Dental Periodontology Classification

Questions and Answers

What is the key feature that distinguishes Grade I furcation involvement?

The probe passes completely through the furcation.

The concavity above the furcation entrance can be felt by probe. (correct)

The probe can enter the furcation area.

The furcation entrance is visible due to tissue recession.

In the context of mobility grades, what does Grade II signify?

Tooth can be moved vertically with some resistance.

Moderate mobility with less than 1 mm of movement.

Severe mobility with more than 2 mm of movement horizontally. (correct)

Tooth is stable with no movement.

Which condition is characterized by the drifting of teeth into the spaces created by unreplaced missing teeth?

Furcation involvement

Pathological migration (correct)

Trauma from occlusion

Wasting disease

What does a Grade IV furcation involvement indicate?

Full visibility of the furcation due to tissue recession. Signup and view all the answers

Which method is NOT typically used in radiographic investigation of periodontal conditions?

Complete blood count Signup and view all the answers

What does probing around dental implants primarily assess?

Peri-implant tissue health Signup and view all the answers

Which option best describes the meaning of erosion in the context of wasting disease?

Smooth surface loss due to chemical processes. Signup and view all the answers

During periodontal examinations, what does bleeding on probing indicate?

Possible periodontal disease activity Signup and view all the answers

How is Grade III furcation involvement characterized?

Probe can completely pass through in both mandibular and maxillary molars. Signup and view all the answers

What is one of the main types of hematological investigations in periodontal conditions?

Clotting time assessment Signup and view all the answers

What does Clinical Attachment Level (CAL) primarily indicate?

The degree of periodontal destruction or regeneration Signup and view all the answers

What is an indication that bleeding on probing is likely to occur?

Atrophic or ulcerated pocket epithelium Signup and view all the answers

Which method is recommended for probing around dental implants?

Using plastic periodontal probes Signup and view all the answers

What is the primary purpose of periodontal probes?

To locate, measure, and mark pockets Signup and view all the answers

What distinguishes a healthy periodontal pocket from an unhealthy one?

Absence of bleeding on probing Signup and view all the answers

Which factors can affect the depth of penetration of a probe in a periodontal pocket?

Convexity of the crown Signup and view all the answers

What distinguishes edematous tissue response in gingival inflammation?

Smooth, glossy, soft, red gingiva Signup and view all the answers

What defines a periodontal pocket?

A pathologically deepened gingival sulcus Signup and view all the answers

Which characteristic does NOT describe the fibrotic tissue response in gingival inflammation?

Smooth and glossy appearance Signup and view all the answers

Which type of periodontal pocket is characterized by the bottom of the pocket being coronal to the underlying alveolar bone?

Supra bony Pocket Signup and view all the answers

Why is bleeding on probing significant in periodontal examination?

It suggests potential periodontal disease Signup and view all the answers

What does the classification of furcation involvement assess?

Degree of bone loss around multi-rooted teeth Signup and view all the answers

What does the classification of periodontal pockets according to involved tooth surface NOT include?

Intrabony Signup and view all the answers

Which of the following is NOT a probing technique to evaluate around dental implants?

Probing without any physical contact Signup and view all the answers

Which type of pocket is formed by gingival enlargement without destruction of the underlying tissues?

Gingival Pocket Signup and view all the answers

Which of the following is NOT a classification of periodontal pockets based on disease activity?

Sustained Pocket Signup and view all the answers

Which coloration of gingiva indicates a potential problem according to gingival feature examination?

Redness Signup and view all the answers

What contour characteristic is observed in normal gingival tissue?

Knife edge Signup and view all the answers

What type of pocket is characterized by a fibrotic soft tissue wall?

Fibrotic Pocket Signup and view all the answers

Which of these factors does NOT contribute to mucogingival problems?

Normal aging process Signup and view all the answers

Which probing technique is specifically recommended around implants to avoid damage?

Plastic probe Signup and view all the answers

What classification identifies a periodontal pocket that arises from one surface and extends around to involve other surfaces?

Complex or Spiral Pocket Signup and view all the answers

Which context signifies the importance of bleeding upon probing?

Indicator of periodontal disease activity Signup and view all the answers

What defines a periodontal pocket in the context of periodontal disease?

