Podcast
Questions and Answers
What is the typical depth of a non-diseased, healthy gingival sulcus?
What is the typical depth of a non-diseased, healthy gingival sulcus?
- 0.5-3 mm (correct)
- 3-6 mm
- 1-5 mm
- 2-4 mm
What type of epithelium lines the gingival sulcus?
What type of epithelium lines the gingival sulcus?
- Keratinized epithelium
- Oral sulcular epithelium (correct)
- Columner epithelium
- Stratified epithelium
What is the primary role of the junctional epithelium?
What is the primary role of the junctional epithelium?
- Protecting against microorganisms (correct)
- Regulating blood flow
- Supporting tooth structure
- Facilitating nutrient absorption
Where is the attached gingiva located?
Where is the attached gingiva located?
What shape does the interdental gingiva typically take?
What shape does the interdental gingiva typically take?
What is the purpose of the col in the interdental gingiva?
What is the purpose of the col in the interdental gingiva?
What color is the attached gingiva typically in health?
What color is the attached gingiva typically in health?
What can cause the col to be absent in the interdental gingiva?
What can cause the col to be absent in the interdental gingiva?
What is considered the most significant factor in the development of periodontal diseases?
What is considered the most significant factor in the development of periodontal diseases?
Which of the following bacteria are part of the 'red complex' associated with periodontal diseases?
Which of the following bacteria are part of the 'red complex' associated with periodontal diseases?
What depth of gingival pocket is considered healthy?
What depth of gingival pocket is considered healthy?
Which of the following is NOT listed as a local or systemic factor in periodontal disease?
Which of the following is NOT listed as a local or systemic factor in periodontal disease?
What can result from untreated periodontal disease?
What can result from untreated periodontal disease?
Which practice is recommended to help prevent periodontal diseases?
Which practice is recommended to help prevent periodontal diseases?
In healthy gingiva, how would you describe the appearance of the tissue?
In healthy gingiva, how would you describe the appearance of the tissue?
What is the consequence of a host-microbial imbalance in periodontal health?
What is the consequence of a host-microbial imbalance in periodontal health?
What is the primary function of the periodontal ligament?
What is the primary function of the periodontal ligament?
Which of the following statements about alveolar mucosa is true?
Which of the following statements about alveolar mucosa is true?
What type of bone primarily makes up the alveolar bone surrounding the teeth?
What type of bone primarily makes up the alveolar bone surrounding the teeth?
How does cementum contribute to tooth structure?
How does cementum contribute to tooth structure?
Which condition is characterized by inflammation of the gingiva?
Which condition is characterized by inflammation of the gingiva?
What is the role of a dental hygienist in periodontal treatment?
What is the role of a dental hygienist in periodontal treatment?
Which classification system is NOT mentioned as part of periodontal diagnosis?
Which classification system is NOT mentioned as part of periodontal diagnosis?
What type of fibers are predominantly found in the periodontal ligament?
What type of fibers are predominantly found in the periodontal ligament?
What characteristic distinguishes cementum from dentine and enamel?
What characteristic distinguishes cementum from dentine and enamel?
What condition is described as inflammatory bone loss around dental implants?
What condition is described as inflammatory bone loss around dental implants?
Which of the following is a component of a thorough periodontal diagnosis?
Which of the following is a component of a thorough periodontal diagnosis?
What is found within the loose connective tissue of the periodontal ligament?
What is found within the loose connective tissue of the periodontal ligament?
What is one of the specialized techniques that may be prescribed for plaque removal?
What is one of the specialized techniques that may be prescribed for plaque removal?
What is the main purpose of conducting a plaque index?
What is the main purpose of conducting a plaque index?
The etiology of peri-implantitis is thought to be similar to which condition?
The etiology of peri-implantitis is thought to be similar to which condition?
What is the term for the preventive procedure that removes plaque buildup?
What is the term for the preventive procedure that removes plaque buildup?
What is the primary goal of Phase I Therapy in periodontal treatment?
What is the primary goal of Phase I Therapy in periodontal treatment?
Which method is NOT typically used in periodontal diagnosis?
Which method is NOT typically used in periodontal diagnosis?
What aspect does a full periodontal analysis NOT measure?
What aspect does a full periodontal analysis NOT measure?
What is the recommended frequency for using Chlorhexidine mouthwash?
What is the recommended frequency for using Chlorhexidine mouthwash?
Which of the following is NOT mentioned as a local factor contributing to chronic periodontitis?
Which of the following is NOT mentioned as a local factor contributing to chronic periodontitis?
Which factor is least likely to contribute to gingival inflammation?
Which factor is least likely to contribute to gingival inflammation?
Which of the following correctly describes a part of Phase I Therapy?
Which of the following correctly describes a part of Phase I Therapy?
What type of toothbrush is recommended for patients managing periodontal disease?
What type of toothbrush is recommended for patients managing periodontal disease?
