periodontal in disease, including systemic disease

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1. What are the 4 major classification groups of periodontal and peri implant disease and conditions world workshop
1. Periodontal health, Gingival diseases and conditions. Periodontitis. Other conditions affecting the periodontium. Peri implant diseases and conditions
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2. What are the 3 sub groups in periodontal health gingival diseases and conditions
2. Periodontal health and gingival health. Gingivitis: dental biofilm (plaque) induced – primarly plaque induced but can be influenced by risk factors/drugs. gingival diseases: non dental biofilm induced, not directly plaque related associated system
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3. What are the gingival health clinical features
3. Little visual signs of inflammation (little/no signs of redness or swelling) less than 10% with bleeding on probing. No loss of attachment. No radiographic evidence of bone loss. Pockets 3mm orless(4mm with no BOP).May see stippling/freegingival g
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4. Gingivitis clinical features
4. Visual signs of redness and swelling of the gingiva. Bleeding on probing- localised gingivitis bop 10% to 30%. Generalised gingivitis bop > 30% sites. No Loss of attachment (false pockets). No radiographic bone loss
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5. What are the 3 sub groups in periodontitis section?
5. Necrotising periodontal diseases.periodontitis. periodontitis as a manifestation of systemic disease
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6. What are the periodontitis clinical features
6. Visual signs of redness and swelling of the gingiva (possibly recession) bleeding on probing (localised periodontitis bop 10% to 30% and generalised bop >30%. Loss of attachment, true pockets. Radiographic evidence of bone loss
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7. What is NG?
7. Painful condition- sudden onset, can be severe, may affect eating/ sleep. Grey pseodomembraneous slough- easily removed leaving raw bleeding surface. Neucrotic ulcers- initially red swollen interdental papillae. Ulceration starts on tips of inter
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continued
interdental papillae leading to a punched out appereance. Halitosis, spontaneous bleeding and metalic taste
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8. What are the sub groups of other conditions affecting the peridontium
8. Systemic diseases or conditions affecting the periodontal support tissues. Periodontal abscesses and endodontic- periodontal lesions- localised collections of pus, can be painful conditions
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9. What are the 4 sub groups related to dental implants
9. Peri implant health- defines healthy tissue around implants. Peri implant mucositis- reversible inflammation of tissue around implants. Peri- implantitis- inflammation around implants leading to irreversible bone loss (loss of osteo-integration)
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continued
difficult to treat and can lead to loss of the implants. Peri implant soft and hard tissue deficiency
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10. What is dybisosis ?
10. Inadequate oral hygiene (toothbrushing, flossing) is the primary cause for the dynamic balance between resident biofilm bacteria and the host defences to break down leading to gingival inflammation
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11. What is a risk factor
11. A factor which increases the probability thay a disease may develop in an individual
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12. How are periodontal risk factors classified as ?
12. Systemic risk factors and local risk factors ----- modifiable , or non modifiable
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13. What are the local risk factors for periodontal disease- plaque retentive factors
13. Plaque retentive factors- prcense of calculusw, deficient restorations like overhangs or deficiencies on restorations, overcontoured restorations. Badly designed dentrures and bridge work, carious cavities. Anatomy of embrasures/ contact points-
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continued
food packing, cleansable. Malalignment of teeth, orthodontic appliances. Anatomy. Of teeth- development grooves, talon cusps, furcarion involvement. Mouth breathing
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14. What are the periodontal risk assessment- periodontal clicinal
14. Presence or absence bop FROM BASE OF POCKETS. POCKETS depths. Mobility, furcation bone levels./ loss of attachment. Oral hygiene, occlusion and plaque retentive factors
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15. What are the modifiable periodontal risk factor ?
15. Oral hygiene, smoking, glycaemic control/ diabetes, restorative overhangs, poor dentures/crown/bridge design, malocclusions, alcohol and stress
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16. How can periodontal disease affect systemic disease?
16. The wall of the periodontal pocket is ulcerated and leaky allowing bacteria/ toxins/ pro inflammatory mediators to easily enter the blood vessels in the underlying inflamed gingival connective tissue and then into the systemic bloodstream.
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17. What are some of the systemic diseases influenced by perio
17. Diabetes, cardiovascular disease, pre term low brith weight, chronic kidney disease
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Card 2

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2. What are the 3 sub groups in periodontal health gingival diseases and conditions

Back

2. Periodontal health and gingival health. Gingivitis: dental biofilm (plaque) induced – primarly plaque induced but can be influenced by risk factors/drugs. gingival diseases: non dental biofilm induced, not directly plaque related associated system

Card 3

Front

3. What are the gingival health clinical features

Back

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Card 4

Front

4. Gingivitis clinical features

Back

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Card 5

Front

5. What are the 3 sub groups in periodontitis section?

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