from bb: Most notable observations: vertical bone loss #29, mesial. (Do you understand why this is referred to as #29, mesial?), also referred to as an angular (bony) defect. horizontal bone loss, interproximal #29 and 30. Radiographic suggestion of furcation #30. (stating "Furcation #30" would be technically incorrect) Calculus (likely) Caries at distal #30 Mandibular tori (likely) PARL distal root #30 PA radiograph taken of the mandibular right sextant. Please list radiographic observations What is the first line of antibiotics for a periodontal abscess? Timing of EIT: - reevaluation should occur about __-__ weeks after SCRP - substantial reduction or elimination of gingival inflammation occurs within how much time? Which stage of periodontitis? Interdental CAL: 3-4 mm RBL: coronal third (15-33%) Tooth loss: no tooth loss Local: max probing depth ≤5mm, mostly horizontal bone loss

PA radiograph taken of the mandibular right sextant. Please list radiographic observations

Mandibular tori (bilateral mandibular tori) Note radiographic appearance / RO Patient is a 45 year old african american male. You are given two images (photo and some PA films) What is the structure in the green box? Is their (given) evidence without clinically palpating the area? Most gingival enlargement lesions appear within (how long?) of beginning drug use Which local contributing factor? - restorative materials/restorations: overhangs, contour - open/light contact: food impaction - fixed or removable partial dentures - orthodontic appliances What are these descriptors for? - rolled margins - rough or smooth and thick - erythematous - scalloped

Patient is a 45 year old african american male. You are given two images (photo and some PA films) What is the structure in the green box? Is their (given) evidence without clinically palpating the area?

The key is local contributing factors ... Calculus is visible in the image. Do not list plaque as a local contributing factor; more correctly plaque/bacteria is the etiology. You may however list poor plaque control as a local contributing factor; I think this is easily implied by the image! Tooth malposition is another major local contributing factor to this case. You might surmise the patient is a smoker, based on the staining; however, I would not list smoking as a local contributing factor...more correctly described as a systemic risk factor for Chronic Periodontitis. Assume the diagnosis is Chronic Periodontitis. List local contributing factors observed in the image. which grade mobility according to Miller? movement within and up to 1 mm in horizontal direction Patient is a 45 year old african american male. You are given two images (photo and some PA films) What is the structure in the green box? Is their (given) evidence without clinically palpating the area? Which phase of perio treatment? - pocket reduction surgery - relocation of gingival margin - regenerative procedures - gingival augmentation

Assume the diagnosis is Chronic Periodontitis. List local contributing factors observed in the image.

The green box. The orange is a close second... but note the gingiva does not appear very firm... there is a little erythema too, compared to the green box. Which McGuire and Nunn prognosis? approximately 25% attachment loss and/or class I furcation involvement Timing of EIT: - reevaluation should occur about __-__ weeks after SCRP - substantial reduction or elimination of gingival inflammation occurs within how much time? Which stage of periodontitis? Interdental CAL: ≥ 5 mm RBL: extending to middle third of root and beyond Tooth loss: ≥ 5 teeth Local: in addition to stage III complexity: need for complex rehabilitation due to: masticatory dysfunction, secondary occlusal trauma (tooth mobility), severe ridge defects, bite collapse, drifting, flaring, <20 remaining teeth (10 opposing pairs) Which box (color) has the gingiva with the least amount of clincial inflammation?

Which box (color) has the gingiva with the least amount of clincial inflammation?

The answer is CEJ-GM -2 -1 -2 Which part of the perio primer? Do your gums bleed when you clean your teeth? Do your gums bleed when you wake up in the morning? Do your gums bleed for any other reason? Do you have tooth pain on biting or chewing? Do you experience bad breath? Do you experience a bad taste in your mouth? Do you notice any loose teeth? Do you have teeth sensitive to hot or cold? Are you ever awakened at night with tooth pain? Do you notice if any of your teeth are broken? Do you ever have cold sores or fever blisters? (intra- vs. extra-oral) Do you have any TMJ or oral facial pain? Experience clicking, popping, dislocation, subluxation? Clenching or grinding teeth? Oral piercing/art? What are these descriptors for? - rolled margins - rough or smooth and thick - erythematous - scalloped (You are only given the photo, and you are told that the alveolar bone interproximally is 1 mm apical to the CEJ, and the crowns of all teeth are of average dimensions) What is a plausible and most likely periodontal charting feature for #9? a. Probing Depth 1 0 1 b. CEJ-GM 0 1 0 c. KG of 1 mm d. CEJ-GM -2 -1 -2 e. Probing Depth 7 6 7 f. CEJ-GM 3 2 3 g. Grade II furcation radiolucencies parallel to root surface are consistent with ______, radiodensities parallel to root surface are consistent with _______

