Periodontal Diseases Classification and Risk Factors Quiz
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Questions and Answers

Which of the following is the primary criterion for the diagnosis of periodontitis?

  • Amount of bone loss
  • Clinical attachment loss in at least two non-adjacent teeth (correct)
  • Furcation involvement
  • Probing depth

    • What does the staging in the classification of periodontal diseases represent?

  • Severity of systemic diseases
  • Severity of periodontal disease (correct)
  • Complexity of treatment required
  • Progression rate of bone loss

    • What is the purpose of grading in the classification of periodontal diseases?

  • To assess severity of systemic diseases
  • To include individual patient factors in the diagnosis (correct)
  • To determine the stage of periodontitis
  • To evaluate the complexity of treatment required

    • Which factor is crucial for comprehensive patient management in the classification of periodontal diseases?

    <p>Individual patient factors</p> Signup and view all the answers

    What does stage 4 represent in the staging of periodontal diseases?

    <p>Most severe category of disease</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>% bone loss/age</p> Signup and view all the answers

    What does grading cover besides periodontitis progression?

    <p>Smoking and metabolic control level in diabetes</p> Signup and view all the answers

    What is one of the parameters expressing the complexity of treatment according to the text?

    <p>Furcation involvement</p> Signup and view all the answers

    Which characteristic determines both the spread and complexity of treatment required for periodontitis?

    <p>Clinical attachment loss</p> Signup and view all the answers

    According to the text, what should be excluded before determining stage and grade in periodontitis?

    <p>Endodontic lesion draining from the periodontal space</p> Signup and view all the answers

    What is the main cause of periodontal diseases?

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

    Why is diagnosis considered the first step of treatment for periodontal diseases?

    <p>To classify the diseases accurately</p> Signup and view all the answers

    What do microbial dental plaque or its toxins stimulate in periodontal tissues?

    <p>Host defense cells</p> Signup and view all the answers

    What is the purpose of disease classification in periodontology?

    <p>To determine staging and grading</p> Signup and view all the answers

    Which step does accurate disease classification facilitate in periodontal treatment?

    <p>Surgery planning</p> Signup and view all the answers

    What do enzymes and cytokines cause in periodontal tissues over time?

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

    Which factor is NOT mentioned as a potential main cause of periodontal diseases?

    <p>Excessive fluoride intake</p> Signup and view all the answers

    What is the role of precise disease classification in the context of periodontal diseases?

    <p>To provide accurate diagnosis</p> Signup and view all the answers

    Which classification system for periodontal diseases primarily used the age of onset of the disease to define the types of periodontitis?

    <p>AAP 1989</p> Signup and view all the answers

    In the 1999 classification, what was taken as the basis instead of the age of onset of the disease?

    <p>Rate of progression</p> Signup and view all the answers

    What was the reason for reclassifying periodontal diseases in 2017 by holding a joint world workshop with EFP and AAP?

    <p>All of the above</p> Signup and view all the answers

    Which classification system introduced a multidimensional staging and grading system for periodontitis?

    <p>EFP / AAP 2017</p> Signup and view all the answers

    What is the primary feature of periodontitis used to diagnose it?

    <p>Loss of periodontal tissue support due to inflammation</p> Signup and view all the answers

    In which classification system were chronic and aggressive periodontitis accepted as not being two different diseases?

    <p>EFP / AAP 2017</p> Signup and view all the answers

    What was mentioned as a reason for changing the classification from AAP 1989 to AAP 1999?

    <p>Both a and b.</p> Signup and view all the answers

    What is the main distinguishing factor in the 1989 classification of periodontitis?

    <p>Age of onset of the disease</p> Signup and view all the answers

    What was the reason for reclassifying periodontal diseases in 2017 by holding a joint world workshop with EFP and AAP?

    <p>Uncertainty in diagnosis of aggressive and chronic periodontitis</p> Signup and view all the answers

    Which characteristic determines both the severity of the disease and the complexity of treatment required for periodontitis in the new classification?

    <p>Rate of progression</p> Signup and view all the answers

    What does grading cover besides periodontitis progression in the new classification?

    <p>Risk factors</p> Signup and view all the answers

    According to the text, what should be excluded before determining stage and grade in periodontitis?

