p.4
Classification of Periodontal Disease
What is a neoplasm?
An abnormal growth of tissue.
p.3
Non-Dental Plaque Induced Gingival Diseases
Name two conditions that can cause granulomatous inflammatory lesions.
Crohn's disease and sarcoidosis.
p.9
Occlusal Trauma and Its Effects
What can cause the widening of the PDL?
Increased occlusal forces or trauma.
p.21
Peri-Implant Diseases and Their Management
How does the rate of tissue destruction in peri-implant tissues compare to periodontal tissues?
It tends to be more rapid in peri-implant tissues.
p.10
Classification of Periodontal Disease
What are the stages in periodontal disease classification used for?
To categorize the severity and complexity of the disease.
p.18
Peri-Implant Diseases and Their Management
What is the role of the implant to epithelial interface?
It creates a biological seal that functions as a barrier between the implant and the oral cavity.
p.6
Diagnosis and Management of Periodontal Abscesses
What are the common symptoms of a periodontal abscess?
Pain, swelling, and exudate (fluid leaking from blood vessels).
p.20
Peri-Implant Diseases and Their Management
What are the signs of peri-implantitis?
Presence of BOP, suppuration, increased probing depths, and progressive bone loss.
p.6
Diagnosis and Management of Periodontal Abscesses
When are antibiotics indicated in the management of periodontal abscesses?
When there is systemic spread or a compromised immune system.
p.11
Classification of Periodontal Disease
What is the difference between localized and generalized periodontal destruction?
Localized: < 30% teeth affected; Generalized: > 30% teeth affected.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What is the difference between an implant and a natural tooth?
An implant is a nonbiologic device, while a natural tooth is a biological structure with living tissues.
p.15
Classification of Periodontal Disease
What does a bone loss/age greater than 1.0 indicate?
It suggests significant periodontal disease progression.
p.4
Classification of Periodontal Disease
What are examples of premalignant conditions?
Leukoplakia and erythroplakia.
p.8
Occlusal Trauma and Its Effects
What happens to the lamina dura due to occlusal trauma?
Thickening of the lamina dura.
p.1
Risk Factors for Gingival Diseases
What are some local risk factors for gingivitis?
Oral dryness, dental plaque biofilm retention factors.
p.22
Clinical Monitoring and Maintenance of Dental Implants
Why is it important to detect a failing implant?
To address issues early and prevent further complications.
p.6
Diagnosis and Management of Periodontal Abscesses
What methods are used for diagnosing periodontal abscesses?
Medical and dental history, oral examination, and periapical radiographs.
p.5
Non-Dental Plaque Induced Gingival Diseases
What is melanoplakia?
A type of gingival pigmentation.
p.2
Drug-Influenced Gingival Conditions
What hypersensitivity reactions can influence gingival health?
Contact allergy, plasma cell gingivitis, erythema multiforme.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What is an abutment in dental implants?
A titanium post that attaches to the implant body, protruding through gingival tissue to support a crown or denture.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What does 'hopeless dentition' refer to?
A condition where teeth are beyond repair and may require replacement with dental implants.
p.16
Peri-Implant Diseases and Their Management
How does loss of chewing function relate to dental implants?
People may get dental implants to restore chewing function.
p.15
Classification of Periodontal Disease
What does it mean if destruction exceeds the amount expected given biofilm deposits?
It indicates a more aggressive form of periodontal disease.
p.7
Endodontic Periodontal Lesions
What makes endodontic periodontal lesions challenging?
They are difficult to diagnose and treat.
p.1
Risk Factors for Gingival Diseases
What are some systemic risk factors for gingivitis?
Smoking, nutritional factors, sex steroid hormones.
p.7
Endodontic Periodontal Lesions
What is essential for the correct diagnosis of endodontic periodontal lesions?
Collaborating history, clinical examination, pulp testing, and intraoral radiographs.
p.12
Classification of Periodontal Disease
What are the key characteristics of periodontal disease?
Destruction of gingival fibers, periodontal ligament fibers, relocation of the junctional epithelium, and loss of alveolar bone support.
p.22
Clinical Monitoring and Maintenance of Dental Implants
What home care tools are suggested for patients with implants?
