Term
| What is aggressive periodontitis? |
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Definition
| rapid destruction of first molars and incisors |
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Term
| Is the response to therapy good for aggressive perio? |
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Definition
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Term
| What was aggressive perio previously known as? |
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Definition
| early onset perio because it was throught to just occur in people under 30, while is more common in young people it can happen in anyone |
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Term
| What are the three primary features of aggressive perio? |
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Definition
1.rapid destruction of attachment
2.no systemic disease
3.genetics |
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Term
| What are the some secondary features of aggressive perio? |
|
Definition
1.low levels of plaque for extent of disease
2.elevated amounts of Aa bacteria
3.elevated prostaglandin E2 and interleukin 1-beta cells
4.lack of clinical signs of disease
5.poor response to therapy |
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Term
| What is important with aggressive perio? |
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Definition
| early detection, thats why we probe 1st molars and incisors in children |
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Term
| Are the treatments the same for chronic and aggressive? |
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Definition
|
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Term
| Can aggressive always be controlled? What should be done? |
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Definition
-not always
-try to slow it
-refer to periodontitis |
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Term
| Basic characteristics of chronic perio- |
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Definition
| slow, progressive, periods of episodic destruction, Porphyromonas gingivalis, 35 and older |
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Term
| What are some characteristics of aggressive perio- |
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Definition
| attachment loss is rapid and episodic(acute destruction phases with intermittent inactive phases), Aggregatibacter Actinomycetemcomitans, any age(particularly young) |
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Term
| What are the two types of aggressive periodontitis? |
|
Definition
| localized and generalized |
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Term
| When does localized aggressive perio occur? How many teeth are involved? |
|
Definition
-occurs around puberty
-no more than 2 teeth involved other than 1st molars and incisors |
|
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Term
| Is there a lot of tissue inflammation or plaque present with localized aggressive periodontitis? |
|
Definition
|
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Term
| What is the classic radiographic sign of localized aggressive perio? |
|
Definition
| vertical bone loss around 1st molars and incisors |
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Term
| When does the onset of generalized aggressive perio occur? How many/which teeth? |
|
Definition
-around 30 years old
-interproximal attachment loss effecting 3 other teeth besides classics
-episodic
-minimal plaque |
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|
Term
| What may the gingiva look like in generalized aggressive periodontitis? |
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Definition
| inflamed, ulcerated, fiery red |
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Term
| What phase of disease does the tissue look like this in? |
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Definition
|
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Term
| What is the best way to detect aggressive perio? What xrays? |
|
Definition
| probing, vertical bitewings(evaluate crestal bone loss) |
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Term
| What disease category do we choose when a systemic condition is the major predisposing factor? |
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Definition
| periodontitis as a manifestation of systemic disease |
|
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Term
| How long after therapy do we evaluate outcomes? |
|
Definition
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Term
| What are the desired outcomes of periodontal treatment for aggressive? |
|
Definition
-stop further detachment
-decrease inflammation |
|
|
Term
| What are some disorders that are contributing factors for perio disease? |
|
Definition
-genetic disorders
-hematological disorders |
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Term
| What are hematological disorders? |
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Definition
| abnormalities in the structure or function of the blood and blood forming tissues- red cells, white cells, platelets, clotting factors |