    <p>Presence of systemic diseases</p> Signup and view all the answers

    What was taken as the basis instead of the age of onset of the disease in the 1999 classification of periodontitis?

    <p>Rate of progression</p> Signup and view all the answers

    In which classification system were chronic and aggressive periodontitis accepted as not being two different diseases?

    <p>EFP/AAP 2017</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>$\geq$ 3mm clinical attachment loss</p> Signup and view all the answers

    What is the primary role of disease classification in the context of periodontal diseases?

    <p>To determine the appropriate treatment plan for each patient</p> Signup and view all the answers

    What is the primary reason for reclassifying periodontal diseases in 2017 through a joint world workshop with EFP and AAP?

    <p>To address the limitations of the previous classification system</p> Signup and view all the answers

    What do plaque bacteria or their toxins stimulate in periodontal tissues?

    <p>Destruction of periodontal tissues over time</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>Genetic and acquired factors</p> Signup and view all the answers

    Which factor is NOT mentioned as a potential main cause of periodontal diseases?

    <p>Use of fluoride toothpaste</p> Signup and view all the answers

    What do enzymes and cytokines cause in periodontal tissues over time?

    <p>Inflammation and destruction</p> Signup and view all the answers

    What is the primary criterion for the diagnosis of periodontitis in the new classification system?

    <p>Clinical attachment loss in at least two non-adjacent teeth</p> Signup and view all the answers

    What does the staging in the classification of periodontal diseases represent?

    <p>Severity of the disease</p> Signup and view all the answers

    What does grading cover besides periodontitis progression in the new classification?

    <p>Risk factors such as smoking</p> Signup and view all the answers

    What do microbial dental plaque or its toxins stimulate in periodontal tissues?

    <p>Direct evidence of progression</p> Signup and view all the answers

    What was mentioned as a reason for changing the classification from AAP 1989 to AAP 1999?

    <p>% bone loss/age</p> Signup and view all the answers

    What is one of the parameters expressing the complexity of treatment according to the text?

    <p>Furcation involvement</p> Signup and view all the answers

    According to the text, what should be excluded before determining stage and grade in periodontitis?

    <p>Necrotizing periodontitis and systemic diseases</p> Signup and view all the answers

    What was taken as the basis instead of the age of onset of the disease in the 1999 classification of periodontitis?

    <p>% bone loss/age</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>Longitudinal data (clinical attachment loss or radiographic bone loss)</p> Signup and view all the answers

    What does stage 4 represent in the staging of periodontal diseases?

    <p>Most severe category of disease.</p> Signup and view all the answers

    What was the reason for reclassifying periodontal diseases in 2017 by holding a joint world workshop with EFP and AAP?

    <p>New evidence for periodontitis emerged.</p> Signup and view all the answers

    Which factor is crucial for comprehensive patient management in the classification of periodontal diseases?

    <p>Risk factors such as smoking.</p> Signup and view all the answers

    What are the three main headings under which periodontitis is grouped in the EFP/AAP 2017 new classification?

    <p>Necrotizing periodontal diseases, Periodontitis, Periodontitis as a symptom of systemic diseases</p> Signup and view all the answers

    In the 2018 classification of periodontal and peri-implant diseases and conditions, under which category do traumatic occlusal forces and tooth and prosthesis-related factors fall?

    <p>PERIODONTAL MANIFESTATIONS OF SYSTEMIC DISEASES AND DEVELOPMENTAL AND ACQUIRED CONDITIONS</p> Signup and view all the answers

    What are the two main headings under which gingivitis is examined in the EFP/AAP 2017 new classification?

    <p>Gingivitis induced by dental biofilm, Gingival diseases not induced by dental biofilm</p> Signup and view all the answers

    What are the two main criteria used to diagnose periodontitis according to the text?

    <p>Loss of periodontal tissue support due to inflammation, Presence of interproximal tissue loss with radiographic evaluations of bone loss</p> Signup and view all the answers

    What are the four main categories under which peri-implant diseases and conditions are classified in the 2018 classification?

    <p>Peri-implant Health, Peri-implant mucositis, Peri-implantitis, Peri-implant Soft and Hard Tissue Deficiencies</p> Signup and view all the answers

    According to the text, what is the purpose of grading in the classification of periodontal diseases?

