Perio Ch. seven cont.

Which type of periodontitis progresses rapidly with MASSIVE bone loss?

Which type of periodontitis occurs in young individuals, and most young individuals with it do not have generalized destruction?

Why is aggressive periodontitis difficult to diagnose based on bacterial and microflora identification?

List 4 factors that can distinguish aggressive periodontitis from other forms

List the 3 types of aggressive periodontitis.

What are 2 types of early onset periodontitis?

Which type of aggressive perio is being described?
rapid onset of tissue destruction
association with defects in the immune system
associated microbiota
early age onset - under 30
includes prepubertal and juvenile perio

Which type of aggressive perio has an age onset of younger than 30?

Which type of aggressive perio includes prepubertal and juvenile perio?

true or false. Prepubertal perio is a very rare condition that may be generalized or localized.

true or false. Prepubertal periodontitis only affects primary dentition.
True False

Which type of periodontitis includes severe gingival inflammation, rapid bone loss, and early tooth loss?

Why are deciduous teeth often lost in prepubertal peridontitis?

many patients with prepubertal periodontitis have _____ ______ cell defects.

true or false. Prepubertal periodontitis responds well to conventional treatment - scaling and root planing.
True False

true or false. Antibiotic therapy may help with prepubertal periodontitis; and adjunctive therapy tx usually slows but does not stop the progression of the disease.

It localized juvenile periodontitis; extreme bone loss is seen around which teeth most often?

Which type of perio is seen in individuals younger than 20?

true or false. Localized juvenile periodontitis is usually not diagnosed until the pt is older and defects are severe
True False

most patients with which type of aggressive perio have lost teeth or drifting teeth?

Which microorganism is found in high numbers in localized juvenile periodontitis?

Which organism does not produce an extracellular matrix and can therefore be in large amounts in periodontal pockets?

In which type of aggressive perio is plaque and calculus minimal around teeth with pockets, they have good oral hygiene, and large number of PMN's have a slow chemotatic response?

true or false. Localized aggressive juvenile perio is more common in caucasian males.
True False

What type of test can be done to confirm and identify bacteria in the oral cavity and perio pockets?

Why is visible plaque usually low in patients with juvenile aggressive perio?

What are 3 factors in the treatment of juvenile aggressive periodontitis?

true or false. Generalized Juvenile perio is more common than localized.
True False

Which teeth are the most severly involved in generalized juvenile aggresseiv perio?

true or false. generalized aggressive perio is associated with a neutrophil chemotactic disorder similar to localized.
True False

What are 2 significant differences between localized and generalized juvenile perio?

Which form of aggressive perio includes P. gingivalis, E. corrodens, and A. actinomycetemcomitans in large numbers?

How should generalized juvenile perio be treated? (4)

Which form of aggressive perio is being described?
can be localized or generalized
juvenile perio that has stopped or slowed
based on appearance of sever bone loss around 1st molars and incisors

Which type of aggressive perio is based on the appearance of severe bone loss around 1st molars and incisors?

Which form of aggressive perio occurs in adults 20-30 yrs of age; involves most of the teeth but can be localized; has severe gingival inflammation and varying amounts of plaque and calc; loss of bone occurs over weeks and months; and the disease may have genetic component and altered neutrophil chemotaxis?

What age does rapid progressive perio usually occur?

Which type of aggressive perio may have a genetic component and altered neutrophil chemotaxis?

The following bacteria are related to which form of aggressive perio?
P. gingivalis
P. intermedia
E. corrodens
Cr. Rectus

Treatment for Rapid progressive perio includes eliminating ______ factors; surgery; good ______ care; ______ or __________ and other drugs can be used

Which form of aggressive perio is being described?
unresponsive to appropriate tx; may occur in single or multiple sites; no single bacterial agent identified may be from several species working together; most patients undergo repeated therapies to control the disease progression.

To determine if the form of aggressive perio is refractory or chronic, you must first rule out what?

List 6 systemic diseases that can cause perio.

What is hypophosphotasia?

Which genetic disorder is characterised by a low level of neutrophils in the blood making the body vulnerable to bacteria and fungal infections, and is therefore associated with perio?

Which genetic disorder is characterised by a lack of molecules which help neutrophils get from the blood stream to the infected area, making it so infection can spread further; and is associated with perio?

Which genetic disorder is characterised as a disease that affects humans and animals (such as whales and tigers) that has Leukocytes defective in chemotaxis and intracellular killing, and platetelet storage defect, and is associated with perio?

Which genetic disorder is characterised by things like obesity, mental retardation, and craniofacial dysmorphism, and is associated with perio?

Which genetic disorder is characterised by an increase in immune cells called histiocytes (macrophages); that is associated with perio?

Which genetic disorder is characterised by an inborn error of metabolism, or glycogen breakdown, and is associated with perio?

Which genetic disorder is characterised by children born with a lack of neutrophils, is also known as severe congenital neutropenia, and is associated with perio?

Which genetic disorder is characterised by a defect in the synthesis of collagen, and is associated with perio?

When is NUG considered NUP?