Water irrigators and end-tuft or single brushes.
p.12
Classification of Periodontal Disease
What is the significance of measuring the distance between the enamel junction and CEJ?
It helps in calculating the Clinical Attachment Level (CAL).
p.20
Peri-Implant Diseases and Their Management
What is peri-implantitis?
Plaque biofilm-induced inflammation of the peri-implant mucosal tissue with progressive loss of supporting alveolar bone.
p.2
Drug-Influenced Gingival Conditions
What are some inflammatory and immune conditions affecting gingival health?
Hypersensitivity reactions and autoimmune diseases.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What is a dental implant?
A nonbiologic device surgically inserted into the jawbone to replace a missing tooth or provide support for a prosthetic denture.
p.11
Classification of Periodontal Disease
How is the extent of periodontal destruction determined?
By loss of periodontal attachment.
p.5
Classification of Periodontal Disease
What classification includes conditions affecting the periodontium?
Other conditions affecting the periodontium.
p.9
Occlusal Trauma and Its Effects
What does the widening of the PDL suggest about tooth health?
It may indicate underlying periodontal issues or trauma.
p.21
Peri-Implant Diseases and Their Management
What is the difference in inflammatory infiltrate after 3 months of undisturbed plaque accumulation in implant mucosal units?
It is 3 times greater than in dento-gingival units.
p.8
Occlusal Trauma and Its Effects
What are indicators of occlusal trauma?
Specific clinical signs and symptoms that suggest occlusal trauma.
p.22
Clinical Monitoring and Maintenance of Dental Implants
Why is patient self-care critical for implant maintenance?
It helps prevent complications and ensures the longevity of the implant.
p.5
Non-Dental Plaque Induced Gingival Diseases
What are some examples of physical traumatic lesions in the gingiva?
Frictional keratosis, mechanically induced gingival ulceration, factitious injury.
p.2
Drug-Influenced Gingival Conditions
What fungal condition is linked to drug-influenced gingival diseases?
Candidosis and other mycoses.
p.6
Diagnosis and Management of Periodontal Abscesses
What findings on periapical radiographs indicate a periodontal abscess?
Widening of the periodontal ligament (PDL) and alveolar bone loss.
p.18
Peri-Implant Diseases and Their Management
What is osseointegration?
It is the direct contact of bone with the implant surface, a major requirement for successful implants.
p.14
Classification of Periodontal Disease
What characterizes Grade B periodontitis?
Moderate rate of progression with less than 2mm LOA and RBL over 5 years.
p.11
Diagnosis and Management of Periodontal Abscesses
What is a common management approach for moderate periodontitis?
Personal and professional bacterial removal and monitoring.
p.9
Occlusal Trauma and Its Effects
What is a potential indicator of occlusal trauma?
Widening of the periodontal ligament (PDL).
p.13
Gingivitis and Dental Plaque Biofilm
What is the position of the gingival margin in Case 3?
Coronal to the CEJ but less than 3mm.
p.21
Peri-Implant Diseases and Their Management
What happens after 3 weeks of undisturbed plaque accumulation in dento-gingival and implant mucosal units?
There is a similar response in both units.
p.12
Classification of Periodontal Disease
What does the measured distance from the base of the pocket to the CEJ represent?
Destruction of tooth-supporting structures around a tooth/teeth.
p.2
Drug-Influenced Gingival Conditions
What are genetic/developmental disorders related to drug-influenced gingival diseases?
Hereditary conditions like gingival fibromatosis.
p.2
Drug-Influenced Gingival Conditions
Which viral infections are associated with drug-influenced gingival diseases?
Coxsackie virus, varicella zoster, herpes simplex I and II.
p.18
Peri-Implant Diseases and Their Management
Are periodontal ligament (PDL) fibers present around the implant?
No, PDL fibers are not present around the implant.
p.5
Non-Dental Plaque Induced Gingival Diseases
What is an amalgam tattoo?
A form of gingival pigmentation caused by amalgam particles.
p.20
Peri-Implant Diseases and Their Management
What can deeper probing depths indicate at a healthy implant site?
