Podcast
Questions and Answers
What is the relationship between periodontal infection and systemic disease?
What is the relationship between periodontal infection and systemic disease?
What is the primary cause of tooth-related disease?
What is the primary cause of tooth-related disease?
What is one of the modifiable risk factors for periodontal disease and systemic disease?
What is one of the modifiable risk factors for periodontal disease and systemic disease?
What is the difference between a gingival pocket and a periodontal pocket?
What is the difference between a gingival pocket and a periodontal pocket?
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What is the early lesion in gingivitis?
What is the early lesion in gingivitis?
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What are the three categories of periodontal disease?
What are the three categories of periodontal disease?
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What is the major public health problem in the United States?
What is the major public health problem in the United States?
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What is the definition of suprabony?
What is the definition of suprabony?
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What is the relationship between Metabolic Syndrome and periodontitis?
What is the relationship between Metabolic Syndrome and periodontitis?
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What is the periodontium?
What is the periodontium?
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What is the major factor in the development of periodontal disease?
What is the major factor in the development of periodontal disease?
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What is periodontal disease remission/control characterized by?
What is periodontal disease remission/control characterized by?
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What is the primary cause of periodontal disease?
What is the primary cause of periodontal disease?
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What is the most effective way to reverse early gingivitis?
What is the most effective way to reverse early gingivitis?
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What are the factors that contribute to the development of periodontal infection?
What are the factors that contribute to the development of periodontal infection?
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What is the difference between intrabony and suprabony?
What is the difference between intrabony and suprabony?
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Study Notes
- Periodontal infections and systemic diseases and conditions are associated, but there is no evidence that periodontal disease causes systemic disease.
- Smoking, diabetes, obesity, diet, and alcohol intake are all modifiable risk factors for periodontal disease and systemic disease.
- Periodontal treatment may be less effective in smokers than in those who do not smoke.
- The relationship between periodontal infection and systemic disease is bidirectional, meaning that a patient with diabetes is more likely to have more severe periodontal disease.
- Metabolic syndrome is a group of risk factors for heart disease and diabetes that includes hypertension, hyperglycemia, excess abdominal fat, and high cholesterol/triglycerides.
- Individuals with MetS are 38% more likely to have periodontitis.
- Obesity is about 40% in the United States and continues to increase resulting in a major public health problem.
- Alcohol intake is associated with an increased risk for periodontal disease.
- Diet is a major factor in the development of periodontal disease.
- Psychological stress, anxiety, and depression are associated with an increased risk for periodontal disease.
- Medication induced changes, such as changes in glycemic control, may play a role in the development of periodontal disease.
- Age is a major factor in the development of periodontal disease.
- Dental factors, such as tooth surface, tooth contour, tooth position, and dental appliances, play a role in the development of periodontal disease.
- Gingival factors, such as recession, enlarged gingiva, operculum, periodontal pocket, and mouth breathing, contribute to the development of periodontal infection.
- The inflammatory response and the development of periodontal infection are complex processes that are influenced by patient and environmental factors.
- The early lesion in gingivitis is an increase in the inflammatory response.
- The biofilm on the teeth becomes older and thicker, with infiltration of fluid, macrophages, T-cells, and neutrophils.
- Collagen fiber support is destroyed, and the epithelium proliferates.
- Gingivitis becomes an established lesion if undisturbed.
- Early gingivitis is reversible when biofilm is controlled and inflammation is reduced.
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