A depth exceeding 4mm with attachment loss and inflammation. Signup and view all the answers

Which assessment technique is crucial for determining clinical attachment levels?

Probing depth measurement from a fixed point on the tooth. Signup and view all the answers

What does bleeding on probing indicate in periodontal assessment?

Presence of gingival inflammation and potential periodontal disease. Signup and view all the answers

Which probing technique is recommended for assessing implants?

Using a plastic probe to avoid damaging the implant surface. Signup and view all the answers

How is furcation involvement classified in periodontal disease?

Class III: Complete involvement with visible interradicular tract. Signup and view all the answers

Which is a common method for detecting periodontal pockets?

Using a periodontal probe to measure pocket depths. Signup and view all the answers

What is the significance of determining clinical attachment levels?

To evaluate the extent of periodontal disease severity. Signup and view all the answers

What is the recommended technique for probing in areas of furcation involvement?

Gentle probing to avoid pressure on furcation areas. Signup and view all the answers

What characterizes the change in probing depth associated with advanced periodontal disease?

Probing depth increases as attachment loss occurs. Signup and view all the answers

In which phase is surgical intervention planned for periodontal therapy?

Phase II: Surgical phase. Signup and view all the answers

Grade IV furcation involvement is characterized by the entrance to the furcation being clinically visible due to tissue recession.

True Signup and view all the answers

Bleeding upon probing is an indicator of healthy periodontal tissue.

False Signup and view all the answers

Mobility grade III indicates increased stability of a tooth compared to mobility grade I.

False Signup and view all the answers

Probing techniques around dental implants should be avoided to prevent potential damage.

True Signup and view all the answers

Clinical attachment levels are assessed to determine the extent of periodontal disease progression.

True Signup and view all the answers

Furcation involvement grade II allows the probe to completely pass through the furcation area.

False Signup and view all the answers

Pathological migration refers to the normal alignment of teeth in relation to surrounding structures.

False Signup and view all the answers

Intraoral periapical radiographs are a common method used for radiographic investigation in periodontal examinations.

True Signup and view all the answers

Fremitus tests assess trauma from occlusion by evaluating movement or vibration of the tooth during functional movements.

True Signup and view all the answers

Wasting disease includes conditions that lead to gradual loss of tooth structure without specified mechanisms.

True Signup and view all the answers

A periodontal pocket that is formed by gingival enlargement without destruction of the underlying tissues is known as a Fibrotic Pocket.

False Signup and view all the answers

The bottom of a Suprabony pocket is located apical to the level of the adjacent alveolar bone.

False Signup and view all the answers

Bleeding on probing indicates a higher likelihood of active periodontal disease.

True Signup and view all the answers

An Intrabony pocket is classified with the bottom being coronal to the supporting alveolar bone.

False Signup and view all the answers

Clinical attachment levels (CAL) primarily assess the depth of periodontal pockets.

False Signup and view all the answers

Active and inactive pockets are classifications based on the disease activity of periodontal pockets.

True Signup and view all the answers

Probing techniques for implants do not require special consideration to avoid damage to the surrounding tissues.

False Signup and view all the answers

Complex periodontal pockets originate on one surface and twist around to involve more than one additional surface.

True Signup and view all the answers

Clinical Attachment Levels (CAL) are used solely for measuring the loss of bone around teeth.

False Signup and view all the answers

Bleeding on probing is an earlier sign of inflammation compared to changes in gingival color.

True Signup and view all the answers

Plastic periodontal probes are recommended for probing around dental implants to prevent surface scratches.

True Signup and view all the answers

Probing techniques are irrelevant to the assessment of furcation involvement.

False Signup and view all the answers

Clinical Attachment Level assessments are not indicative of the disease progression in periodontal conditions.

False Signup and view all the answers

Bleeding on probing is a definitive indicator of healthy periodontal tissue.

False Signup and view all the answers

Clinical attachment level assessment primarily measures the depth of gingival pockets.

False Signup and view all the answers

Furcation involvement classifications assist in determining the severity of periodontal disease.

True Signup and view all the answers

The technique employed for probing around dental implants is similar to that used for natural teeth.

False Signup and view all the answers

Localized gingivitis is characterized by inflammation that affects the entire mouth.

False Signup and view all the answers

Advanced probing techniques can provide indications of furcation involvement levels.