They may be deeper compared to a healthy tooth site.
p.19
Clinical Monitoring and Maintenance of Dental Implants
What defines implant health?
Absence of erythema, bleeding on probing (BOP), and swelling.
p.11
Diagnosis and Management of Periodontal Abscesses
What is the significance of case grade in moderate periodontitis?
It helps evaluate the patient's response to standard treatment to determine if more intensive management is required.
p.4
Non-Dental Plaque Induced Gingival Diseases
What are the types of epulides?
Fibrous epulis, calcifying fibroblastic granuloma, vascular epulis, peripheral giant cell granuloma.
p.13
Gingivitis and Dental Plaque Biofilm
What is the significance of the gingival margin being less than 3mm from the CEJ?
It indicates a specific classification of gingival health or disease.
p.12
Classification of Periodontal Disease
What does CAL stand for in periodontal parameters?
Clinical Attachment Level.
p.1
Risk Factors for Gingival Diseases
Which hormonal changes can mediate gingivitis?
Sex steroid hormones, especially during pregnancy.
p.20
Peri-Implant Diseases and Their Management
What is peri-implant mucositis?
Plaque biofilm-induced inflammation of the soft tissue with no loss of supporting bone.
p.11
Classification of Periodontal Disease
What is the status of initial periodontitis?
It is the status between periodontitis and gingivitis.
p.14
Classification of Periodontal Disease
What are the characteristics of Stage 1 radiographic bone loss?
Triangulation, cupping, loss of lamina dura, fuzzy appearance.
p.19
Clinical Monitoring and Maintenance of Dental Implants
Does probing affect the longevity of oral implants?
No, probing does not jeopardize the longevity of oral implants.
p.6
Diagnosis and Management of Periodontal Abscesses
What is the acute management for a periodontal abscess?
Drainage of the abscess via root surface debridement and warm saline rinse.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What is the function of the implant body?
It serves as the 'root' of the implant, surgically placed in the living alveolar bone.
p.14
Classification of Periodontal Disease
What is the bone loss/age ratio for Grade B periodontitis?
0.25 to 1.0, with destruction corresponding to biofilm deposits.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What is peri-implant tissue?
The tissue surrounding a dental implant, which includes the gingiva and bone.
p.3
Non-Dental Plaque Induced Gingival Diseases
What are granulomatous inflammatory lesions associated with?
Conditions like Crohn's disease and sarcoidosis.
p.8
Occlusal Trauma and Its Effects
What does occlusal trauma create in the periodontium?
Zones of tension and pressure.
p.1
Risk Factors for Gingival Diseases
What are the two types of risk factors that mediate gingivitis?
Systemic and local risk factors.
p.8
Occlusal Trauma and Its Effects
How does occlusal trauma affect the width of the periodontal ligament (PDL) space?
Width of PDL space increases.
p.18
Peri-Implant Diseases and Their Management
What lines the sulcus around an implant?
The sulcus is lined by sulcular epithelium (SE) and junctional epithelium (JE).
p.6
Diagnosis and Management of Periodontal Abscesses
What does an oral examination for periodontal abscesses assess?
Pocket depth, swelling, suppuration, mobility, and palpation.
p.18
Peri-Implant Diseases and Their Management
Is keratinized gingival tissue always present around the implant?
Keratinized gingival tissue may or may not be present around the implant.
p.14
Classification of Periodontal Disease
What is the bone loss/age ratio for Grade A periodontitis?
< 0.25 with heavy biofilm and low levels of destruction.
p.20
Peri-Implant Diseases and Their Management
What are hard deficiencies after implant placement?
The text does not provide specific details on hard deficiencies.
p.5
Diagnosis and Management of Periodontal Abscesses
What are types of tooth abscess?
Various forms of localized infections in the tooth.
p.15
Classification of Periodontal Disease
What is the rapid rate of progression in periodontal disease?
Equal to or more than 2.5mm LOA or RBL over 5 years.
p.10
Classification of Periodontal Disease
What factors are assessed to determine the complexity of periodontal disease?