How often should patients undergo assessment of treatment after beginning periodontal care?
How often should patients undergo assessment of treatment after beginning periodontal care?
Which parameter is NOT typically assessed during a full periodontal analysis?
Which parameter is NOT typically assessed during a full periodontal analysis?
In periodontal treatment phases, which of the following is a component of the non-surgical phase?
In periodontal treatment phases, which of the following is a component of the non-surgical phase?
Which product should be used for cleaning areas that a toothbrush cannot reach?
Which product should be used for cleaning areas that a toothbrush cannot reach?
What is assessed to understand the extent of periodontal disease?
What is assessed to understand the extent of periodontal disease?
What is a common pain relief medication recommended for managing discomfort in periodontal disease?
What is a common pain relief medication recommended for managing discomfort in periodontal disease?
Which of the following practices should be emphasized for preventing the recurrence of periodontal disease?
Which of the following practices should be emphasized for preventing the recurrence of periodontal disease?
After treatment for necrotizing ulcerative gingivitis, what additional health behavior should patients be educated about?
After treatment for necrotizing ulcerative gingivitis, what additional health behavior should patients be educated about?
Flashcards
Gingival Sulcus
Gingival Sulcus
The healthy space between a tooth and the gum, typically 0.5-3 mm deep.
Oral Sulcular Epithelium
Oral Sulcular Epithelium
A specialized, non-keratinized lining of the gingival sulcus that protects against oral bacteria.
Junctional Epithelium
Junctional Epithelium
A band of tissue that connects the tooth to the gum, forming a barrier against bacteria.
Attached Gingiva
Attached Gingiva
Signup and view all the flashcards
Interdental Gingiva
Interdental Gingiva
Signup and view all the flashcards
Col
Col
Signup and view all the flashcards
Interdental Papilla
Interdental Papilla
Signup and view all the flashcards
Mucogingival Junction
Mucogingival Junction
Signup and view all the flashcards
Alveolar Mucosa
Alveolar Mucosa
Signup and view all the flashcards
Periodontal Ligament
Periodontal Ligament
Signup and view all the flashcards
Alveolar Bone
Alveolar Bone
Signup and view all the flashcards
Cementum
Cementum
Signup and view all the flashcards
Gingivitis
Gingivitis
Signup and view all the flashcards
Periodontal Disease
Periodontal Disease
Signup and view all the flashcards
What is gingivitis?
What is gingivitis?
Signup and view all the flashcards
What are periodontal diseases?
What are periodontal diseases?
Signup and view all the flashcards
Peri-implantitis
Peri-implantitis
Signup and view all the flashcards
Dental Prophylaxis
Dental Prophylaxis
Signup and view all the flashcards
Periodontal Disease Classification System
Periodontal Disease Classification System
Signup and view all the flashcards
Periodontal Screening Record (PSR)
Periodontal Screening Record (PSR)
Signup and view all the flashcards
Community Periodontal Index of Treatment Needs (CPITN)
Community Periodontal Index of Treatment Needs (CPITN)
Signup and view all the flashcards
Periodontal Diagnosis
Periodontal Diagnosis
Signup and view all the flashcards
Predisposing Risk Factors
Predisposing Risk Factors
Signup and view all the flashcards
Thorough Examination
Thorough Examination
Signup and view all the flashcards
Dental Plaque
Dental Plaque
Signup and view all the flashcards
Periodontitis
Periodontitis
Signup and view all the flashcards
Gingival Margin
Gingival Margin
Signup and view all the flashcards
Gingival Pocket
Gingival Pocket
Signup and view all the flashcards
Healthy Gingival Pocket Depth
Healthy Gingival Pocket Depth
Signup and view all the flashcards
Periodontal Disease Risk Factors
Periodontal Disease Risk Factors
Signup and view all the flashcards
Phase I Therapy (Initial Therapy - Disease Control Phase)
Phase I Therapy (Initial Therapy - Disease Control Phase)
Signup and view all the flashcards
Debridement (dental)
Debridement (dental)
Signup and view all the flashcards
Trimeric Model
Trimeric Model
Signup and view all the flashcards
Radiological Study
Radiological Study
Signup and view all the flashcards
Periodontal Probing
Periodontal Probing
Signup and view all the flashcards
Chlorhexidine Mouthwash
Chlorhexidine Mouthwash
Signup and view all the flashcards
Periodontal Maintenance
Periodontal Maintenance
Signup and view all the flashcards
Chronic Periodontitis
Chronic Periodontitis
Signup and view all the flashcards
Scaling and Root Planning
Scaling and Root Planning
Signup and view all the flashcards
Regenerative Surgical Therapy
Regenerative Surgical Therapy
Signup and view all the flashcards
Smoking Cessation
Smoking Cessation
Signup and view all the flashcards
Study Notes
Periodontics Introduction
- Periodontics is the dental specialty focusing exclusively on inflammatory disease affecting gums and supporting structures around teeth.
