Periodontal Disease Overview
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Questions and Answers

Periodontal diseases are the leading cause of tooth loss in _____

adults

The structures of the periodontium include gingivae, epithelial attachment, sulcus, periodontal ligaments, cementum, and _____ bone.

alveolar

The two types of calculus are supragingival and _____ calculus.

subgingival

Periodontal disease may be linked to cardiovascular disease, respiratory disease, diabetes, and _____ .

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

The four stages of periodontal disease include gingivitis, early periodontitis, moderate periodontitis, and _____ periodontitis.

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

Signs of gingivitis include redness and swelling of the gingiva, bleeding from brushing, and changes in gingival _____ .

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

The portion of the tooth that anchors it to the bony socket is called _____ .

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

A soft deposit on teeth that consists of bacteria and bacterial by-products is called _____.

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

What is the role of a periodontist in managing advanced periodontal disease?

<p>To stage the gum disease and provide initial treatment</p> Signup and view all the answers

Which systemic disease is NOT commonly associated with periodontal disease?

<p>Alzheimer's disease</p> Signup and view all the answers

What is a primary symptom of gingivitis?

<p>Bleeding from brushing and flossing</p> Signup and view all the answers

How many drugs are known to cause xerostomia as a side effect?

<p>More than 400</p> Signup and view all the answers

What is the role of plaque in dental health?

<p>It consists of bacteria and can lead to dental issues</p> Signup and view all the answers

What is the gingival sulcus?

<p>The space directly between the tooth and the free gingiva</p> Signup and view all the answers

Which condition is caused by the use of phenytoin, cyclosporine, and certain calcium channel blockers?

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

Study Notes

Periodontal Disease

  • Leading Cause of Tooth Loss in Adults: Periodontal disease is the primary reason for tooth loss in adults.
  • Periodontium Structures: The periodontium, responsible for tooth support, comprises gingivae (gums), epithelial attachment, sulcus (space between tooth and gum), periodontal ligaments (attaching tooth to bone), cementum (tooth covering), and alveolar bone (jawbone).
  • Calculus Types: Two types of calculus, hardened plaque, exist: supragingival (above gum line) and subgingival (below gum line).
  • Systemic Disease Connections: Periodontal disease has been linked to various systemic diseases including cardiovascular disease (heart disease, stroke), respiratory disease (pneumonia), diabetes, and cancer.
  • Stages of Periodontal Disease: The disease progresses through four stages:
    • Gingivitis: Inflammation of the gums, reversible.
    • Early Periodontitis: Bone loss begins.
    • Moderate Periodontitis: Increased bone loss.
    • Advanced Periodontitis: Significant bone loss, potential tooth loss.
  • Gingivitis Signs: Redness and swelling of the gingiva, bleeding during brushing and flossing, and changes in gum contour indicate gingivitis.
  • Severity Determination: The severity of periodontal disease is assessed by a periodontist or dental hygienist using staging (based on severity) and grading (rate of progression and response to treatment).
  • Treatment Specialists: A general dentist initially diagnoses gum disease. If advanced, a periodontist specializes in treatment.
  • Tooth Anchorage: Cementum, a thin layer covering the tooth root, secures the tooth to the bony socket via periodontal ligaments.

Additional Factors

  • Xerostomia (Dry Mouth): Over 400 drugs can cause xerostomia, contributing to oral health issues.
  • Estrogen Loss: Estrogen loss has been linked to alveolar bone loss, a crucial component of tooth support.
  • Plaque: A soft deposit accumulating on teeth consists of bacteria and bacterial byproducts.
  • Gingival Enlargement: Medications like phenytoin, cyclosporine, and calcium channel blockers can cause gingival enlargement, an overgrowth of gum tissue.
  • Gingival Sulcus: The space between the tooth and the free gingiva is called the gingival sulcus.

Periodontal Disease

  • Leading Cause of Tooth Loss in Adults: Periodontal diseases are the main reason adults lose teeth.
  • Structures of the Periodontium: The periodontium consists of the gingivae (gums), epithelial attachment, sulcus (space between tooth and gum), periodontal ligaments, cementum (tooth's outer layer), and alveolar bone (socket holding the tooth).
  • Types of Calculus: Calculus, also known as tartar, comes in two forms: supragingival (above the gum line) and subgingival (below the gum line).
  • Systemic Disease Connections: Periodontal disease has been linked to various systemic health issues, including cardiovascular disease (heart attack, stroke), respiratory diseases (pneumonia), diabetes, and certain types of cancer.
  • Stages of Periodontal Disease: Periodontal disease progresses through four stages:
    • Gingivitis: Initial stage with inflammation of the gums.
    • Early Periodontitis: Bone loss starts to occur.
    • Moderate Periodontitis: Significant bone loss and pocket formation.
    • Advanced Periodontitis: Extensive bone loss, tooth mobility, and potential tooth loss.
  • Signs of Gingivitis: The signs of gingivitis include red and swollen gums, bleeding when brushing or flossing, and changes in the contour of the gums.
  • Determining Severity: The severity of periodontal disease is determined by a staging system, which considers the extent of bone loss and pocket formation. A grading system is also used to assess the rate of progression and response to treatment.
  • Treatment Specialists: A general dentist or dental hygienist can initially diagnose periodontal disease. Patients with more advanced disease are typically referred to a periodontist for specialized treatment.
  • Cementum's Role: Cementum is the tooth's outer layer, which is responsible for anchoring the tooth to the bony socket through the attachment of periodontal ligaments.

Other Factors Affecting Oral Health

  • Xerostomia (Dry Mouth): Over 400 medications can cause dry mouth as a side effect.
  • Estrogen Loss: Loss of estrogen is linked to alveolar bone loss, which weakens the teeth's support.
  • Plaque: Plaque is a sticky film on teeth that forms from bacteria and their byproducts.
  • Gingival Enlargement: Certain medications, like phenytoin, cyclosporine, and calcium channel blockers, can lead to an overgrowth of gum tissue (gingival enlargement).
  • Gingival Sulcus: The gingival sulcus is the space between the tooth and the free gingiva (gum).

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Description

This quiz covers the essentials of periodontal disease, including its causes, structures involved, and stages. Learn about the connections between periodontal health and systemic diseases, as well as the types of calculus affecting dental health. Test your knowledge and understanding of this critical subject in oral health.

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