    <p>To grade according to the presence of additional biological characteristics, progression rate, expected prognosis, and risk factors evaluated</p> Signup and view all the answers

    What was the primary reason for reclassifying periodontal diseases in 2017 through a joint world workshop with EFP and AAP?

    <p>To address uncertainties in diagnosis, absence of pathobiological distinction, and difficulties in diagnostic accuracy</p> Signup and view all the answers

    What is the primary feature of periodontitis used to diagnose it?

    <p>Loss of periodontal tissue support due to inflammation</p> Signup and view all the answers

    In the EFP/AAP 2017 new classification, how is periodontitis staged and graded?

    <p>Staged according to the severity of the disease and the complexity of the treatment required, Graded according to the presence of additional biological characteristics, progression rate, expected prognosis, and risk factors evaluated</p> Signup and view all the answers

    What was taken as the basis instead of the age of onset of the disease in the 1999 classification of periodontitis?

    <p>The rate of progression</p> Signup and view all the answers

    What are the three main headings under which periodontitis is grouped in the EFP/AAP 2017 new classification?

    <p>Necrotizing periodontal diseases, Periodontitis, Periodontitis as a symptom of systemic diseases</p> Signup and view all the answers

    Which classification system for periodontal diseases primarily used the age of onset of the disease to define the types of periodontitis?

    <p>AAP 1989</p> Signup and view all the answers

    What is the primary criterion for the diagnosis of periodontitis in the new classification system?

    <p>Clinical attachment loss in at least two non-adjacent teeth</p> Signup and view all the answers

    What should be excluded before determining stage and grade in periodontitis?

    <p>Periodontitis that is a symptom of necrotizing periodontitis and systemic diseases</p> Signup and view all the answers

    What does grading cover besides periodontitis progression in the new classification?

    <p>Risky conditions for periodontitis such as smoking, metabolic control level in diabetes</p> Signup and view all the answers

    What does stage 4 represent in the staging of periodontal diseases?

    <p>The most severe form of the disease with vertical bone defects, excessive tooth mobility, and the need for complex rehabilitation</p> Signup and view all the answers

    Which characteristic determines both the severity of the disease and the complexity of treatment required for periodontitis in the new classification?

    <p>Clinical attachment loss, amount and percentage of bone loss, probing depth, furcation involvement, tooth mobility, and tooth loss</p> Signup and view all the answers

    Why is diagnosis considered the first step of treatment for periodontal diseases?

    <p>To accurately determine the stage and grade of the disease, and to plan appropriate treatment</p> Signup and view all the answers

    What is one of the parameters expressing the complexity of treatment according to the text?

    <p>Furcation involvement</p> Signup and view all the answers

    What is the role of precise disease classification in the context of periodontal diseases?

    <p>It allows comprehensive patient management by considering individual patient factors and risk assessment</p> Signup and view all the answers

    What is the main cause of periodontal diseases?

    <p>Inflammatory periodontal disease</p> Signup and view all the answers

    What was the primary reason for reclassifying periodontal diseases in 2017 through a joint world workshop with EFP and AAP?

    <p>To establish a multidimensional staging and grading system that could be adapted over time as new evidence for periodontitis emerged</p> Signup and view all the answers

    Which classification system for periodontal diseases primarily used the age of onset of the disease to define the types of periodontitis?

    <p>AAP 1999 classification</p> Signup and view all the answers

    What do enzymes and cytokines cause in periodontal tissues over time?

    <p>Tissue destruction and disease progression</p> Signup and view all the answers

    What is the main cause of periodontal diseases?

    <p>Microbial dental plaque, plaque bacteria themselves, or their toxins stimulate host defense cells and cause destruction in periodontal tissues over time.</p> Signup and view all the answers

    What do enzymes and cytokines cause in periodontal tissues over time?

    <p>Enzymes and cytokines cause destruction in periodontal tissues over time.</p> Signup and view all the answers

    What is one of the parameters expressing the complexity of treatment according to the text?

    <p>The staging and grading of periodontitis.</p> Signup and view all the answers

    What does grading cover besides periodontitis progression in the new classification?

