Periodontitis

Contributed by:

1. What is the perio pocket? Deepening gingival sulcus, attachment loss, and apical migration of attached gingiva.

2. List possible symptoms of a perio pocket: localized pain, pressure sensation, foul taste, toothache in absence of decay.

3.What are the clinical signs of a perio pocket? BOP, puffy gingiva, edema, purulent exudate, break in continuity of facial & lingual papilla, diastema where there was not one.

4. What makes the perio pocket different from the gingival/pseudo pocket? Attachment loss.

5.Infrabony bone loss: vertical bone loss, base of pocket is apical to adjacent alveolar bone.

6. Suprabony bone loss: horizontal bone loss, base of pocket is coronal to adjacent alveolar bone.

7. Describe apical migration: deepening sulcus, harder to clean, more plaque accumulation, more inflammation, more loss of attachment.

8. One reason that surgery is often needed: Patient can’t get in pocket to clean it.

9.Quienscence & Exacerbation: Pockets go through periods of inactivity and bursts of activity. Cannot be predicted when either will happen.

10.Why can the body not heal? Plaque is always there.

11. The 2 processes going on in the body during perio are:

            Inflammation: edematous pocket: visible result SRP.

            Repair: fibrotic pocket: won’t shrink: scar tissue.

12. Boundaries of the perio pocket: pocket wall (tooth), gingiva, base of pocket, epithelial attachment.

13. What are the contents of the perio pocket? Plaque, microorganisms, by products, blood cells, desquamated (loose) epithelial cells, calculus.

14. Draw a flow chart of how calculus in a pocket affects the root;

            Calculusàroot wallàcementumàloss of attachmentàbacteria attackàdentinàin tubulesàresults in decay 7 sensitivity.

15. How do perio pockets affect the pulp? Lateral canals are where bacteria enter to invade pulp.

16. Can you have the same pocket depth & different attachment loss levels and vice versa? YES

17. Osteoclasts & osteoblasts are constantly working. Bone is constantly formed aka: bone apposition, and constantly resorbed aka: bone resorption.

18. What type of bone loss is more common in periodontitis? Horizontal.

19.Bone Deformities= Osseous Defects.

20. How are vertical defects classified? By number of bony walls present.

21. What vertical classifications the worst and why? One wall because only one wall of bone is present.

22. Osseous craters: looking interproximal facial and lingual Interdental bone concavities.

23. What might you suggest a patient use to clean their furcation? Pipe cleaner.

24.

25. What tooth is least likely to have furcation involvement? Max.1^st Premolar.

26. What tooth has the most furcation involvement? Mand. 1^st molar.

27. Describe mucogingival involvement: no attached gingiva. Plaque gets in & inflammation spreads & rapidly loose tissue.

 Disclaimer: These notes were copied and pasted from files sent to me by Andrea.  They have not been reviewed for errors. You are responsible for checking out the information to verify the accuracy. This site, Amy Nieves and Andrea are not responsible for typographical errors.