True Signup and view all the answers

A periodontal pocket is defined solely by the presence of calculus.

False Signup and view all the answers

Probing depth measurements are crucial for monitoring changes in clinical attachment levels.

True Signup and view all the answers

Aggressive gingivitis is identified by a painful and sudden onset.

False Signup and view all the answers

Furcation involvement can only be classified into two categories: moderate and severe.

False Signup and view all the answers

The depth of penetration of a probe in a periodontal pocket is influenced solely by the size of the probe.

False Signup and view all the answers

Bleeding on probing is a definitive indicator of healthy gingiva.

False Signup and view all the answers

Clinical Attachment Level (CAL) primarily indicates the degree of periodontal tissue loss.

True Signup and view all the answers

Probing around dental implants is performed using the same techniques used for natural teeth in order to avoid damage.

False Signup and view all the answers

Furcation involvement classifications are essential for understanding the extent of periodontal disease in multi-rooted teeth.

True Signup and view all the answers

The presence of periodontal pockets is synonymous with healthy gingival tissue.

False Signup and view all the answers

A fibrotic tissue response results in gingiva that is generally soft and smooth.

False Signup and view all the answers

The classification of periodontal pockets does not include the depth of the pockets.

False Signup and view all the answers

Edematous tissue response in gingival inflammation is characterized by firm and opaque gingiva.

False Signup and view all the answers

The probing technique chosen for assessing periodontal pockets should always be the same regardless of the tooth being examined.

False Signup and view all the answers

Study Notes

Gingival Movement and Pocket Classification

Coronal movement of the gingival margin occurs alongside apical displacement of the gingival attachment, resulting in deepening of sulcus.
Pockets are classified into two main types:
- Gingival Pocket (Pseudopocket): Involves gingival enlargement without destruction of underlying tissues, leading to deeper sulcus.
- Periodontal Pockets: Associated with destruction of periodontal supporting tissues.

Types of Periodontal Pockets

Suprabony Pocket: Bottom is located coronal to the alveolar bone.
Intrabony Pocket: Bottom is apical to the alveolar bone, with the lateral pocket wall between the tooth surface and the alveolar bone.

Periodontal Pockets Classification

Classification based on:
- Tooth Surface Involvement:
  - Simple pockets affect one surface.
  - Compound pockets involve two surfaces.
  - Complex or Spiral pockets twist around the tooth, often in furcation areas.
- Soft Tissue Wall Nature:
  - Edematous pockets characterized by swelling.
  - Fibrotic pockets characterized by stiffness and firmness.
- Disease Activity:
  - Active pockets show ongoing inflammation.
  - Inactive pockets indicate a stable condition.

Furcation Involvement

Grade I: Concavity above furcation entrance can be felt; probe does not enter furcation.
Grade II: Probe enters furcation partially, up to one-third width.
Grade III: Probe passes completely through furcation in multi-rooted teeth.
Grade IV: Similar to Grade III, with exposure due to gingival recession.

Mobility Grades

Grade I: Slight mobility detected.
Grade II: Moderate mobility.
Grade III: Severe mobility.

Pathological Conditions

Pathological Migration: Teeth drift into spaces due to missing teeth.
Wasting Disease: Gradual loss of tooth structure, causes include:
- Abrasion: Friction wear.
- Attrition: Tooth-to-tooth wear.
- Erosion: Loss from acidic substances.
- Abfraction: Loss due to stress/strain.

Investigative Techniques

Radiographic: Intraoral periapical and OPG for bone loss assessment.
Hematological: Evaluates blood-related parameters like RBC, WBC count, and bleeding times.
Soft Tissue Examination: Includes assessment of labial mucosa, buccal mucosa, tongue surfaces, and gingiva.

Gingival Features Assessment

Color: Coral pink, redness, or discoloration.
Contour: Knife-edge or round edged gingiva.
Consistency: Varying from firm to edematous.
Surface Texture: Stippled (normal) versus loss of stippling.
Bleeding on Probing: Indicates inflammation and pocket condition.

Periodontal Examination

Pocket probing depth influenced by probe size, force, direction, tissue resistance, and tooth contour.
Clinical Attachment Level (CAL): Measured from cementoenamel junction to pocket base; indicative of periodontal status over time.

