Chapter 17
This is a local contributing factor for periodontal disease
What is a poorly contoured restoration
Name the major nutrient the body needs for growth, maintenance, and repair.
What is protein?
•Dentists and dental hygienists have a legal responsibility to complete an accurate and thorough periodontal assessment on every patient.
What is standard of care?
•Tooth pulp
•PDL space
•Periapical abscess
•Bone marrow spaces
•Bone loss and defects
Areas that appear radiolucent?
–Bacteria
–Fungi
–Protozoa
–Viruses
What are microscopic organisms?
Name local contributing factors to perio disease
Rough restorations
A root concavity
A palatogingival groove
calculus
A deficiency in this vitamin can contribute to scurvy.
What is vitamin C?
•Periodontal Screening Examination - quick process to determine if a more comprehensive assessment is needed.
•Comprehensive Periodontal Assessment - intensive and in-depth information-gathering process.
What are two types of periodontal assessment?
•Metals such as amalgam
•Newer composite restorations
•Enamel
•Dentin
•Compact or cortical bone
•Stains purple as seen under a light microscope
•Single, thick multilayered mesh-like cell wall
•Composed of sugars and amino acids (peptidoglycan)
•Lies above the cytoplasmic membrane that faces interior wall of the cell
What is gram-positive bacteria?
This contributes to dental caries, alteration in gingival contours and stripping gingival tissues away from the tooth surface
What is food impaction?
proinflammatory cytokines are released from
What is adipose tissue?
•Erythema
•Edema
•Gingival color
•Contour
What are signs of gingival inflammation?
•A sign of periodontal health.
•The thin layer of dense bone that lines a normal tooth socket in radiographic images.
•Appears as a continuous white line around the tooth root.
•Continuous with cortical bone layer of the crest of interdental septa.
What is lamina dura?
•Tuberculosis
•Cystic fibrosis
•Subacute bacterial endocarditis
•Periodontal disease
What are diseases that are biofilm induced?
Name the defect that traumatic tooth brushing can create.
What is dehiscence?
•Aids in increasing whole body insulin sensitivity.
•Low levels are associated with increased systemic inflammation
•Involved in glucose and lipid metabolism.
What is Adiponectin?
•Refers to displacement of the gingival soft tissue margin apical to the CEJ
•Results in root exposure
•Common clinical condition
•Presence increases with age
•Can occur in patients with good oral hygiene
•Classification uses Miller Classification
What are signs of gingival recession?
•Early bone changes
•Horizontal bone loss
•Vertical bone loss
•Bone defects
•Furcations
•Unfavorable crown-to-root ratio
•Peri-implant bone loss
What are radiographic signs of periodontal disease?
It is necessary to remove all the cementum during periodontal instrumentation.
What is false?
Name the area
Above the gingival margin
Can be seen on clinical exam
Salivary calculus
What is supragingival
•Occur naturally in the body and in certain foods.
•Inhibit oxidation and block free radical damage to cells.
••Include many enzymes and vitamins A, C, and E, zinc, and selenium.
What are Antioxidants
Dead white blood cells
Pus
yellowish in color
What is exudate?
•Ideal ratio is approximately 1:2.
What is crown to tooth ratio?
•In health, there is a mutually beneficial relationship between the host and commensal microorganisms.
•Commensal microorganisms contribute to nutrition, maintenance of health immune system, and provide a cover for mucous membranes.
• The host provides the bacteria with nutrients
What is symbiosis?
living in harmony