PP7 Chronic Periodontitis

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    • –Inflammation within the supporting tissues of the periodontium
    • –Progressive and irreversible destruction of the periodontal ligament and supporting bone
    • –Most frequent form of periodontitis
    • –Mostly commonly seen in adults over 35–Initiated by plaque biofilm but host response plays a major role in tissue destruction
  2. Disease progresses for CHRONIC PERIODONTITIS is at a ______ rate
    slow to moderate
  3. ______ is usually not a symptom for CHRONIC PERIODONTITIS
  4. Clinical appearance is NOT a reliable indicator of the ________ of chronic periodontitis
    presence or severity
  5. Clinical attachment loss is an
    estimate of the extent of destruction of the supporting structures of the tooth
  6. What are the four Clinical characteristics of attachment loss
    • Loss of alveolar bone support +–
    • Periodontal pockets and/or gingival recession +–
    • Furcation involvement with multirooted teeth +/-
    • Tooth mobility
  7. Mild Classification of clinical attachment loss is
    –loss of 1 to 2 mm
  8. Moderate Classification of clinical attachment loss is
    –loss of 3 to 4 mm
  9. Severe Classification of clinical attachment loss is
    –loss of 5 mm or greater
  10. What is found in the maxillary arch that is an easy site for infection
    Depression on the Mesial of the maxillary molars
  11. The CEJ to furcation is about
  12. What is the average root length of the max central incisor
  13. What is the average root length for the maxillary canine
  14. What is the average root length for the max first molar
  15. What is Case Type I of chronic periodontitis
  16. What is Case Type II of chronic periodontitis
    • Slight chronic periodontitis
    • – pocket depth 4mm
    • – progression of gingival inflammation into deeper periodontal structures and alveolar crest with slight bone loss less than 15%
  17. What is Case Type III of chronic periodontitis
    • Moderate chronic or aggressive periodontitis – pocket depth 6mm
    • – increased destruction with noticeable loss of bone (16 TO 30%) may be accompanied by increased mobility.
    • There may be furcation involvement in multirooted teeth
  18. What is Case Type IV of chronic periodontitis
    • Advanced chronic or aggressive periodontitis – pocket depth greater than 7mm
    • – major loss of alveolar bone support greater than 30%, usually accompanied by increased tooth mobility.
    • Furcation involvement is likely
  19. What is Case Type V of chronic periodontitis
    • Multiple sites that continue to show attachment loss after appropriate therapy –
  20. Gingival pocket is formed by gingival enlargement ________ of the underlying periodontal tissues
    without destruction
  21. Periodontal pocket occurs _________ of the supporting periodontal tissues (must be ________ of epithelial attachment)
    • with destruction
    • apical migration
  22. Fibrotic tissue means that the tissue
    Has less blood and more fibers
  23. The appearance of the gingiva bluish red, flaccid, smooth, shiny surface that pits on pressure is caused by
    Discoloration caused by engorgement of vessels(vasodilation), flaccidity by destruction of gingival fibers and surrounding tissues, shiny surface by edema and pitting by edema and destruction of tissue
  24. Ease of bleeding when BOP results from
    increased vascularity and ulceration of pocket wall
  25. Pain felt during gentle probing is due to
    ulceration of the inner pocket wall exposing connective tissue and nerves
  26. In most individuals, chronic periodontitis progresses at a __________ rate
    slow to moderate
  27. What is recurrent disease
    new signs and symptoms of periodontitis that reappear after treatment because the disease was not treated adequately and/or the patient did not practice adequate self care
Card Set:
PP7 Chronic Periodontitis
2018-01-17 20:01:32
PP7 Chronic Periodontitis
PP7 Chronic Periodontitis
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