Probing and Pocket Considerations

Bleeding on probing is an early sign of inflammation and may occur before visible color changes in gingiva.
Probing around dental implants requires using plastic periodontal probes to avoid surface damage.

Treatment Phases

Emergency Phase: Addresses acute issues like abscesses or extractions.
Phase I (Etiotrophic): Focuses on removing calculus and correcting restorations.
Phase II (Surgical): Involves endodontic, periodontal treatment, and implant therapy.
Phase III (Restorative): Final restorative care including removable and fixed prosthodontics.
Phase IV (Maintenance): Regular check-ups for plaque control, gingival health, and evaluation of other pathological changes.

Gingival Movement and Pocket Classification

Coronal movement of the gingival margin occurs alongside apical displacement of the gingival attachment, resulting in deepening of sulcus.
Pockets are classified into two main types:
- Gingival Pocket (Pseudopocket): Involves gingival enlargement without destruction of underlying tissues, leading to deeper sulcus.
- Periodontal Pockets: Associated with destruction of periodontal supporting tissues.

Types of Periodontal Pockets

Suprabony Pocket: Bottom is located coronal to the alveolar bone.
Intrabony Pocket: Bottom is apical to the alveolar bone, with the lateral pocket wall between the tooth surface and the alveolar bone.

Periodontal Pockets Classification

Classification based on:
- Tooth Surface Involvement:
  - Simple pockets affect one surface.
  - Compound pockets involve two surfaces.
  - Complex or Spiral pockets twist around the tooth, often in furcation areas.
- Soft Tissue Wall Nature:
  - Edematous pockets characterized by swelling.
  - Fibrotic pockets characterized by stiffness and firmness.
- Disease Activity:
  - Active pockets show ongoing inflammation.
  - Inactive pockets indicate a stable condition.

Furcation Involvement

Grade I: Concavity above furcation entrance can be felt; probe does not enter furcation.
Grade II: Probe enters furcation partially, up to one-third width.
Grade III: Probe passes completely through furcation in multi-rooted teeth.
Grade IV: Similar to Grade III, with exposure due to gingival recession.

Mobility Grades

Grade I: Slight mobility detected.
Grade II: Moderate mobility.
Grade III: Severe mobility.

Pathological Conditions

Pathological Migration: Teeth drift into spaces due to missing teeth.
Wasting Disease: Gradual loss of tooth structure, causes include:
- Abrasion: Friction wear.
- Attrition: Tooth-to-tooth wear.
- Erosion: Loss from acidic substances.
- Abfraction: Loss due to stress/strain.

Investigative Techniques

Radiographic: Intraoral periapical and OPG for bone loss assessment.
Hematological: Evaluates blood-related parameters like RBC, WBC count, and bleeding times.
Soft Tissue Examination: Includes assessment of labial mucosa, buccal mucosa, tongue surfaces, and gingiva.

Gingival Features Assessment

Color: Coral pink, redness, or discoloration.
Contour: Knife-edge or round edged gingiva.
Consistency: Varying from firm to edematous.
Surface Texture: Stippled (normal) versus loss of stippling.
Bleeding on Probing: Indicates inflammation and pocket condition.

Periodontal Examination

Pocket probing depth influenced by probe size, force, direction, tissue resistance, and tooth contour.
Clinical Attachment Level (CAL): Measured from cementoenamel junction to pocket base; indicative of periodontal status over time.

Probing and Pocket Considerations

Bleeding on probing is an early sign of inflammation and may occur before visible color changes in gingiva.
Probing around dental implants requires using plastic periodontal probes to avoid surface damage.

Treatment Phases

Emergency Phase: Addresses acute issues like abscesses or extractions.
Phase I (Etiotrophic): Focuses on removing calculus and correcting restorations.
Phase II (Surgical): Involves endodontic, periodontal treatment, and implant therapy.
Phase III (Restorative): Final restorative care including removable and fixed prosthodontics.
Phase IV (Maintenance): Regular check-ups for plaque control, gingival health, and evaluation of other pathological changes.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz focuses on the classification of periodontal pockets, including gingival and periodontal pockets. Understand the characteristics of gingival enlargement and tissue destruction related to these pockets. Test your knowledge on coronal and apical movements of the gingival margin.