Factors that may affect controlling current disease and managing long-term function and aesthetics.
p.4
Classification of Periodontal Disease
What types of malignancies are mentioned?
Squamous cell carcinoma, lymphoma, leukemic cell infiltration.
p.7
Endodontic Periodontal Lesions
What is the impact of endodontic periodontal lesions on tooth prognosis?
They severely compromise the prognosis of the tooth.
p.1
Drug-Influenced Gingival Conditions
How can medications influence gingival diseases?
They can modify gingival conditions, e.g., contraceptive pills.
p.6
Diagnosis and Management of Periodontal Abscesses
What is a periodontal abscess?
A common dental emergency requiring immediate management.
p.20
Peri-Implant Diseases and Their Management
What are the diagnostic criteria for peri-implant mucositis?
Presence of bleeding on probing (BOP), suppuration, and increased probing depths without bone loss.
p.11
Diagnosis and Management of Periodontal Abscesses
What is a key management strategy for initial periodontitis?
Periodontal probing and assessment of salivary biomarkers/imaging technology.
p.14
Classification of Periodontal Disease
What defines Grade A periodontitis?
Slow rate of progression with no LOA or radiographic bone loss over 5 years.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What are the aesthetic reasons for dental implants?
To improve the appearance of the smile and facial structure.
p.10
Classification of Periodontal Disease
What is the purpose of staging periodontics?
To classify severity and extent of periodontal disease based on measurable tissue destruction.
p.7
Endodontic Periodontal Lesions
How common are endodontic periodontal lesions?
They are relatively rare.
p.21
Clinical Monitoring and Maintenance of Dental Implants
What are the key components of clinical monitoring for peri-implant health?
Probing, assessing clinical attachment levels (CAL), checking for bleeding, evidence of suppuration, and collecting radiographic evidence.
p.7
Endodontic Periodontal Lesions
What are primary signs of endodontic periodontal lesions?
Deep periodontal pockets extending to the root apex and/or a negative and altered response to pulp-vitality tests.
p.11
Classification of Periodontal Disease
What characterizes moderate periodontitis?
Established periodontitis with characteristic damage to tooth support.
p.20
Peri-Implant Diseases and Their Management
Why is it important to compare probing depths to baseline measurements?
To assess changes in health status at the implant site.
p.19
Clinical Monitoring and Maintenance of Dental Implants
What type of probes are recommended for probing implants?
Plastic probes are recommended over metal ones.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What psychological reasons might lead to the use of dental implants?
To enhance self-esteem and confidence by restoring the ability to smile and chew properly.
p.10
Classification of Periodontal Disease
What does the classification of periodontal disease help to evaluate?
The currently measurable extent of destroyed and damaged tissue attributable to periodontitis.
p.21
Risk Factors for Gingival Diseases
What are some risk factors for peri-implant diseases?
History of periodontal disease, poor plaque biofilm control, lack of maintenance therapy, smoking, residual cement, and biochemical overload.
p.6
Diagnosis and Management of Periodontal Abscesses
What are the main causes of periodontal abscesses?
Bacterial accumulation or foreign body impaction in periodontal pockets.
p.18
Peri-Implant Diseases and Their Management
What supports the gingiva against the abutment?
Connective tissue (CT) fibers that are oriented parallel or encircling.
p.19
Clinical Monitoring and Maintenance of Dental Implants
What is the condition of implants once they are osseointegrated?
They have no detrimental effects on soft tissue enamel.
p.11
Classification of Periodontal Disease
What complicates the management of severe periodontitis?
Intrabony defects, furcation involvement, and history of periodontal tooth loss.
p.11
Classification of Periodontal Disease
What defines severe periodontitis with potential for tooth loss?
Presence of deep periodontal lesions extending to the apical portion of the root and/or history of multiple tooth loss.
p.18
Peri-Implant Diseases and Their Management
What are the indicators of a successful implant?
No mobility, absence of tissue inflammation, no discomfort or pain while functioning, and no increased bone loss or radiolucency.
p.17
Clinical Monitoring and Maintenance of Dental Implants
What are the components of a dental implant system?
Implant body, abutment, and prosthesis.
