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Questions and Answers
What is the primary cause of the inflammatory process in periodontal disease?
What is the primary cause of the inflammatory process in periodontal disease?
Which bacteria are primarily associated with periodontal disease as part of the bacterial biofilm?
Which bacteria are primarily associated with periodontal disease as part of the bacterial biofilm?
Which modifiable risk factor is known to impair immune response and healing in periodontal disease?
Which modifiable risk factor is known to impair immune response and healing in periodontal disease?
What is a significant effect of hyperglycemia on periodontal disease?
What is a significant effect of hyperglycemia on periodontal disease?
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What is a key goal of periodontal treatment responses?
What is a key goal of periodontal treatment responses?
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In periodontal treatment terminology, what is the main purpose of debridement?
In periodontal treatment terminology, what is the main purpose of debridement?
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Which of the following categories is included in the 2017 BSP guidelines for periodontal classification?
Which of the following categories is included in the 2017 BSP guidelines for periodontal classification?
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What type of surgical procedure is flap surgery in periodontal treatment?
What type of surgical procedure is flap surgery in periodontal treatment?
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What role does host immune response play in periodontal disease?
What role does host immune response play in periodontal disease?
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Which factor is considered a non-modifiable risk factor in periodontal disease?
Which factor is considered a non-modifiable risk factor in periodontal disease?
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What is the primary purpose of scaling and root planing (SRP) in periodontal treatment?
What is the primary purpose of scaling and root planing (SRP) in periodontal treatment?
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Which soft tissue change is associated with periodontal disease?
Which soft tissue change is associated with periodontal disease?
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How does hyperglycemia affect the progression of periodontal disease?
How does hyperglycemia affect the progression of periodontal disease?
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What is a key aspect of the healing response in periodontal treatment?
What is a key aspect of the healing response in periodontal treatment?
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Which statement best describes regenerative therapy in periodontal treatment?
Which statement best describes regenerative therapy in periodontal treatment?
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What is emphasized in newer periodontal treatment terminology?
What is emphasized in newer periodontal treatment terminology?
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Which of the following components is critical in the pathogenesis of inflammatory process in periodontal disease?
Which of the following components is critical in the pathogenesis of inflammatory process in periodontal disease?
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What is one of the main consequences of poor oral hygiene in relation to periodontal disease?
What is one of the main consequences of poor oral hygiene in relation to periodontal disease?
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Which of the following findings is typical of the soft tissue changes seen in periodontal disease?
Which of the following findings is typical of the soft tissue changes seen in periodontal disease?
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Which treatment approach focuses on minimizing tissue impact while treating periodontal conditions?
Which treatment approach focuses on minimizing tissue impact while treating periodontal conditions?
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In the classification of periodontal diseases, which category refers specifically to conditions not induced by dental biofilm?
In the classification of periodontal diseases, which category refers specifically to conditions not induced by dental biofilm?
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What is the intended outcome of guided tissue regeneration in periodontal treatment?
What is the intended outcome of guided tissue regeneration in periodontal treatment?
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Which of the following best describes the role of host factors in the progression of periodontal disease?
Which of the following best describes the role of host factors in the progression of periodontal disease?
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Which of the following conditions poses the greatest risk for developing periodontitis in older adults?
Which of the following conditions poses the greatest risk for developing periodontitis in older adults?
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Study Notes
Aetiopathogenesis of Periodontitis
- Periodontitis is caused by an imbalance between the host's immune response and bacterial biofilms.
- Key bacteria involved include Porphyromonas gingivalis and Treponema denticola.
- Inflammation begins when the immune system responds to bacterial toxins like LPS.
- Host factors like genetics and immune dysregulation can contribute to the progression of the disease.
Risk Factors in Periodontitis
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Modifiable Risk Factors:
- Smoking impairs immune response and healing.
- Poor oral hygiene leads to biofilm accumulation.
- Diabetes mellitus increases inflammation and susceptibility.
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Non-Modifiable Risk Factors:
- Genetics
- Age (older individuals are at higher risk).
Soft and Hard Tissue Changes
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Soft Tissue:
- Inflammation, bleeding, and swelling of the gums.
- Loss of gum attachment.
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Hard Tissue:
- Alveolar bone loss due to inflammation.
- Formation of periodontal pockets.
Tissue Response to Treatment
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Key Goals:
- Reduce inflammation and stabilize periodontal attachment.
- Allow soft tissue regeneration and limit further bone loss.
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Healing Response:
- Reduction in pocket depth.
- Formation of long junctional epithelium.
- Bone regeneration in some cases (guided tissue regeneration).
Periodontal Treatment Terminology
- Scaling and Root Planing (SRP): Traditional mechanical removal of plaque and calculus.
- Debridement: Comprehensive cleaning to remove biofilm and calculus without aggressive root planing.
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Periodontal Surgery:
- Flap surgery exposes the root for thorough cleaning.
Regenerative Therapy
- Regenerative therapy uses membranes or grafts to restore lost bone.
- Newer techniques often emphasize minimally invasive methods.
2017 BSP Guidelines for Periodontal Classification
- Aligns with the 2017 World Workshop classification system.
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Key categories:
- Periodontal Health: Intact or reduced periodontium.
- Gingival Diseases: Non-dental biofilm-induced (e.g., trauma, systemic conditions).
- Periodontitis: Staged by severity (bone and attachment loss) and complexity
- Graded based on progression risk and systemic impact.
- Other Conditions: Abscesses, endoperio lesions, mucogingival deformities.
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Description
Test your knowledge on the aetiopathogenesis, risk factors, and tissue changes associated with periodontitis. This quiz covers essential bacteria involved, host factors, and both modifiable and non-modifiable risks. Assess your understanding of how inflammation affects periodontal health.