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Chapter 3&7 Perio.

from P.P.

usually occur as a single isolated deep pocket or are present in the furcation of a specific tooth Endodontic Lesions
occur when the gingival margin is coronal to the CEJ and there is often no attachment loss. This is common on the distals of the 2nd and 3rd molars Pseudopockets
may be caused by an underlying osseous defect or it may represent trauma from toothbrushing or other abrasion Gingival recession
Most common & accepted method of detecting periodontal disease is careful assessment of the attachment level around all surfaces of all teeth with a periodontal probe
As in gingivitis, _______ _____ ______ is the principal cause of all forms of periodontitis dental plaque biofilm
Does dental calculus by itself cause periodontal disease? no
Overhanging or poorly contoured dental restorations, food retention or impaction areas, furcations, space between teeth, increase the likelihood of ____________ perio
Known risk factor for perio and has been clearly associated with increased attachment lossHas an effect on healing after periodontal therapy Tobacco Use
Indicated in the treatment of perio when mechanical therapy has been unsuccessful Systemic Antibiotics
Treatment considerations are stomach upset, diarrhea, abdominal pain, dizziness and muscle weakness. An important side effect from tetracycline is that it can interfere with birth control.
places the antibiotic directly at the site of infection and reduces the risk of allergic side effects from systemic administrationThe first type was a tetracycline fiber Locally Delivered Controlled-Release Antibiotics
gel that becomes semi-solid when heated to body temp (Atridox) Doxycycline
is biodegradable and contains no antibiotic Chlorhexidine chip (periochip
ointment that is in a globule and inserted with a custom designed syringe (Arestin) Minocycline
The study of health and disease and associated factors in human populations Epidemiology
Number of cases of disease present in a given population at one time Prevalence
Rate of occurrence of new disease in a population over a given period of time Incidence
Level of disease; How bad is the population effected Severity
Indices are defined and used to measure disease in epidemiologic studies are: Plaque DebrisCalculusBleedingInflamationEpithelial attachment (pocket)Bone loss
_____# of adults have calculus and this number increases with age 1/3
risk factors of perio disease Sex – men increased riskAgeSocioeconomicTobacco useSystemic DiseaseObesityAlcoholOthers-level of education; HIV/AIDS
Formerly juvenile periodontitisAssociated with Actinobacillus actinomycetemcomitansAfrican Americans at greater riskBoys more likely to develop than girls Localized Aggressive Periodontitis
91% of women and 73% of men with HIV or AIDS had periodontal disease. Other oral manifestations are hairy leukoplakia, candidiasis, Kaposi’s sarcoma, and ulcers were present in 92% HIV Associated Periodontitis
Contributing Factors to perio disease MedicationSystemicViralFungalBiofilm inducedGenetic
Created by: TinaHygiene