    <p>Grading also covers the risk factors for periodontal diseases.</p> Signup and view all the answers

    What does stage 4 represent in the staging of periodontal diseases?

    <p>Stage 4 represents severe periodontitis with considerable destruction of the periodontal tissues and supporting bone.</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>The criteria that determine the staging and grading of periodontitis.</p> Signup and view all the answers

    Why is diagnosis considered the first step of treatment for periodontal diseases?

    <p>Diagnosis is the first step of treatment to provide accurate and reliable classification, leading to effective treatment.</p> Signup and view all the answers

    What was mentioned as a reason for changing the classification from AAP 1989 to AAP 1999?

    <p>The need for a more precise and comprehensive classification system for periodontal diseases.</p> Signup and view all the answers

    What was taken as the basis instead of the age of onset of the disease in the 1999 classification of periodontitis?

    <p>The criteria that determine the staging and grading of periodontitis were taken as the basis for classification in 1999.</p> Signup and view all the answers

    What is the role of precise disease classification in the context of periodontal diseases?

    <p>Precise disease classification provides accurate and reliable diagnosis, leading to effective treatment.</p> Signup and view all the answers

    In which classification system were chronic and aggressive periodontitis accepted as not being two different diseases?

    <p>Chronic and aggressive periodontitis were accepted as not being two different diseases in the 1999 classification.</p> Signup and view all the answers

    What was the reason for reclassifying periodontal diseases in 2017 by holding a joint world workshop with EFP and AAP?

    <p>The reason was to develop a more accurate and comprehensive classification system for periodontal diseases.</p> Signup and view all the answers

    The main cause of periodontal diseases is microbial dental ______

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

    Plaque bacteria themselves or their toxins stimulate host defense cells and cause a wide variety of enzymes and ______ to accumulate in periodontal tissues

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

    Diagnosis; is the first step of ______

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

    Classification of diseases provides accurate and reliable ______

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

    Classification of diseases; It can be defined as a system of categories consisting of disease names brought together according to precise ______

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

    The main cause of periodontal diseases is microbial dental ______

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

    Plaque bacteria themselves or their toxins stimulate host defense cells and cause a wide variety of enzymes and ______ to accumulate in periodontal tissues

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

    Diagnosis; is the first step of ______

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

    Classification of diseases provides accurate and reliable ______

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

    Classification of diseases; It can be defined as a system of categories consisting of disease names brought together according to precise ______

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

    The main cause of periodontal diseases is microbial dental ______

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

    Plaque bacteria themselves or their toxins stimulate host defense cells and cause a wide variety of enzymes and ______ to accumulate in periodontal tissues

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

    In the 2018 classification of periodontal and peri-implant diseases and conditions, under which category do traumatic occlusal forces and tooth and prosthesis-related factors fall?

    <p>PERIODONTAL MANIFESTATIONS OF SYSTEMIC DISEASES AND DEVELOPMENTAL AND ACQUIRED CONDITIONS</p> Signup and view all the answers

    What does grading cover besides periodontitis progression in the new classification?

    <p>PRESENCE OF ADDITIONAL BIOLOGICAL CHARACTERISTICS, EXPECTED PROGNOSIS AND RISK FACTORS</p> Signup and view all the answers

    What was taken as the basis instead of the age of onset of the disease in the 1999 classification of periodontitis?

    <p>RATE OF PROGRESSION</p> Signup and view all the answers

    What is the primary feature of periodontitis used to diagnose it?

    <p>LOSS OF PERIODONTAL TISSUE SUPPORT DUE TO INFLAMMATION</p> Signup and view all the answers

    What should be excluded before determining stage and grade in periodontitis?

    <p>OTHER CAUSES OF TISSUE LOSS</p> Signup and view all the answers

    What do microbial dental plaque or its toxins stimulate in periodontal tissues?

    <p>INFLAMMATORY RESPONSE</p> Signup and view all the answers

    What does stage 4 represent in the staging of periodontal diseases?

    <p>ADVANCED PERIODONTITIS</p> Signup and view all the answers

    What is one of the parameters expressing the complexity of treatment according to the text?

    <p>EXPECTED PROGNOSIS</p> Signup and view all the answers

    Why is diagnosis considered the first step of treatment for periodontal diseases?

