TCDHA Periodontics week 4 to midterm UPDATED ACTUAL Questions and
CORRECT Answers
1) Periodontal health, gingival diseases and conditions
2) Periodontitis
4 classifications of perio
3) Other conditions that affect the periodontium
4) Peri-implant diseases and conditions
a) Periodontal health and gingival health
1) Periodontal health, gingival diseases and conditions:
b) Gingivitis: dental biofilm induced
subcategories
c) Gingival diseases: Nondental biofilm-induced
a) Necrotizing periodontal disease
2) Periodontitis: subcategories b) periodontitis
c) periodontitis as a manifestation of systemic disease
a) Systemic diseases or conditions affecting the periodon-
tal supporting tissues
3) Other conditions that affect the periodontium: subcat- b) Perio abscesses and endo-perio lesions
egories c) Mucogingival deformities and conditions
d) traumatic occlusal forces
e) Tooth and prosthesis related factors
a) Peri-implant health
b) Peri-Implant mucositis
4) Peri-implant diseases and conditions
c) Peri-implantitis
d) Peri-implant soft and hard tissue deficiencies
- classify the severity and extent based on the measurable
amount of damaged tissue resulting from perio
Staging purpose
- assesses specific factors that may attribute to the com-
plexity of case management
Indicates:
- rate of progression
Grading purpose
- responsiveness to standard therapy
- potential impact on systemic health
, Step 1: Initial overview to assess disease
3 steps to staging and grading: Step 2: Establish stage
Step 3: Establish grade
- lies snug around tooth and firm against alveolar bone
- gingival margin smooth and evenly scalloped
Healthy tissue contour
- free gingival margin meet tooth in knife like edge
- papillae come to a point and fill interdental space
- attached gingiva firmly bound to underlying cementum
Healthy tissue consistency - resilient, springs back when pressed
- does not pull away when air blown into sulcus
- bulbous papilla
- Blunted papilla
- Cratered papilla
Papilla changes: (3)
- increased fluid leaves smooth, shiny appearance
- tissue becomes soft, spongy and nonelastic
- indentation when pressed with probe
Tissue changes in gingivitis - tissue deflects when air blown into sulcus = flaccid
- erythema: redness
- edema: swelling
- BOP over 10%
Extent:
- Localized (<30%)
- Generalized (>30%)
Extent and distribution of inflammation
Distribution:
- Papillary
- Marginal (papilla and margin)
CORRECT Answers
1) Periodontal health, gingival diseases and conditions
2) Periodontitis
4 classifications of perio
3) Other conditions that affect the periodontium
4) Peri-implant diseases and conditions
a) Periodontal health and gingival health
1) Periodontal health, gingival diseases and conditions:
b) Gingivitis: dental biofilm induced
subcategories
c) Gingival diseases: Nondental biofilm-induced
a) Necrotizing periodontal disease
2) Periodontitis: subcategories b) periodontitis
c) periodontitis as a manifestation of systemic disease
a) Systemic diseases or conditions affecting the periodon-
tal supporting tissues
3) Other conditions that affect the periodontium: subcat- b) Perio abscesses and endo-perio lesions
egories c) Mucogingival deformities and conditions
d) traumatic occlusal forces
e) Tooth and prosthesis related factors
a) Peri-implant health
b) Peri-Implant mucositis
4) Peri-implant diseases and conditions
c) Peri-implantitis
d) Peri-implant soft and hard tissue deficiencies
- classify the severity and extent based on the measurable
amount of damaged tissue resulting from perio
Staging purpose
- assesses specific factors that may attribute to the com-
plexity of case management
Indicates:
- rate of progression
Grading purpose
- responsiveness to standard therapy
- potential impact on systemic health
, Step 1: Initial overview to assess disease
3 steps to staging and grading: Step 2: Establish stage
Step 3: Establish grade
- lies snug around tooth and firm against alveolar bone
- gingival margin smooth and evenly scalloped
Healthy tissue contour
- free gingival margin meet tooth in knife like edge
- papillae come to a point and fill interdental space
- attached gingiva firmly bound to underlying cementum
Healthy tissue consistency - resilient, springs back when pressed
- does not pull away when air blown into sulcus
- bulbous papilla
- Blunted papilla
- Cratered papilla
Papilla changes: (3)
- increased fluid leaves smooth, shiny appearance
- tissue becomes soft, spongy and nonelastic
- indentation when pressed with probe
Tissue changes in gingivitis - tissue deflects when air blown into sulcus = flaccid
- erythema: redness
- edema: swelling
- BOP over 10%
Extent:
- Localized (<30%)
- Generalized (>30%)
Extent and distribution of inflammation
Distribution:
- Papillary
- Marginal (papilla and margin)