(You are only given the photo, and you are told that the alveolar bone interproximally is 1 mm apical to the CEJ, and the crowns of all teeth are of average dimensions) What is a plausible and most likely periodontal charting feature for #9? a. Probing Depth 1 0 1 b. CEJ-GM 0 1 0 c. KG of 1 mm d. CEJ-GM -2 -1 -2 e. Probing Depth 7 6 7 f. CEJ-GM 3 2 3 g. Grade II furcation

chief complaint and history of present illness BOP >/= ____% is diagnosed as gingivitis which grade mobility according to Miller? movement within and up to 1 mm in horizontal direction Which part of the perio primer? • Onset: • Duration: • Intensity • Improving/worsening? • What makes it better/worse? • Prior episodes: • What causes the patient to seek care at the dental school? • If this is a chronic problem, what is motivating them to have it treated at this time vs. not having done so in the past? Which local contributing factor? - restorative materials/restorations: overhangs, contour - open/light contact: food impaction - fixed or removable partial dentures - orthodontic appliances

Which part of the perio primer? • Onset: • Duration: • Intensity • Improving/worsening? • What makes it better/worse? • Prior episodes: • What causes the patient to seek care at the dental school? • If this is a chronic problem, what is motivating them to have it treated at this time vs. not having done so in the past?

symptomatology Which part of the perio primer? Do your gums bleed when you clean your teeth? Do your gums bleed when you wake up in the morning? Do your gums bleed for any other reason? Do you have tooth pain on biting or chewing? Do you experience bad breath? Do you experience a bad taste in your mouth? Do you notice any loose teeth? Do you have teeth sensitive to hot or cold? Are you ever awakened at night with tooth pain? Do you notice if any of your teeth are broken? Do you ever have cold sores or fever blisters? (intra- vs. extra-oral) Do you have any TMJ or oral facial pain? Experience clicking, popping, dislocation, subluxation? Clenching or grinding teeth? Oral piercing/art? Which stage of periodontitis? Interdental CAL: ≥ 5 mm RBL: extending to middle third of root and beyond Tooth loss: ≤ 4 teeth Local: in addition to stage II complexity --> PD. ≥6mm, vertical bone loss ≥3mm, furcation involvement class II or III, moderate ridge defects Which is not a local contributing factor? a. frenum b. braces c. smoking d. root proximity What medication is an alternative to cyclosporine that is better for gingival enlargement AND blood pressure?

Which part of the perio primer? Do your gums bleed when you clean your teeth? Do your gums bleed when you wake up in the morning? Do your gums bleed for any other reason? Do you have tooth pain on biting or chewing? Do you experience bad breath? Do you experience a bad taste in your mouth? Do you notice any loose teeth? Do you have teeth sensitive to hot or cold? Are you ever awakened at night with tooth pain? Do you notice if any of your teeth are broken? Do you ever have cold sores or fever blisters? (intra- vs. extra-oral) Do you have any TMJ or oral facial pain? Experience clicking, popping, dislocation, subluxation? Clenching or grinding teeth? Oral piercing/art?

dietary habits Which phase of perio treatment? - pocket reduction surgery - relocation of gingival margin - regenerative procedures - gingival augmentation Which McGuire and Nunn prognosis? approximately 25% attachment loss and/or class I furcation involvement T/F: Periodontal pockets are chronically exacerbated by pathogenic bacteria causing the rate of progression of this disease. Which part of perio primer? • Gum • Juice • Soda • Hard candy • Breath mints • Coffee, tea with sugar/cream • Antacids • Cough drops • Multivitamins, supplements

Which part of perio primer? • Gum • Juice • Soda • Hard candy • Breath mints • Coffee, tea with sugar/cream • Antacids • Cough drops • Multivitamins, supplements

diabetes what are these medications used for? - metformin -SGLT2 inhibitors - insulin - sulfonylurea - meglitinide - glipizide Which McGuire and Nunn prognosis? >50% attachment loss, poor crown-to-root ratio, poor root form, class II furcations or class III furcation involvement, >2+ mobility, significant root proximity Assumption: start off with grade ___ cyclosporine or phenytoin induced gingival enlargement? - more vascularized - incidence increases in patients taking calcium channel blockers

what are these medications used for? - metformin -SGLT2 inhibitors - insulin - sulfonylurea - meglitinide - glipizide

anticonvulsants Antibiotics are indicated for an abscess if... a. fever b. malaise c. lymphadenopathy d. inability to obtain drainage e. a and d f. all of the above which grade periodontitis? - Radiographic bone loss/CAL: ≥ 2 mm over 5 years - % bone loss/age: > 1.0 - Case phenotype: destruction exceeds expectations given biofilm deposits; specific clinical patterns suggestive of periods of rapid progression and/or early onset disease - Smoking: ≥ 10 cigarettes/day - Diabetes: HbA1c ≥ 7% in patients with diabetes Timing of EIT: - reevaluation should occur about __-__ weeks after SCRP - substantial reduction or elimination of gingival inflammation occurs within how much time? Which class of drugs that causes gingival enlargement? - hydantoin (phenytoin) - valproic acid - succinimides

