at what stage is there no clinical evidence of disease?
what is the clinical appearance of an initial lesion?
no clinical evidence
what lesion occurs at 7-14 days?
when does an early lesion occur?
during what lesion does the epithelium proliferate and rete ridges form?
t/f an early lesion is not reversible
FALSE! screech to a stop and REVERSE!
what is the clinical appearance of an early lesion?
during what lesion stage does early gingivitis begin?
what lesion stage is the inflammatory response to dental biofilm?
what lesion is early pocket formation?
what lesion can be classified as early periodontal lesion?
what are four clinical appearances of an established lesion
during what lesion stage does alveolar bone destruction begin?
what are five characteristics of an advanced lesion?
gums shiny and smooth
what is the progression of perio?
healthy to gingivitis to moderate perio to severe perio
what are three things used to determine case type?
a pocket is a diseased _____
what is a term used to describe a variety of inflammatory and degenerative disease that affect the supporting structures of the teeth?
the ____ and the _____ is the area of treatment where calculus collects and instrumentation for perio therapy is applied
it is the presence of what that distinguishes a pocket from a sulcus
what is a pocket formed by gingival enlargement without apical migration of the junctional epithelium
what is a pocket formed as a result of disease that causes the junctional epithelium to migrate apically along the cementum
what is the tooth wall for a gingival pocket?
t/f the deeper perio structures are involved with a gingival pocket
FALSE SUCKA! the are not involved
are gingival pockets suprabony, intrabony or both?
what is the tooth wall for a periodontal pocket?
t/f a periodontal pocket can be suprabony or intrabony
what perio type is early gingivitis with bleeding?
what perio type is early perio? What are two characteristics of it?
slight bone loss
slight attachment loss
what perio type is moderate perio?
what perio type has destruction of periosteum, mobility, bone loss and possible furcation involvement?
what perio type is advanced perio?
what perio type has severe bone loss, increased teeth mobility, furcation involvement and 7 mm pockets?
when _____ is present the pocket wall follows the contour of it
what are five substances found in a pocket?
what are some examples of supragingival tooth surface irregulatities?
decalcification or demineralization
pits from hypoplasia
what are some examples of subgingival tooth irregularities?
what are five causes for surface roughness on the enamel?
calc and stain
erosion and abrasion
what % does the cementum overlap the enamel?
what % does the cementum meet the enamel?
what % is the dentin exposed because of a gap between the cementum and enamel?
what are six examples of root surface roughness?
grooves from previous cleaning
which furcation class is the early stage with beginning involvement and the probe can enter the furcation area?
what furcation class is moderate involvement and the probe can enter the furcation but not pass thru roots?
what furcation class is severe involvement and the probe can pass through the furcation but there is still tissue covering area?
what furcation class is severe involvement and the furcation is exposed due to bone loss and recession?
t/f class three furcation involvement has tissue covering furcation but probe can pass through the furcation?
true dat mmhmm
what are three functions of attached gingiva?
supports marginal gingiva
withstands chewing stresses
attachment for alveolar mucosa
what acts as a barrier to keep infection outside the body?
junctional epithelium (epthelial attachment)
without the _____ _____ inflammation could go into the alveolar mucosa
what is the primary factor in development of periodontal disease?
what is a factor that is the actual cause of a disease or condition?
what is a factor that renders a person susceptible to a disease or condition?
what is a factor that lends assistance to supplements or adds to a condition or disease?
what is an exposure that increases the probability that disease will occur?
t/f etiologic, predisposing and contributing factors may be local or systemic
what is a factor in the immediate environment of the oral cavity or specifically in the environment of the teeth or periodontium
what is a factor that results from or is influenced by a general physical or mental disease or condition?
what are four contributing dental factors in disease development?
tooth surface irregularities
what are three contributing gingva factors in disease development
size and contour
what are the five self cleansing mechanisms?
food enters mouth and saliva flow increases
chewing-contact areas prevent interdental enterance
food forced out by bite pressure-embrasures provide spillways for particles
additional chewing-more saliva to moisten food for swallowing
remaining food-tongue explores and saliva rinses
what are three drugs that lead to gingival enlargement and encourages dental biofilm retention and thus causing periodontal disease?
nifedipine-angina and ventricular arrhythmias
what form of tobacco provides a risk for periodontal disease?
t/f people with diabetes have an increased risk for perio infections
t/f patients with well controlled diabetes and healthy perio tissues have less of a risk for infections
yesh em so true
what is a psychosocial factor for increasing the risk of perio infections?
high levels of social strain
what is a stress related condition caused by poor oral hygiene, the gums are red and inflamed, very painful and to treat peridex is used before instrumentation and toothpaste is used instead of prophy paste?