Name a chronic inflammatory disease that affects 30% to 50% of the population, has an etiology of infection induced by bacteria, and presents risk factors associated with myocardial infarction and stroke, especially non-hemorrhagic stroke.
Periodontitis
True/False: half of american adults suffer from gum disease
True
47.2% have periodontitis
8.7% mild
30% moderate
8.5% severe
the concept of systemic diseases originating in ____ and ____ infections
dental and oral
When was periodontology revisited?
in the 1990s with solid research foundation
What was done for people with periodontitis?
full mouth extraction
direct contact between vital bone and the implant surface without intervening soft tissues
Osseointergration
when did dental implants come about?
1950s
The AAP stands for? was founded when?
when was periodontics recognized as a dental speciality by the ADA?
The American Academy of Periodontology
founded in 1914
1947
Modern medicine shifted from the ____ person to the ____ person
puzzle
composite
What four diseases are associated with gum disease?
CVD
Cancer
Osteoporosis (in the jaw)
Diabetes
T/F: diabetic patients are more likely to developed periodontal disease, which can in turn increase blood sugar and diabetic complications
TRUE
research suggests the relationship goes both ways
Chronic inflammation is not good for any systemic disease
The bacteria in perio disease and ______ ______ produced by gums affect heart disease as well and causes high chance of stroke
inflammatory cytokines
#1: healthy
#2: inflammation in just soft tissues (gingivitis)
#3: inflammation and some bones affected (mild periodontitis)
#4: more severe inflammation and bone affected (moderate periodontitis)
#5: most severe with major bone loss (severe periodontitis)
when is it considered periodontitis as opposed to gingivitis?
When there is loss of bone structure
Whole purpose of alveolar bone is to support the teeth. Once the teeth are lost, the bone over time ____.
resorbs
comprises a group of inflammatory conditions of the supporting tissues of the teeth that are caused by bactiera
periodontal disease
True/False: the management and prevention of the disease requires a multi-discplinary approach (micro, biochem, end, dental material, restorative, etc)
TRUE
what are the 6 areas that define the scope of dentistry
carious lesions
pathologic lesions
periodontal disease
hereditary defects
trauma
esthetics
caries and perio disease are both directly related to ____
bacteria
Periodontal disease is the balance between
bacteria and the host resistance (physiology, immune response, endocrine)
what causes pregnancy gingivitis
the change in hormones results in an imbalance and bacteria is able to increase and cause disease
plaque is the same but the hormones are messed up--so with increased oral hygiene they can balance again
T/F: Just as with caries, diet is an important factor in perio disease
False
diet isn't as big as a factor in terms of breaking down gums
What are the areas of medicine that we use in perio (8)
Microbiology
Immunology
Infectious Disease
Pharmacology
Physiology
Pathology
Genetics
Endocrinology
How does perio occur? Start with bacteria
Bacteria enters the epithelium and then breaks that down and gets to the CT then breaks that down and gets to the supporting structures and once that occurs they break down and tooth loss (which causes edentulism) occurs
gingival recession can be caused by ___ injury or ____ injury or habit
chemical
heat
Positive numbers in charts mean
bone is receding and there is bone loss
T/F:
Even if pockets are deep if the gum tissue is growing over the teeth there doesn’t mean there is a bone loss
