1. when does an initial lesion occur?
    within 2-4 days of irritation
  2. what occurs within 2-4 days of irritation?
    initial lesion
  3. at what stage is there no clinical evidence of disease?
    initial lesion
  4. what is the clinical appearance of an initial lesion?
    no clinical evidence
  5. what lesion occurs at 7-14 days?
    early lesion
  6. when does an early lesion occur?
    7-14 days
  7. during what lesion does the epithelium proliferate and rete ridges form?
    early lesion
  8. t/f an early lesion is not reversible
    FALSE! screech to a stop and REVERSE!
  9. what is the clinical appearance of an early lesion?
    early gingivitis
  10. during what lesion stage does early gingivitis begin?
    early lesion
  11. what lesion stage is the inflammatory response to dental biofilm?
    initial lesion
  12. what lesion is early pocket formation?
    established lesion
  13. what lesion can be classified as early periodontal lesion?
    established lesion
  14. what are four clinical appearances of an established lesion
    • inflammation
    • marginal redness
    • spongy
    • BOP
  15. during what lesion stage does alveolar bone destruction begin?
    advanced lesion
  16. what are five characteristics of an advanced lesion?
    • pocket formation
    • bone loss
    • mobility
    • no stippling
    • gums shiny and smooth
  17. what is the progression of perio?
    healthy to gingivitis to moderate perio to severe perio
  18. what are three things used to determine case type?
    • pt history
    • clinical exam
    • radiographs
  19. a pocket is a diseased _____
  20. what is a term used to describe a variety of inflammatory and degenerative disease that affect the supporting structures of the teeth?
    periodontal disease
  21. the ____ and the _____ is the area of treatment where calculus collects and instrumentation for perio therapy is applied
    • sulcus
    • pocket
  22. it is the presence of what that distinguishes a pocket from a sulcus
  23. what is a pocket formed by gingival enlargement without apical migration of the junctional epithelium
    gingival pocket
  24. what is a pocket formed as a result of disease that causes the junctional epithelium to migrate apically along the cementum
    periondontal pocket
  25. what is the tooth wall for a gingival pocket?
  26. t/f the deeper perio structures are involved with a gingival pocket
    FALSE SUCKA! the are not involved
  27. are gingival pockets suprabony, intrabony or both?
  28. what is the tooth wall for a periodontal pocket?
  29. t/f a periodontal pocket can be suprabony or intrabony
  30. what perio type is early gingivitis with bleeding?
    type I
  31. what perio type is early perio? What are two characteristics of it?
    • type II
    • slight bone loss
    • slight attachment loss
  32. what perio type is moderate perio?
    type III
  33. what perio type has destruction of periosteum, mobility, bone loss and possible furcation involvement?
    type III
  34. what perio type is advanced perio?
    type IV
  35. what perio type has severe bone loss, increased teeth mobility, furcation involvement and 7 mm pockets?
    type IV
  36. when _____ is present the pocket wall follows the contour of it
  37. what are five substances found in a pocket?
    • microorganisms
    • fluid
    • epithelial cells
    • leukocytes
    • purulent exudate-pus
  38. what are some examples of supragingival tooth surface irregulatities?
    • decalcification or demineralization
    • fluorosis
    • pits from hypoplasia
  39. what are some examples of subgingival tooth irregularities?
    • root caries
    • abrasion
    • calculus
    • overhanging fillings
  40. what are five causes for surface roughness on the enamel?
    • structural defects
    • deminieralization
    • calc and stain
    • erosion and abrasion
    • hypoplastic pits
  41. what % does the cementum overlap the enamel?
  42. what % does the cementum meet the enamel?
  43. what % is the dentin exposed because of a gap between the cementum and enamel?
  44. what are six examples of root surface roughness?
    • diseased cementum
    • root caries
    • abrasion
    • calc
    • overhanging restorations
    • grooves from previous cleaning
  45. which furcation class is the early stage with beginning involvement and the probe can enter the furcation area?
    class I
  46. what furcation class is moderate involvement and the probe can enter the furcation but not pass thru roots?
    class II
  47. what furcation class is severe involvement and the probe can pass through the furcation but there is still tissue covering area?
    class III
  48. what furcation class is severe involvement and the furcation is exposed due to bone loss and recession?
    class IV
  49. t/f class three furcation involvement has tissue covering furcation but probe can pass through the furcation?
    true dat mmhmm
  50. what are three functions of attached gingiva?
    • supports marginal gingiva
    • withstands chewing stresses
    • attachment for alveolar mucosa
  51. what acts as a barrier to keep infection outside the body?
    junctional epithelium (epthelial attachment)
  52. without the _____ _____ inflammation could go into the alveolar mucosa
    junctional epithelium
  53. what is the primary factor in development of periodontal disease?
  54. what is a factor that is the actual cause of a disease or condition?
    etiologic factor
  55. what is a factor that renders a person susceptible to a disease or condition?
    predisposing factor
  56. what is a factor that lends assistance to supplements or adds to a condition or disease?
    contributing factor
  57. what is an exposure that increases the probability that disease will occur?
    risk factor
  58. t/f etiologic, predisposing and contributing factors may be local or systemic
  59. what is a factor in the immediate environment of the oral cavity or specifically in the environment of the teeth or periodontium
    local factor
  60. what is a factor that results from or is influenced by a general physical or mental disease or condition?
    systemic factor
  61. what are four contributing dental factors in disease development?
    • tooth surface irregularities
    • tooth contour
    • tooth position
    • dental prostheses
  62. what are three contributing gingva factors in disease development
    • position-recession
    • size and contour
    • mouth breathin
  63. 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
  64. what are three drugs that lead to gingival enlargement and encourages dental biofilm retention and thus causing periodontal disease?
    • phenytoin-seizures
    • cyclosporine-organ transplants
    • nifedipine-angina and ventricular arrhythmias
  65. what form of tobacco provides a risk for periodontal disease?
    any form
  66. t/f people with diabetes have an increased risk for perio infections
  67. t/f patients with well controlled diabetes and healthy perio tissues have less of a risk for infections
    yesh em so true
  68. what is a psychosocial factor for increasing the risk of perio infections?
    • high levels of social strain
    • stress
  69. 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?
    Necrotizing Ulcerative Gingivitis NUG
Card Set
periodontal disease development