IntroToPerio - 0520 - L20 - Prognosis

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  1. Common Prognostic Systems adopted in RSDM clinic
    Kwok and Caton, 2007: Favorable, questionable, unfavorable, hopeless (extraction needed)
  2. Length of the prediction:
    • • short term < 5 years
    • • long term > 5 years
  3. When is prognosis established?
    • after the diagnosis is made
    • before the treatment plan is established
  4. Prognosis is a prediction of the probable course, duration, and _______ of a disease based on a general knowledge of the pathogenesis of the disease and the presence of _______ for the disease.
    • outcome
    • risk factors
  5. Deep probing depths > 5mm
    • susceptible to future periodontal breakdown
    • found after phase I, require surgical management (phase II)
  6. Most important single factor in prognosis:
    • Osseous Defect Morphology
    • 3 wall -> good prognosis
    • 1 and 2 wall -> unfavorable
  7. Relationship between mobility and periodontal prognosis is still unclear.
  8. Smoking cause
    • Systemical alteration of host response, impaired
    • immune defense against pathogens and interferes w/ collagen metabolism
  9. Among all systemic conditions, periodontitis is most strongly associated with _______ and the end result usually is ______.
    • neutrophil disorders
    • tooth loss
  10. Severe aggressive periodontal breakdown is associated
    • with Neutrophil Dysfunctions such as
    • • Chediak-Higashi syndrome,
    • • Chronic granulomatous disease,
    • • Chronic neutropenias,
    • • Papillon-Lefe`vre syndrome,
    • • Down syndrome
  11. Phenytoin, Nifedipine, and Cyclosporin
    • • induce gingival hyperplasia
    • • not related directly to periodontal breakdown
    • • cause deep pockets and interfere with plaque control.
    • Recurrence is likely if the medication cannot be changed.
  12. Prosthetic Considerations
    • Adequate amount of periodontal support for the overall prosthetic design
    • Insufficient attachment & structural deficiencies – cannot be used for definitive prosthetics
    • Hopeless situation - Tooth has to be extracted
  13. Therapeutic Prognosis
    • Establishing after rendering treatment
    • • Ability to control systemic factors
    • • Ability to eliminate/control local factors
    • • Reduction in inflammation after Phase I

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Author:
Anonymous
ID:
320524
Filename:
IntroToPerio - 0520 - L20 - Prognosis
Updated:
2016-05-27 02:14:16
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IntroToPerio
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IntroToPerio - 0520 - L20 - Prognosis
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