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TCDHA PERIO II MIDTERM TEST WITH 100% VERIFIED DETAILED ANSWERS

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TCDHA PERIO II MIDTERM TEST WITH 100%
VERIFIED DETAILED ANSWERS


clinical decision making

all members of the dental team use the information obtained in the perio examination for
the formulation of a correct diagnosis and determination of appropriate tx strategies
that address the specific needs of the patient.



fundamental diagnostic questions

1. Does the clinical examination suggest the presence of periodontal health or
inflammatory disease in the periodontium?



2. If the presence of inflammatory disease has been determined by the clinical
examination, is the disease gingivitis or periodontitis?



3. If diseased, type of gingivitis? (or periodontitis)



Q1: Does the Clinical Assessment Indicate Health or Disease?

health: no need for further diagnostic decisions

disease: further diagnostic decisions will have to be made

• based on signs of inflammation.

• there are signs of disease that a clinician is able to observe and measure.

• there are symptoms of disease that the patient is able to note. Some patients are
unaware of disease.

visible signs of disease

: color and contour changes in the gingiva

,changes in consistency in the gingiva




hidden signs of disease

bone loss



exudate



bleeding on probing




Q2: Is the disease gingivitis or periodontitis?

gingivitis



no attachment loss



periodontitis



attachment loss

bone loss seen on rads




Q3: What type of gingivitis or periodontitis?

classify

,gingivitis,

periodontal disease or

peri-implant disease and conditions




flexibility

Use when assigning a periodontal diagnosis as more than one periodontal conditions
may be found in a pt



• Realize "gingivitis" or "periodontitis" may not represent the total periodontal condition




documenting perio disease

- Follow a consistent format for documentation



- Use proper diagnostic terminology



- Provide descriptive modifiers to describe severity and distribution of disease




staging identifies

- severity



- complexity of management

, - distribution



stages

i initial periodontitis



ii moderate



iii severe w potential for tooth loss

iv advanced w extensive tooth loss and potential for loss of dentition




grading is an indicator of

rate of progression




grades

A slow rate of progression

B moderate

C rapid




disease descriptive modifiers

- localized

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