changes in consistency in the gingiva
TCDHA PERIO II MIDTERM TEST WITH 100%
VERIFIED DETAILED ANSWERS
hidden signs of disease
clinical decision making
bone loss
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.
exudate
fundamental diagnostic questions
bleeding on probing
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? Q2: Is the disease gingivitis or periodontitis?
gingivitis
3. If diseased, type of gingivitis? (or periodontitis)
no attachment loss
Q1: Does the Clinical Assessment Indicate Health or Disease?
health: no need for further diagnostic decisions periodontitis
disease: further diagnostic decisions will have to be made
• based on signs of inflammation. attachment loss
• there are signs of disease that a clinician is able to observe and measure. bone loss seen on rads
• 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
Q3: What type of gingivitis or periodontitis?
classify
,gingivitis,
periodontal disease or - distribution
peri-implant disease and conditions
stages
i initial periodontitis
flexibility ii moderate
Use when assigning a periodontal diagnosis as more than one periodontal conditions
may be found in a pt
iii severe w potential for tooth loss
iv advanced w extensive tooth loss and potential for loss of dentition
• Realize "gingivitis" or "periodontitis" may not represent the total periodontal condition
grading is an indicator of
documenting perio disease
rate of progression
- Follow a consistent format for documentation
- Use proper diagnostic terminology
grades
- Provide descriptive modifiers to describe severity and distribution of disease
A slow rate of progression
B moderate
C rapid
staging identifies
- severity
disease descriptive modifiers
- complexity of management
- localized
, - generalized • Eliminate disease
- molar/incisor pattern
• Restore a healthy perio environment
case type system for perio pts
- limited in value • Coordinates and sequences all tx and education
- have been standard of practice in the US
- used in reports to insurance companies • Estimates length of time required
- case type alone does not specify precise perio di=seas
• Patient consent must be obtained
insurance case types
i gingivitis only 5 phases of perio tx plan
assessment & preliminary therapy phase
ii mild periodontitis
i nonsurgical periodontal therapy
iii moderate
ii surgical therapy
iv severe
iii restorative therapy
iv periodontal maintenance
master tx plan assessment and preliminary therapy
a sequential outline of measures to be carried out by the dentist, dental hygienist, and aka emergency therapy
patient to:
- Assessment data collection
TCDHA PERIO II MIDTERM TEST WITH 100%
VERIFIED DETAILED ANSWERS
hidden signs of disease
clinical decision making
bone loss
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.
exudate
fundamental diagnostic questions
bleeding on probing
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? Q2: Is the disease gingivitis or periodontitis?
gingivitis
3. If diseased, type of gingivitis? (or periodontitis)
no attachment loss
Q1: Does the Clinical Assessment Indicate Health or Disease?
health: no need for further diagnostic decisions periodontitis
disease: further diagnostic decisions will have to be made
• based on signs of inflammation. attachment loss
• there are signs of disease that a clinician is able to observe and measure. bone loss seen on rads
• 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
Q3: What type of gingivitis or periodontitis?
classify
,gingivitis,
periodontal disease or - distribution
peri-implant disease and conditions
stages
i initial periodontitis
flexibility ii moderate
Use when assigning a periodontal diagnosis as more than one periodontal conditions
may be found in a pt
iii severe w potential for tooth loss
iv advanced w extensive tooth loss and potential for loss of dentition
• Realize "gingivitis" or "periodontitis" may not represent the total periodontal condition
grading is an indicator of
documenting perio disease
rate of progression
- Follow a consistent format for documentation
- Use proper diagnostic terminology
grades
- Provide descriptive modifiers to describe severity and distribution of disease
A slow rate of progression
B moderate
C rapid
staging identifies
- severity
disease descriptive modifiers
- complexity of management
- localized
, - generalized • Eliminate disease
- molar/incisor pattern
• Restore a healthy perio environment
case type system for perio pts
- limited in value • Coordinates and sequences all tx and education
- have been standard of practice in the US
- used in reports to insurance companies • Estimates length of time required
- case type alone does not specify precise perio di=seas
• Patient consent must be obtained
insurance case types
i gingivitis only 5 phases of perio tx plan
assessment & preliminary therapy phase
ii mild periodontitis
i nonsurgical periodontal therapy
iii moderate
ii surgical therapy
iv severe
iii restorative therapy
iv periodontal maintenance
master tx plan assessment and preliminary therapy
a sequential outline of measures to be carried out by the dentist, dental hygienist, and aka emergency therapy
patient to:
- Assessment data collection