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Term
| What is acquired neutropenia? |
|
Definition
| abnormally low level of PMN's |
|
|
Term
|
Definition
| abnormal white blood cells that do not function |
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|
Term
| What is another hematological disorder that can effect the periodontium? |
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Definition
|
|
Term
| What are the 2 most common HIV-associated periodontal conditions? |
|
Definition
-linear gingival erythemia(LGE)
-Necrotizing periodontal disease(NUG, NUP) |
|
|
Term
| What is a genetic disorder? |
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Definition
| disease caused by the absence of a gene or by the products of a defective gene |
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|
Term
| Do genetic disorders appear in each generation? |
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Definition
|
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Term
| What is Familial and Cyclic Neutropenia? |
|
Definition
| a genetic disorder characterized by abnormally low PMN's |
|
|
Term
|
Definition
| a genetic disorder with periodontal manifestations |
|
|
Term
| What is leukocyte adhesion deficiency syndrome? |
|
Definition
-defective leukocyte chemotaxis
-peridontitis appears as soon as teeth erupt, early tooth loss |
|
|
Term
| What is papillon-leferve syndrome? |
|
Definition
-hyperkeratonosis of palms of hands and soles of feet and severe periodontal destruction
-by 15 most pts are endentuluous |
|
|
Term
| What is Chediak-Higashi syndrome? |
|
Definition
-impairment of neutrophil chemotaxis
-AGGRESSIVE PERIO, pale skin and eyes (looks like of albino) |
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Term
| What are some tooth anatomic factors for perio? |
|
Definition
-cervical enamel projections
-enamel pearls
-palitolingual grooves
-tooth mal alignment |
|
|
Term
| If these factors are fixed does the disease stop progressing? |
|
Definition
|
|
Term
| What are muccogingival deformity and conditions? |
|
Definition
-a significant alteration of the interrelationships between the gingiva and alveolar mucosa
-caused by bacteria, plaque present
**recession is most common** |
|
|
Term
| What are necrotizing periodontal diseases? |
|
Definition
| -inflammatory destructive infection of periodontium |
|
|
Term
| Are NUG and NUP different? |
|
Definition
| don't know if they are different stages in same disease or different diseases |
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|
Term
| What are some alternative terms for NUG/NUP? |
|
Definition
-trench mouth
-Vincent infection
-Acute necrotizing ulcerative gingivitis
-necrotizing ulcerative gingivostomatitis |
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|
Term
|
Definition
| diminished systemic resistance to bacterial infection |
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|
Term
| Is the clinical appearance of NPD the same as chronic and aggressive? |
|
Definition
|
|
Term
| What are some signs and symptoms of NPD? |
|
Definition
-painful infection
-ulcerated, necrotic papilla and marginal gingiva
-papilla look "punched out" or "cratered" |
|
|
Term
| What else is present in NPD? |
|
Definition
-materia alba
-plaque
-sloughed tissue
-blood |
|
|
Term
| What is a key work for NPD? WHat is it? |
|
Definition
-pseudomembrane
-grayish layer of tissue covering necrotic areas
-soughing of tissue exposing connective tissue
-fiery red underneath membrane |
|
|
Term
| How quickly can loss of attachment with NUP occur? |
|
Definition
|
|
Term
| What are some other characteristics of NPD? |
|
Definition
-rapid recession
-rapid irregular bone loss
-delayed healing
-spread infection to oral mucosa |
|
|
Term
| What are some systemic symptoms of NPD? |
|
Definition
-fever
-malaise
-lymphodenopathy |
|
|
Term
| What are some pathogens associated with NPD? |
|
Definition
-Treponema species
-Selenomonas species
-Fusobacterium Species
-Prevotella intermedia |
|
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Term
| WHat are some predisposing factors to NPD? |
|
Definition
-systemic disese that impairs immune system
-poor oral hygiene
-emotional stress
-inadequate sleep
-alcohol use
-white
-smoking
-poor eating habits
-low protein |
|
|
Term
| What age does NPD occur in? |
|
Definition
| any age, 22-24 is most common |
|
|
Term
| What should a patient eat/drink with NPD? |
|
Definition
|
|
Term
| Can you instrument on a patient with NPD? What should they use at home? |
|
Definition
-as tolerated
-antimicrobial mouth rinses 2 a day, no alcohol
-don't brush |
|
|
Term
| What is another therapy for NPD? |
|
Definition
| H2O2 to eradicate anaerobic microorganisms and to cleanse necrotic areas |
|
|
Term
| What else may be prescribed? |
|
Definition
| supplemental antimicrobial for systemic infection- tetracycline |
|
|
Term
| What is used for pain control in NPD? |
|
Definition
|
|
Term
| Once the acute condition has subsided, what should be done? |
|
Definition
| planning for CPA and treatment |
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