PERIODONTAL DISEASES CLASSIFICATION
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Questions and Answers

What percentage defines the new classification system for generalized periodontal disease?

  • 40% or more
  • 50% or more
  • 20% or more
  • 30% or more (correct)
  • How is clinical health defined in terms of bleeding on probing of dentition?

  • Less than 20%
  • Less than 15%
  • Less than 10% (correct)
  • Less than 5%
  • How many stages of gingivitis are identified in the classification system?

  • Five
  • Three
  • Four (correct)
  • Six
  • What has replaced the distinction between chronic and aggressive periodontitis?

    <p>Staging and grading</p> Signup and view all the answers

    What are the modifiers considered after disease identification?

    <p>Smoking and diabetes</p> Signup and view all the answers

    What influences the grading in the classification system?

    <p>Complexity factors and rate of disease progression</p> Signup and view all the answers

    What is the main disease discussed in the text?

    <p>Gingivitis</p> Signup and view all the answers

    How is the severity of inflammation classified in the current classification discussed in the text?

    <p>Mild, moderate, and severe</p> Signup and view all the answers

    What distinguishes mild inflammation from moderate inflammation?

    <p>Change in color without bleeding</p> Signup and view all the answers

    How is the term 'extent' defined in the context of the text?

    <p>Number of teeth affected by a disease</p> Signup and view all the answers

    What is the current classification of inflammation based on, as discussed in the text?

    <p>Dental biofilm induced</p> Signup and view all the answers

    What is the distinguishing factor between localized and generalized severity of inflammation?

    <p>Less than 30% of sides or teeth vs. 30% and more</p> Signup and view all the answers

    What is the crucial range of variation for the biologic width?

    <p>1-6 millimeters</p> Signup and view all the answers

    Why is anesthesia necessary to measure the biologic width?

    <p>It involves reaching the junctional epithelium and connective tissue</p> Signup and view all the answers

    In what cases is measuring the biologic width essential?

    <p>Aesthetic cases to understand the distance from the bone crest to the gingival margin</p> Signup and view all the answers

    What is crucial for reaching the bone when measuring the biologic width?

    <p>Proper technique and understanding of tooth anatomy</p> Signup and view all the answers

    What can occur if the biologic width is not considered before surgical approaches?

    <p>Damage to tissue fibers</p> Signup and view all the answers

    What can cervical root resorption cause?

    <p>Periodontal issues and inflammatory responses</p> Signup and view all the answers

    What can open contacts between teeth lead to?

    <p>Food impaction, greater attachment loss, bone loss, inflammation, and pocketing</p> Signup and view all the answers

    What consequences can overhanging restorations and open contacts cause?

    <p>Inflammatory processes, requiring proper restoration and contact placement</p> Signup and view all the answers

    What can subgingival crown margins violating the biologic width lead to?

    <p>Chronic marginal inflammation, bleeding, and sensitivity</p> Signup and view all the answers

    What is the average biologic width in dental considerations?

    <p>About three millimeters</p> Signup and view all the answers

    What is crucial in planning and executing dental restorations to ensure long-term oral health?

    <p>Understanding the impact of tooth anatomic factors</p> Signup and view all the answers

    What should be considered in clinical practice regarding the study of the biologic width?

    <p>The differences between cadaver and live human tissue</p> Signup and view all the answers

    What can contribute to the communication between endodontic and periodontal issues?

    <p>Exposed tubules in the root and accessory canals</p> Signup and view all the answers

    What is crucial for identifying combined endo-perio lesions?

    <p>Clinical approach and differential diagnosis</p> Signup and view all the answers

    What should precede periodontal treatment in endo-perio lesions?

    <p>Treatment of endodontic issues</p> Signup and view all the answers

    What can modify or predispose to gingival inflammation and periodontal disease?

    <p>Localized tooth-related factors</p> Signup and view all the answers

    Where can communication between the periodontal and endodontic parts of the tooth occur?

    <p>Apical foramen, lateral canals, dental tubules, and accessory canals</p> Signup and view all the answers

    What is an example of a tooth-related factor that can contribute to severe bone destruction?

    <p>Palatal groove</p> Signup and view all the answers

    What defines clinical health in terms of bleeding on probing of dentition?

    <p>10% or less bleeding on probing</p> Signup and view all the answers

    How many stages of gingivitis are identified in the new classification system?

    <p>Four: initial, early, established, and advanced</p> Signup and view all the answers

    What has replaced the distinction between chronic and aggressive periodontitis?

    <p>Staging and grading</p> Signup and view all the answers

    What influences the grading in the classification system?

    <p>Complexity factors and rate of disease progression</p> Signup and view all the answers

    What distinguishes mild inflammation from moderate inflammation in the current classification system?

    <p>Presence of redness and edema</p> Signup and view all the answers

    What is the threshold for the new classification system for generalized periodontal disease?

    <p>More than 30%</p> Signup and view all the answers

    What is the crucial range of variation for the biologic width in dental considerations?

    <p>1-2 mm</p> Signup and view all the answers

    What are the considerations for disease recurrence based on?

    <p>Epidemiologic studies</p> Signup and view all the answers

    What is the main disease discussed in the text?

    <p>Gingivitis</p> Signup and view all the answers

    What influences the grading in the classification system for severity of inflammation?

    <p>Bleeding upon touch</p> Signup and view all the answers

    What is crucial for identifying combined endo-perio lesions?

    <p>Communication between the periodontal and endodontic parts of the tooth</p> Signup and view all the answers

    What can open contacts between teeth lead to?

