Perio PP1 & PP1A

  1. “Periodontal liability claims pertaining to periodontics most commonly allege:
    • –failure to diagnose
    • –failure to inform
    • –failure to refer
    • –or failure to treat
  2. Localized periodontitis is ______% of the teeth
    less than 30%
  3. Generalized periodontitis is _____% of the teeth
    greater than 30%
  4. Perio Type I is ________
    • Gingivitis only
    • No bone loss
  5. Perio Type II is
    • Slight up to 15% bone loss
    • 4-5 mm pockets
    • 2 or greater CAL
  6. Perio type III is
    • Moderate 16 to 30% bone loss
    • > or equal to 5mm and 7mm pockets
    • Greater than 3 less than 5 mm CAL
  7. Perio Type IV is
    • Advanced greater than 30% bone loss
    • > or equal to 7mm pockets
    • Greater than 5mm CAL
  8. Perio Type V is
    Refractory periodontitis
  9. The only accurate method of detecting and measuring periodontal pockets is with _______ and not detected by ____
    • a probe
    • radiographs
  10. Probing measurements are used to
    • –Support treatment planning decisions
    • –Assess periodontal disease status
    • –Guide the clinician during root detoxification
    • –Evaluate the success of treatment
  11. pocket may be as much as _______ in the presence of inflammation
    1 mm deeper
  12. Clinical Depth is the _________ plus ________
    • biologic depth
    • tissue penetration
  13. Clinical attachment loss is the distance between the
    CEJ and the most apical extent of the epithelial attachment
  14. Grade I furcation
    Curvature of the concavity can be felt but the interradicular bone is intact
  15. Grade II furcation
    Probe penetrates the furcation but does not pass all the way through
  16. Grade III furcation
    loss of interradicular bone and probe passes through and through
  17. Grade IV furcation
    Loss of interradicular bone completely through and through AND recession allowing visualization of complete furcation
  18. Mobility 1
    Slight 1mm in each direction
  19. Mobility 2
    Moderate about 2 mm
  20. Mobility 3
    More than 2mm and depressible in socket
  21. Primary occlusal trauma
    Tooth mobility due to occlusal trauma but there is no bone loss
  22. Secondary occlusal trauma
    Tooth mobility due to loss of support(bone)
  23. Amount of mobility depends with secondary occlusal trauma on
    • –severity and distribution of bone loss
    • –length and shape of roots
    • –root size compared to crown size
  24. Tooth mobility can be caused by
    • –Inflammation in the absence of bone loss–Periapical abscess
    • –Trauma – acute or chronic
    • -Orthodontics
    • –Pregnancy
  25. Fremitus is the
    The movement of teeth during function frequently associated with increased bone and attachment loss
  26. The width of attached gingiva is the distance between the
    mucogingival junction and the bottom of the pocket or sulcus
  27. The width of attached gingiva is considered to be inadequate if the
    free gingival margin moves when the lip or cheek is stretched, or is 1 mm or less
  28. Pathologic migration of teeth is
    tooth displacement that occurs when bone destruction upsets the balance among the factors that maintain tooth position
  29. Image Upload 1
    pathologic migration
  30. What is the radiographic assessment of implants
    X-rays every 3 months for the first year and then every one to two years
  31. The normal distance from the CEJ to the level of bone is
    1 to 2 mm
  32. Ulceration is
    the absence of epithelium
  33. What is suppuration
    An accumulation of dead cells Primarily PMN polymorhonucleocytes
  34. Cortical bone is ______ and radiographically appears as ______ called the _____
    • the dense outer surface of bone
    • a thin white line
    • lamina dura
  35. An indicator if health is when the contour of the interdental bone is parallel to an ________
    imaginary line drawn between the CEJ's of adjacent teeth
  36. The CEJ's will still be parallel but not ________ when an adjacent tooth is ______ or ______
    • horizontal
    • tilted
    • erupted to a different height
  37. The alveolar crest is _______ from the CEJ
  38. The space between the cementum and the lamina dura is filled with the ______ which appears _____ and in most cases widens on the radiograph indicating ______
    • periodontal ligament
    • radiolucent
    • tooth mobility
  39. Describe some early changes of bone loss
    • –Fuzziness at the alveolar crest (loss of lamina dura)
    • –Widening of the PDL space (triangulation)
    • –Radiolucent areas in the interseptal bone
  40. The majority of the cells in the gingival crevicular fluid is
Card Set
Perio PP1 & PP1A
Perio PP1 & PP1A