- Periodontology studies these supporting structures, including diseases, and conditions affecting them.
- The periodontium is the term for the supporting tissues of teeth, including gingiva (gums), alveolar bone, cementum, and the periodontal ligament.
The Periodontium
- The periodontium is a group of structures surrounding, supporting, and protecting teeth.
- The periodontium consists mainly of gingival tissue and supporting bone.
Gingiva
- Normal gingiva ranges in color from light coral pink to heavily pigmented.
- Gingiva are categorized into three anatomical groups: free, attached, and interdental gingiva, each with different biological properties.
Gingival Sulcus
- A natural space called the gingival sulcus lies between the tooth and the free gingiva.
- A healthy gingival sulcus has a depth of 0.5-3 mm.
Attached Gingiva
- The attached gingiva connects the free gingiva to the alveolar bone, providing a protective barrier.
- The attached gingiva has collagen fibers that are firmly attached to the underlying periodontium, cementum, and alveolar bone.
- It dissipates functional and masticatory stresses.
Interdental Gingiva
- Interdental gingiva fills the space between teeth, usually triangular or pyramidal in shape.
- It is formed by two interdental papillae (lingual and facial).
- The central part of the interdental papilla is formed by attached gingiva.
- Its function is to prevent food impaction.
Alveolar Bone
- Alveolar bone surrounds and supports each tooth, forming a bony socket.
- The buccal and lingual plates of alveolar bone are composed of compact cortical bone.
- Cancellous bone is present within the cortical plates.
Cementum
- Cementum is the outer layer of the tooth's root.
- It overlies the dentine layer and provides attachment for the periodontal ligament's collagen fibers.
- It seals the root's ends and dentinal tubules.
- It's not as hard as enamel or dentine.
Periodontal Ligament (PDL)
- The periodontal ligament is a connective tissue that joins the cementum to the surrounding alveolar bone.
- It is composed of complex fiber groups that run in several directions, holding teeth in their sockets.
- The fibers insert into the cementum and bone (via Sharpey's fibers).
- It absorbs mechanical forces during mastication, protecting teeth within the sockets.
- The periodontal ligament also houses blood vessels and nerves located within loose connective tissue.
Periodontal Pathologies
- Gingival diseases: Inflammation of the gingiva or mucosal tissues surrounding teeth; the least devastating form of periodontal disease.
- Characterized by spontaneous bleeding and gingival inflammation. Not usually irreversible damage to the periodontium.
- Periodontal diseases: Encompasses a range of diseases in periodontal tissues, leading to attachment loss and alveolar bone loss. Usually, a result of the interplay of bacterial plaque biofilm accumulation with host immuno-inflammatory responses.
- Bacterial plaque: A biofilm of microorganisms (mostly bacteria) that grows on tooth surfaces.
Periodontal Diagnosis
- The primary steps in periodontal diagnosis include visual inspection, periodontal exploration, a radiological study (e.g., periapical series, panoramic radiographs), and microbiological studies.
- Assessment involves a thorough examination of the patient's medical, dental, and social histories to detect risk factors and underlying systemic conditions.
- Periodontal indices, such as periodontal screening record (PSR) and Community Periodontal Index of Treatment Needs (CPITN), are used to determine the severity of the disease.
Periodontal Treatment
- Initial Therapy (Phase I): Includes treating emergencies, employing antimicrobial therapy, controlling diet, educating patients, correcting iatrogenic factors, performing deep scaling, and making temporary splinting adjustments.
- Re-evaluation Phase: A crucial phase after initial therapy to evaluate the efficacy of the treatment after a specified time, assessing oral hygiene, bleeding and plaque scores.
- Surgical Therapy (Phase II): Implementing surgery if needed to manage periodontal pockets, correct irregular bony contours, and address various other issues.
- Restorative Therapy (Phase III): Restoring defects with removable or fixed prosthetics.
- Maintenance Therapy (Phase IV): Preserving periodontal health through regular check-ups and maintenance care for the long-term success of periodontal treatment.
Periodontal Hygiene
- Proper oral hygiene techniques include effective brushing, interdental cleaning (flossing/interdental brushes), and the use of chlorhexidine mouthwash.
Periodontal Maintenance
- Maintenance plays a critical role in the preservation of periodontal health after initial treatment.
- In established periodontal disease, regular checkups every 3-6 months are crucial. Oral hygiene instructions and compliance significantly impact the outcome.
Periodontal Diseases, Complications, and Exercises
- Various exercises and case studies are provided for determining degrees of periodontal disease, instrument identification, and case comparisons.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the anatomy of healthy gingival structures. This quiz covers essential aspects like the gingival sulcus, types of epithelium, and the role of the junctional epithelium. Perfect for dental students or anyone interested in oral health.