Which class of drugs that causes gingival enlargement? - hydantoin (phenytoin) - valproic acid - succinimides

Peri Mini Review

Flashcard

Learn Mode

Match

Library

Create

Flashcards

Library

Match (Coming Soon)

Medicine - Dentistry

user_kambeorv Created by 9 mon ago

Cards in this deck(90)

from bb: Most notable observations: vertical bone loss #29, mesial. (Do you understand why this is referred to as #29, mesial?), also referred to as an angular (bony) defect. horizontal bone loss, interproximal #29 and 30. Radiographic suggestion of furcation #30. (stating "Furcation #30" would be technically incorrect) Calculus (likely) Caries at distal #30 Mandibular tori (likely) PARL distal root #30

Mandibular tori (bilateral mandibular tori) Note radiographic appearance / RO

The key is local contributing factors ... Calculus is visible in the image. Do not list plaque as a local contributing factor; more correctly plaque/bacteria is the etiology. You may however list poor plaque control as a local contributing factor; I think this is easily implied by the image! Tooth malposition is another major local contributing factor to this case. You might surmise the patient is a smoker, based on the staining; however, I would not list smoking as a local contributing factor...more correctly described as a systemic risk factor for Chronic Periodontitis.

The green box. The orange is a close second... but note the gingiva does not appear very firm... there is a little erythema too, compared to the green box.

The answer is CEJ-GM -2 -1 -2

chief complaint and history of present illness

symptomatology

dietary habits

diabetes

anticonvulsants

c. 30-50%

3 months

immunosuppressants

cyclosporine

tacrolimus

calcium channel blockers

b. dihydropyridines

FGM-CEJ

tooth mobility

grade 0

grade 1

grade 2

grade 3

2 BOP goes straight to 2!!!

facial of maxillary, facial and lingual of mandible no palatal!

phase I

phase II: periodontal corrective phase

phase III (restorative phase)

10%

gingival health

inflammation

negative: pocket positive: recession

SCRP will not be definitive

mandibular: buccal and lingual maxillary: mesiopalatal, distopalatal, buccal

grade I

grade II

grade III

grade IV

(CEJ to most coronal crest of bone - 2mm)/ (CEJ to apex - 2mm) x 100

local contributing factors

false - periodontal pockets go through periods of exacerbation and quiescence as a result of episodic bursts of activity followed by periods of remission

false they do not!

1. keeping plaque in close contact with gingival tissue 2. creating areas where plaque removal is impossible

calculus dental calculus is always covered in plaque!!

same more less less

iatrogenic factors

c. smoking risk factor, not local contributing factor

cervical enamel projections

cemental tear

malocclusion

altered passive eruption

during disease control phase

stage I

stage II

stage III

stage IV

localized = <30% generalized: ≥ 30%

Grade A

grade B

Grade C

grade B

Normal: less than 100 mg/dl Prediabetes: 100 mg/dl to 125 mg/dl Diabetes: 126 mg/dl or higher

normal: less than 5.7% - prediabetes: 5.7% - 6.4% - diabetes: 6.5% or higher

normal

elevated

hypertension stage 1

hypertension stage 2

hypertensive crisis

f. all of the above

penicillin and penicillin family from pharm: amoxicillin 500mg, 3x per day, 3-7 days

azithromycin and clindamycin shiau didn't have dosages? from pharm: - azithromycin: 500mg day 1, 250mg for additional 4 days - clindamycin: 300mg, 4 times per day for 3-7 days

good

fair

poor

questionable

hopeless

tooth mortality

...... this is broad??

4-6 weeks - permits time for epithelial and CT healing as well as patient OHI improvements 3-4 weeks

long junctional epithelium

1-2 weeks 1 month

bitewing - PA can distort relationship between CEJ and radiographic crest of bone

RL - PDL - RO - lamina dura

scaling

root planing

definitive

Ask Our AI Tutor

Get Instant Help with Your Questions

Need help understanding a concept or solving a problem? Type your question below, and our AI tutor will provide a personalized answer in real-time!

How it works

Ask any academic question, and our AI tutor will respond instantly with explanations, solutions, or examples.

Get Started

Browse questions and discover topic-based flashcards
Practice with engaging flashcards designed for each subject
Strengthen memory with concise, effective learning tools

Discover By Topic

Peri Mini Review

Related Decks