitis
2mm
in periodontal health the alveolar crest lies up to __________ below the CEJ on a radiograph
CEJ's
when evaluating the alveolar crest, we should draw an imaginary line between adjacent ___________
smooth, cortical, radiopaque
the surface of the alveolar crest should be ________ and covered with a thin layer of _________ bone. This bone will appear __________________ on radiographs.
Lamina Dura
the alveolar bone proper is the thin layer if dense bone that lines the normal tooth socket. in radiographic images, it is referred to as the __________ _________
Periodontal Ligament Space
the space between the tooth root and the lamina dura socket that is filled with periodontal ligament tissues
D1110 Prophylaxis
removal of plaque, calculus, and stains from the tooth structure in the permanent and transitional dentition. it is intended to control local irritating factors
D4910 Periodontal Maintenance
procedure instituted after periodontal treatment and continues at varying intervals, determined by clinical evaluation for the life of the dentition or any implant replacements.
Procedures performed during periodontal maintenance
update medical status
patient interview
clinical assessments
evaluation of patient elf-care
identification of treatment needs
periodontal instrumentation
patient counseling
application of fluorides
6.2-6.7
root surface demineralizes at a pH of what?
2.5x
root demineralization is _________ greater than enamel
67%
fluoride toothpaste decreased root caries by ________
3, 50%
fluoride varnish every ___ months reduces the risk of root caries by ______
CAMBRA
caries management by risk assessment
3 months
most frequent recommended periodontal maintenance interval
periodontal disease recurrence
the return of the disease in a patient who has previously been successfully treated for periodontitis
refractory periodontal disease
refers to the resistance of the disease treatment from the onset of the treatment even when the treatment seems to be the appropriate method of action
microbial, periodontal ligament, alveolar bone
periodontitis is a ____________ infection that causes progressive destruction of the ____________ ____________ and gradual loss of the supporting ______ __________
3 major forms of periodontitis
necrotizing periodontal disease
periodontitis
periodontitis as a manifestation of systemic disease
periodontitis
the number one cause of tooth loss in adults over the age of 30 is ________________
plaque induced gingivitis
periodontitis begins as _____________ ____________ __________ then progresses
reliable
important to remember that clinical appearance of tissues is not a _________ indicator of the presence or severity of periodontitis
painless
periodontitis is usually ______________, so patients may only become aware when they notice bleeding while brushing, spaces between their teeth or loose teeth
WWII
necrotizing ulcerative gingivitis was first discovered in the troops of the trenches in _____________
Grade B
when grading periodontitis, remember that you always default to __________ ___, and use evidence to move to A or C
acute conditions
usually accompanied by sudden onset and rapid curse of progression, frequently accompanied by pain, can usually be localized or widespread, and may have systemic manifestations
abscess of the periodontium
an acute or chronic infection involving a localized collection of pus within the gingival wall of the periodontal pocket
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