Which form of aggressive perio is being described?
intensely red and inflammed; extensive necrosis of the soft tissues that form white pseudomembranous surface; severe loss fo connective tissue; fetid odor

Why are there no pockets present with NUP?

Which form of aggressive perio is associated with:
AIDS
transplant patients
nutritional deficiencies
extreme stress

Which form of aggressive perio is associated with each of the following bacteria:
spirochetes (esp. trepenoma denticola)
fusobacterium
prevotella intermedia
porphyromanos gingivalis

What is the drug of choice in the tx of nup?

What is an acute, localized purulent infection that can be gingival, periodontal, pericoronal, or perioapical?

List 4 different types of abscesses of the periodontium.

What is the point of origin for a gingival abscess?

Which form of abcess is a result of injury to or infectino of the surface gingival tissue?

What is the point of origin for a periodontal abscess? (aka lateral periodontal abscess)

Which form of abcess occurs if infection spreads deep into periodontal pockets and drainage is blocked.

Which form of abscess may develop after periodontal debridement?

What is the point of origin for a pericoronal abscess?

Which form of abscess develops in inflammed dental follicular tissue overlying the crown of a partially erupted tooth?

What is the point of origin for a periapical abscess?

Which form of abscess results from pulp infections, and is usually secondary to deep decay?

What occur with chronic periodontitis, usually cases that have not been treated, and also occur because the perio pocket becomes occluded, allowing the infection to become localized and pus to accumulate?

Which form of abscess is associated with rapid bone loss; thought to occur more often after periodontal scaling and root planing, and if left untreated will seek a route to drain and become worse (chronic) constantly inflamed and will result in continued bone loss?

Which form of abscesses are asymptomatic and the patient is unaware of any drainage pus; they typically occur in deepened pockets, and gingival abscesses are typically from a foreign object.

Periocoronal abscesses occur around partially erupted teeth; usually _______ molars

Pericoronal abscesses occur around the flap of tissue that is partially covering the tooth called a/an ____________; called a pericoronal abscess or ___________.

true or false. Pericoronal abscesses are extrememly painful, and can spread to the submandibular tissues.
True False

when must systemic antibiotics be used in the treatment of a perio abscess?

Definitive treatment of a pericoronal abscess is removal of the ____________; or __________ of the partially erupted molar

Periodontitis associated with endodontic lesions occur as a single isolated deep pocket or present in the furcation of a specific tooth; and are sensitive to what?

Periodontitis could infect the pulp through the ______ or ______ canals; or an endo lesion can drain through the ____ infecting the surrounding tissues.

true or false. We should not perform scaling and root planing until after the endo lesion has healed.
True False

______________ can be a developmental condition if it is caused by an underlying osseous defect or be an acquired defect. Cemental spur or lateral developmental groove are examples that can cause this.

What is it when the gingival margin is coronal to the CEJ and has no attachment loss? It is often seen on the distals of second and third molars

_____ contains a large number of cytotoxic and vasoactive components.

Nicotine ingestion causes ______________.

Tobacco use causes diminished ___________ function.

________ periodontitis is often seen with tobacco use. (it masks inflammatory response and prolongs healing)

Tobacco use impairs _____ function and reduces the capacity of the perio tissue to heal

true or false. specific gene markers may be associated with increased periodontal disease. There is a commercially available genetic test for interleukin genes which have been implicated in chronic perio disease.

What are 2 reasons systemic antibiotics would be used for periodontal disease.

generally chronic perio that responds to mechanicl therapy does or does not? benefit from antibiotic treament?

Which antibiotic is concentrated in the gingival fluid?

A. actinomycetemcomitans is usually susceptible to which antibiotic?

Which antibiotic is usually prescribed in the form of minocycline which has a long serum half-life or doxycycline which tend to have a lower incidence of gastrointestinal side effects?

Tetracycline inhibit _______ activity

Which antibiotic used in perio is being described?
inhibits several perio pathogens including spirochetes, porphyromonas species, and prevotella species, kills anaerobic bacteria good for use with rapidly progressing perio, and is not effective againse treating A. actinomycetemcomitans?

Which antibiotic used in perio is being described?
less effective againset perio pathogens; resistance occurs when bacteria produce enzymes that break down the antibiotic; these enzymes are produced by other bacteria in the pocket

Combinations such as penicillin and potassium clavulanate have been used for the tx of which form of perio?

List 5 sidef effects of antibiotics

What is the most important side effect of tetracycline?

true or false. If possible, before prescribing antibiotics, know what organisms are associated with the disease and whether they are suseptible to the specific antibiotic being used.
True False

What was the first locally delivered antibiotic?

Which locally administered antibiotic is used in the form of a biodegradable polymer gel that is liquid when mixed, applied with a syringe, and becomes a simisolid gel as it heats to body temp?

Which form of locally delivered antibiotics is large in size, a 5mmby4mm and can only be used in deeper pockets, and is safer than an antibiotic.

Which form of locally delivered antibiotic is contained in tiny blobule in a ointment that is inserted into the pocket with a custom design syringe?

How long can arestin have therapeutic affects?

What is another name for doxycycline hyclate