Perio ch 7

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Perio ch 7
2011-03-05 16:57:31

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  1. Are perio diseases a single disesase entity
  2. a group of lesions affecting the tissues that form the attachment apparatus of a tooth or teeth
    Periodontal disesases
  3. defiened as an inflammatory lesion, mediated by host/microorgansim interactions, which remains limited to the gingival tissues and does not involve the underlying PDL, cementum, or alveolar and supporint bone
    Gingival diseases
  4. events that occur in the periodontal tissues that lead to the development of gingivitis and periodontitis
  5. who designed the stages of pathogenesis of PD
    Page and schroeder
  6. four stages of PD
    • Initial: 2-4 days
    • Early: 4-7 days
    • Established: 2-3 weeks
    • Advanced: Undetermined
  7. Histopathological signs: T-cell lesion
  8. Histopathological signs:B-cell lesion; plasma cells; macrophages
  9. Histopathological signs:alveolar bone loss, Periodontal pocket formation; B-cell lesion
  10. Histopathological signs: Acute inflammation; machrophages; vasculitis
  11. Features: subclinical; no signs of gingivitis; increased flow of GCF
  12. Features: clinical signs of gingivitis first seen (redness, bleeding on probing, edema)
  13. Features: Chronic gingivitis (gingiva may appear bluish-red with increased probing depths)
  14. Features: Periodontisis
  15. pmn dominated stage
    initial lesion
  16. T-cell dominated
  17. Few b cells/plasma cells
  18. Is the initial lesion seen clinically?
  19. In what stage do antigens cross the permeable junctional epithelium and enter the gingival connective tissue?
    Initial lesion
  20. approximately 60-70% of collagen is lost in teh connective tissue during this stage
  21. psudopocket
    gingival pocket
  22. psudopocket forms in which stage
  23. what pocket is seen is drug induced (phynetoin, cyclosporine, calcium channel blockers) gingivitis
  24. AAP
    American Academ of Periodontology
  25. begins at the gingival margin and can spread throughout the remaining gingival unit. Will not develope unlessthere are bacteria present
    Gingivitis Associated with Dental Plaque
  26. Dental Plaque Induced Gingivitis includes
    • systemic system: puberty, menstrual cycle, pregnancy
    • Blood dyscrasias: leukemia
    • Drug-induced
    • Malnutrition
  27. Nonplaque induced gingivitis includes
    • diseases of bacterial origin
    • diseases of viral origin
    • diseases of fungal origin
    • Lesions of genetic origin
    • gingival manifestations of systemic condiditons (mucotaneous and allergic rxns)
    • traumatic lesions (chemical, physical, thermal injury)
  28. Altered hormonal balances elicit an exaggerated response to
    dental plaque
  29. Hormonal-influenced gingivitis manifests as
    • puberty associated
    • menstrual cycle associated
    • pregnacy associated
  30. During puberty, there is a dramatic elevation in which hormones
  31. The distinguishing feature between plaque-induced gingivitis and puberty gingivitis is the...
    the development of gingival inflammation in teh presence of a small amout of dental plaque
  32. During the menstrual cycle there are increased levels of which two hormones
    estrogen adn progesterone
  33. estrogen and progesterone causegingival inflammation characterized as
    enlarged, red interdental papilla
  34. incidence of pregancy gingivitis
  35. time of greatest severity of pregnancy gingivitis
    eight month (peak hormones)
  36. do pregnant patients with healthy gingiva usually develop gingivitis?
  37. dormant inactive, non-neoplasmic tumor
    Pregnancy tumor/pyogenic granuloma
  38. Tx of pregnancy gingivitis consists of
    periodontal debridement debridement and oral home care instruction
  39. hyperglycemia leads to...
    • artherosclerosis
    • retinopathy
    • renal failure
    • neuropathy
    • altered wound healing
    • periodontal conditions
  40. plaque induced gingivitis is more likely seen in which type of diabetes
    type 1
  41. Gingivitis Associated with Blood dyscreasias
    leukemia-associated gingivitis
  42. disease characteriazed by an abnormal proliferation of leukocytes in the blood and bone marrow
  43. tx for leukemia
    • get systemic disease under control
    • peridontal debridemnt and mainitenace of oral home care
  44. drug induced gingival changes are commonly referred to as
    gingival overgrwoth or enlargement
  45. What is reduced in drug-induced gingivitis
  46. What med is used as an antidepressant and caused gingival overgrowth
    sodium valproate
  47. other calcium channel blockers associated with gingival enlargement
    • diltiazem
    • verampamil
    • amlodipine
  48. Drug INFLUENCED gingivitis
    oral contraceptives
  49. neisseria gonorrhea, treponema pallidum, streptococci, and other microorganism cause
    Gingival diseases of bacterial origin
  50. appearance of gingival diseases of specific bacteria origin
    erythematous, edematous ulcers, or inflamed, nonulcerated gingiva
  51. gingival diseases of viral origin
    • herpes viruses type 1 and 2
    • primary herpetic gingivostomatitis
  52. candidiasis, coccidioidomycoosis, cryptococcosis, histoplasmosis are found in
    gingival disease of fungal origin
  53. band of erythema of the attached gingiva (termed linear gingival erythema-LGE)
    seen in HIV or immunocompromised patients
  54. Gingival lesions of genetic origin
    hereitary gingival fibromatosis
  55. clincal appearance of hereditary gingival fibromatiosis
    fibrotic gingival enlargemment
  56. erosive lichen planus is a type of
    mucocutaneous disease
  57. benign mucous membrane pemphigoid, bullous pemphigoid and pemphigus vulgaris
    mucocutaneous diseases
  58. In what condition is there desquamation or sloughing of the epithelium, leaving a red, painful underlining connective tissue surface
    mucocutaneous diseases
  59. traumatic lesions
    • physical injury
    • chemical injury
    • thermal injury
  60. Thermal injury
    burns from hot beverages
  61. chemical injury
    chemical products that cause sloughing of tissues from mouth rinses or dentifrices, asprin burn
  62. Physical injury
    • aggressive tooth brushing
    • incorrect use of dental flossing, fingernails or toothpicks