    <p>Gingival inflammation</p> Signup and view all the answers

    What is the crucial range of variation for the biologic width?

    <p>1-6 millimeters</p> Signup and view all the answers

    Why is anesthesia necessary to measure the biologic width?

    <p>It involves reaching the junctional epithelium and connective tissue</p> Signup and view all the answers

    What can occur if the biologic width is not considered before surgical approaches?

    <p>Damage to tissue fibers</p> Signup and view all the answers

    What can cervical root resorption cause?

    <p>Periodontal issues and inflammatory responses</p> Signup and view all the answers

    What is crucial for identifying combined endo-perio lesions?

    <p>Understanding of tooth anatomy</p> Signup and view all the answers

    In what cases is measuring the biologic width essential?

    <p>Aesthetic cases</p> Signup and view all the answers

    What can contribute to the communication between endodontic and periodontal issues?

    <p>Exposed tubules in the root and accessory canals</p> Signup and view all the answers

    What is an example of a tooth-related factor that can modify or predispose to gingival inflammation and periodontal disease?

    <p>Palatal groove</p> Signup and view all the answers

    Where can communication between the periodontal and endodontic parts of the tooth occur?

    <p>Apical foramen</p> Signup and view all the answers

    What is crucial for identifying combined endo-perio lesions?

    <p>Clinical approach and differential diagnosis</p> Signup and view all the answers

    What should precede periodontal treatment in endo-perio lesions?

    <p>Treatment of endodontic issues</p> Signup and view all the answers

    What can occur if bacteria invade a palatal groove?

    <p>Severe bone destruction</p> Signup and view all the answers

    What can traumatic injuries to the soft tissue and teeth occur due to?

    <p>Crowding or misalignment of teeth</p> Signup and view all the answers

    What can subgingival crown margins violating the biologic width lead to?

    <p>Chronic marginal inflammation, bleeding, and sensitivity</p> Signup and view all the answers

    What is the average biologic width in dental considerations?

    <p>About three millimeters</p> Signup and view all the answers

    What is crucial to avoid destructive consequences in dental restorations?

    <p>Careful consideration of crown margin design and placement</p> Signup and view all the answers

    What can open contacts between teeth lead to?

    <p>Food impaction, greater attachment loss, inflammation, and pocketing</p> Signup and view all the answers

    What is the critical consideration in dental restorations related to the biologic width?

    <p>Understanding the impact of tooth anatomic factors</p> Signup and view all the answers

    Study Notes

    Dental Lesions and Periodontal Disease Summary

    • Endo-perio lesions can occur when endodontic and periodontal issues combine in a tooth.
    • These lesions can manifest as lesions starting apically in molars or on the cervical part of the tooth, sometimes merging depending on severity.
    • Identification and diagnosis of endo-perio lesions are critical for effective treatment.
    • Endo-perio lesions may present with deep pockets and distinct separation between endodontic and periodontal defects.
    • Treatment of endodontic issues should precede periodontal treatment in endo-perio lesions to avoid negative outcomes.
    • Communication between the periodontal and endodontic parts of the tooth can occur through apical foramen, lateral canals, dental tubules, and accessory canals.
    • Exposed tubules in the root and accessory canals in the mid-third of the root can contribute to the communication between endodontic and periodontal issues.
    • Clinical approach and differential diagnosis are crucial for identifying combined endo-perio lesions.
    • The classification of these lesions includes subcategories with deeper pockets, but the focus should be on recognizing and treating the underlying issue first.
    • Localized tooth-related factors, such as anatomic issues or dental restorations, can modify or predispose to gingival inflammation and periodontal disease.
    • An example of a tooth-related factor is a palatal groove, which can contribute to severe bone destruction if bacteria invade the area.
    • These tooth-related factors are important to consider in the context of gingival inflammation and periodontal disease.

    Dental Restorations and Anatomic Factors Summary

    • Certain tooth anatomic factors can make individuals more prone to developing dental issues, such as cavities, fractures, and plaque accumulation.
    • Narrow root proximity can lead to bone loss and attachment loss due to inflammation induced by plaque.
    • Open contacts between teeth can lead to food impaction, greater attachment loss, bone loss, inflammation, and pocketing.
    • Traumatic injuries to the soft tissue and teeth can occur due to crowding or misalignment of teeth.
    • Anatomical factors can influence treatment approaches, such as considering orthodontic treatment or extraction for hopeless teeth.
    • Overhanging restorations and open contacts can cause inflammatory processes, requiring proper restoration and contact placement.
    • Subgingival crown margins, if violating the biologic width, can lead to chronic marginal inflammation, bleeding, and sensitivity.
    • Careful consideration of crown margin design and placement is crucial to avoid destructive consequences.
    • The biologic width, averaging about three millimeters, is a critical consideration in dental restorations, but its measurement was based on cadavers and may differ in live human beings.
    • Disputed aspects of the biologic width should be considered, but its importance in dental restorations cannot be overlooked.
    • The study of the biologic width was conducted on cadavers, and the differences between cadaver and live human tissue should be considered in clinical practice.
    • Understanding the impact of tooth anatomic factors is crucial in planning and executing dental restorations to ensure long-term oral health.

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    Description

    Test your knowledge of dental lesions and periodontal disease with this quiz. Learn about endo-perio lesions, their identification, diagnosis, and treatment. Explore the communication between endodontic and periodontal parts of the tooth and the impact of tooth-related factors on gingival inflammation and periodontal disease.

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