    <p>TO OBTAIN A PRACTICAL AND CLEAR DIAGNOSIS AND TO APPLY AN ACCURATE TREATMENT</p> Signup and view all the answers

    Which classification system for periodontal diseases primarily used the age of onset of the disease to define the types of periodontitis?

    <p>AAP 1989</p> Signup and view all the answers

    What is the role of precise disease classification in the context of periodontal diseases?

    <p>FACILITATES TREATMENT PLANNING AND APPLICATION</p> Signup and view all the answers

    What is included as one of the determining criteria in the new classification of periodontitis?

    <p>STAGING ACCORDING TO THE SEVERITY OF THE DISEASE AND THE COMPLEXITY OF THE TREATMENT REQUIRED</p> Signup and view all the answers

    Existing clinical attachment loss is not due to trauma-induced gingival ______

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

    No bruise extending to the cervical ______

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

    No endodontic lesion or vertical root fracture draining from the ______ space

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

    Absence of malposition distal to the second ______

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

    The conditions that are not related to the extraction of the third molar tooth should be ______

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

    In staging, stages 1, 2, and 3 are synonymous with mild, moderate, and severe categories of ______

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

    Stage 4 represents the most severe of the disease as vertical bone defects, excessive tooth mobility and need for complex rehabilitation due to tooth loss and other complicating ______ may be present

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

    The amount of periodontal tissue destruction at the time of diagnosis is one of the most important criteria for the definition of ______

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

    The primary criterion for the diagnosis of periodontitis is clinical attachment loss in at least two non-adjacent ______

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

    Grading includes 3 levels (grade A: low risk, grade B: medium risk, grade C: high ______)

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

    In staging, disease severity-damage extent is ______

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

    Parameters expressing the complexity of the treatment; furcation involvement, tooth mobility, bone loss ______

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

    Study Notes

    Periodontal Diseases Diagnosis and Classification

    • The primary criterion for the diagnosis of periodontitis is the presence of attachment loss.
    • Staging in the classification of periodontal diseases represents the severity of the disease.
    • Grading in the classification of periodontal diseases represents the complexity of treatment required.
    • A crucial factor for comprehensive patient management in the classification of periodontal diseases is risk factors.
    • Stage 4 in the staging of periodontal diseases represents severe periodontitis with potential tooth loss.
    • One of the determining criteria in the new classification of periodontitis is radiographic bone loss.

    Periodontal Diseases Causes and Pathogenesis

    • The main cause of periodontal diseases is microbial dental plaque.
    • Enzymes and cytokines cause tissue destruction and inflammation in periodontal tissues over time.
    • Plaque bacteria or their toxins stimulate host defense cells and cause a wide variety of enzymes and cytokines to accumulate in periodontal tissues.

    Periodontal Diseases Classification Systems

    • The 1989 classification system primarily used the age of onset of the disease to define the types of periodontitis.
    • In the 1999 classification, the basis for classification was changed to clinical and radiographic features.
    • The 2017 classification system introduced a multidimensional staging and grading system for periodontitis.
    • The primary role of disease classification in the context of periodontal diseases is to provide accurate diagnosis and treatment planning.

    Periodontal Diseases Management

    • Diagnosis is considered the first step of treatment for periodontal diseases.
    • Precise disease classification facilitates accurate treatment planning and patient management.

    Periodontal Diseases Classification (EFP/AAP 2017)

    • Periodontitis is staged and graded according to severity and complexity of treatment required.
    • Gingivitis is examined under two main headings: dental plaque-induced gingivitis and non-plaque-induced gingivitis.
    • Peri-implant diseases and conditions are classified into four main categories: peri-implant health, peri-implant mucositis, peri-implantitis, and peri-implant disease.

    Periodontal Diseases and Conditions (2018 Classification)

    • Traumatic occlusal forces and tooth and prosthesis-related factors fall under the category of peri-implant health, peri-implant mucositis, peri-implantitis, or peri-implant disease.

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    Test your knowledge on the 2017 classification of periodontal diseases, staging and grading of periodontitis, risk factors, and indexes used in periodontology. This quiz is designed for dentistry students and professionals.

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