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AU 15- Periodontology Exam 2 > Chronic Periodontitis > Flashcards

Chronic Periodontitis Flashcards

1
Q

True or False: Chronic periodontitis should always be obvious upon inspecting the mouth due to inflammation and bleeding.

A

False, it’s not always obvious just by looking!

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2
Q

What are five clinical features of Chronic Periodontitis?

A
  1. Changes in gingival morphology
  2. BoP
  3. Increased probing depths
  4. Attachment Loss
  5. Gingival Recession apical to the CEJ
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3
Q

True or False: Probe depths are similar to attachment loss.

A

False: they are not interchangeable!

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4
Q

Alveolar bone loss associated with chronic periodontitis is either ______ or ______.

A

Vertical or horizontal

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5
Q

_____ involvement is variable due to root morphology differences.

A

Furcation

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6
Q

True or False: Decreased tooth mobility, ankylosed teeth, and tooth loss are all associated with chronic periodontitis.

A

False: INCREASED tooth mobility, drifting teeth, and tooth loss are associated

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7
Q

Tissue destruction in chronic periodontitis corresponds with oral hygiene, _____ levels, and ______ factors

A

plaque levels

oral or systemic

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8
Q

True or False: Subgingival calculus is invariably present at disease sites.

A

True

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9
Q

True or False: Individual species vary among individuals and specific subgingival species are not implicated in disease.

A

False. There is individual variation but specific species ARE implicated

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10
Q

Rate of progression is ____ to moderate and rapid bursts of destruction _____ occur.

A

Slow progression

rapid bursts CAN occur

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11
Q

In chronic periodontitis, what determines pathogenesis and progression?

A

host factors

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12
Q

Which sites on the periodontium are more likely to sustain further breakdown?

A

untreated diseased sites

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13
Q

True or False: The best predictor for future attachment or bone loss is past attachment or bone loss.

A

True

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14
Q

Once there are clinical signs of attachment loss, how long until bone loss occurs?

A

six months

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15
Q

Why is early diagnosis of chronic periodontitis so difficult?

A

because it is mostly painless

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16
Q

What kind of pain symptoms are generally associated with chronic periodontitis?

A
  • Localized dull pain

- Gingival tenderness, ‘itching’ gums

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17
Q

The “extent” of chronic periodontitis is classified as either _____ or _______.

A

localized

generalized

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18
Q

How is localized differentiated from generalized chronic periodontitis?

A

localized is LESS THAN OR EQUAL to 30% of sites

generalized is GREATER than 30% of sites

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19
Q

How is “severity” of chronic periodontitis determined?

A

By the amount of attachment loss:
1-2 mm = slight
3-4 mm = moderate
5 or more mm = severe

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20
Q

Is “generalized slight with localized moderate chronic periodontitis” a possible diagnosis?

A

yes

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21
Q

Is “generalized gingivitis with localized severe chronic periodontitis” a possible diagnosis?

A

No, once attachment loss occurs….gingivitis goes out the window

22
Q

True or False: Smoking has a greater impact on formation of periodontal pockets in the young.

A

True
ages 21-40: non-smokers = 10 –> smokers = 30
ages 41-60: non-smokers = 30–> smokers = 40

23
Q

Risk determinants are ______ factors.

A

non-modifiable

24
Q

Risk ______ have been identified in cross-sectional studies but have not been confirmed longitudinally.

A

indicators

“IN the name of the cross” –>indicators = cross sectional

25
Q

HIV/AIDS, osteoporosis, and infrequent dental visits are all risk ______.

A

indicators

26
Q

Risk ______ are associated with elevated risk but may not be part of the CAUSE.

A

markers/predictors

ex: furcation involvement, previous perio, calculus

27
Q

True or False: All gingivitis will eventually lead to periodontitis.

A

False

28
Q

True or False: Gingivitis can be stable for years.

A

True

29
Q

Bacterial _____ induces gingivitis, but _______ determines if chronic periodontitis will develop.

A

plaque

host response

30
Q

True or False: Absence of gingivitis is not a good indicator of future periodontal health.

A

False, its a good indicator of future health

31
Q

_____% of the US population has periodontitis ~65 million people.

A

> 47 %

32
Q

How is chronic periodontitis associated with gender?

A

it is HIGHER in men

33
Q

_____% of adults above 65 years old have moderate or severe periodontitis.

A

64%

34
Q

True or False: Severe periodontal disease is the 2nd most prevalent disease in the world.

A

False. It is the SIXTH most prevalent in the world

35
Q

What are the three models of periodontitis progression?

A
  1. Continuous Model
  2. Random Burst Model
  3. Asynchronous Multiple Burst Model
36
Q

Which model of progression shows a “slow and constant rate?”

A

Continuous Model

37
Q

Which model of progression is not specific in its time or site of destruction?

A

Random Burst Model

38
Q

Which model of progression is more highly associated with Aggressive Perio?

A

Asynchronous Multiple Burst Model (destruction during specific time frames of life)

39
Q

Clinical Attachment Loss = _____ + ______

A

probing depth + gingival recession

40
Q

How is BoP expressed?

A

as % of total sites AVAILABLE

41
Q

What is fremitis?

A

mobility of tooth upon occlusion

42
Q

What are the four deconfiguration patterns of bony defects?

A

1 wall, 2 wall, 3 wall, or circumferential

(pattern is critical to treatment)

43
Q

True or False: Treatment of chronic periodontitis is effective and limits tooth loss to 0.6mm teeth/year.

A

False

44
Q

True or False: Untreated patients lost approximately 0.6 teeth/year.

A

True

45
Q

Non-compliant patients had _____ the rate of tooth loss per year.

A

double (0.2 instead of 0.1 in the compliant group)

46
Q

Why do periodontal sites with initially shallow pockets tend to lose CAL?

A

possible trauma… DO NOT DIG! especially if its of “critical probe depth..2.9mm”

47
Q

Which sites are most susceptible to trauma from digging out pockets?

A

buccal sites with thin tissue type

48
Q

______ = probe depths less than 2.9mm = root planing at this depth will cause attachment loss

A

Critical Probe Depth

49
Q

True or False: Although periodontal disease is not reversible, you can increase the appearance, decrease inflammation, and decrease redness.

A

True

50
Q

You should not maintain (ScRP treatment) _____ mm pockets; surgical therapy is recommended in this circumstance.

A

6

AU 15- Periodontology Exam 2 (14 decks)

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