Periodontal Examination and Radiography
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Questions and Answers

What is the primary objective of a thorough periodontal examination?

  • To identify furcation involvement
  • To measure the clinical attachment level
  • To develop a treatment plan immediately
  • To establish a proper periodontal diagnosis (correct)

What does the clinical attachment level measure?

  • The distance from the CEJ to the tip of a periodontal probe (correct)
  • The amount of bone loss around the teeth
  • The extent of periodontal disease
  • The mobility of the multirooted teeth

What is furcation in the context of periodontal examination?

  • The pathological loss of bone around a single-rooted tooth
  • The measurement of clinical attachment level
  • The area where the roots of a multirooted tooth diverge (correct)
  • The distance from the periodontal probe to the root surface

What does furcation involvement indicate?

<p>Pathologic resorption of bone within the furcation (D)</p> Signup and view all the answers

Which of the following is NOT a component of a periodontal examination?

<p>Immediate implementation of surgery (A)</p> Signup and view all the answers

What is the sensitivity of the presence of furcation arrow for diagnosing furcation involvement on maxillary molars?

<p>38.7% (A)</p> Signup and view all the answers

Which imaging method is rapidly gaining popularity for diagnosing periodontal issues?

<p>Cone-beam computed tomography (CBCT) (D)</p> Signup and view all the answers

Which of the following limitations is NOT associated with conventional dental radiography?

<p>Shows detailed images of periodontal pockets (B)</p> Signup and view all the answers

What percentage indicates the specificity of furcation arrow for diagnosing furcation involvement on maxillary molars?

<p>92.2% (C)</p> Signup and view all the answers

In mandibular molars with furcation involvement, where is radiolucency typically noted?

<p>Between the roots at the separation area (D)</p> Signup and view all the answers

What is the significance of the absence of BOP at 25 g pressure in periodontal assessment?

<p>It serves as a reliable indicator of periodontal stability. (D)</p> Signup and view all the answers

Which area of a multirooted tooth does the term 'furcation' refer to?

<p>The anatomical area where the roots diverge. (B)</p> Signup and view all the answers

What does furcation involvement indicate regarding bone health?

<p>Pathologic resorption of bone occurs within the furcation area. (D)</p> Signup and view all the answers

What factor negatively affects the sensitivity of the BOP test?

<p>Using pressures greater than 25 g. (D)</p> Signup and view all the answers

What is the primary difference between oral mucosa and AG/KG in terms of attachment?

<p>Oral mucosa is movable, while AG/KG is bonded to the tooth surface and bone. (D)</p> Signup and view all the answers

What is a limitation of radiographs in periodontal diagnosis?

<p>They cannot identify sites with ongoing periodontal issues. (A)</p> Signup and view all the answers

Which statement correctly reflects the relationship between clinical attachment loss and radiographic changes?

<p>Clinical attachment loss precedes radiographic changes by 6 to 8 months. (A)</p> Signup and view all the answers

What did the American Academy of Periodontology report in 2017 regarding CBCT?

<p>Limited evidence supports its application for diagnosing periodontitis. (D)</p> Signup and view all the answers

Which of the following is NOT classified under early-onset periodontitis?

<p>Advanced periodontitis (B)</p> Signup and view all the answers

Which pathogen is closely linked to the development of periodontitis?

<p>Porphyromonas gingivalis (C)</p> Signup and view all the answers

What is the status of research in advanced examination and biomarkers for periodontitis?

<p>It indicates a promising future for early detection. (A)</p> Signup and view all the answers

Which classification stage refers to periodontitis occurring in individuals older than 35 years?

<p>Adult periodontitis (D)</p> Signup and view all the answers

Which of the following statements about periodontal pathogens is correct?

<p>They include the pathogen Treponema denticola. (D)</p> Signup and view all the answers

Which classification substituted 'Adult periodontitis'?

<p>Chronic periodontitis (A)</p> Signup and view all the answers

What new category was added to the classification of periodontal diseases?

<p>Periodontal abscesses (D)</p> Signup and view all the answers

Which form of periodontitis was identified as a manifestation of systemic disease?

<p>Periodontitis as a manifestation of systemic disease (D)</p> Signup and view all the answers

What was eliminated in the latest classification of periodontal diseases?

<p>Refractory periodontitis category (D)</p> Signup and view all the answers

Which of the following replaces 'Early-onset periodontitis'?

<p>Aggressive periodontitis (D)</p> Signup and view all the answers

What is one of the goals of staging a periodontitis patient?

<p>Classify severity and extent of disease (C)</p> Signup and view all the answers

What term was used to replace 'Necrotizing ulcerative periodontitis'?

<p>Necrotizing periodontal diseases (A)</p> Signup and view all the answers

Which of the following is NOT a consideration in the new classification framework?

<p>Historical significance of periodontal names (A)</p> Signup and view all the answers

Flashcards

What is Clinical Attachment Level (CAL)?

The distance from the cementoenamel junction (CEJ) to the tip of a periodontal probe during probing.

What is a Furcation?

The anatomical area of a multirooted tooth where the roots diverge.

What is Furcation Involvement?

Pathologic resorption of bone within a furcation area.

Limitation of Conventional Radiography

Radiographs do not show periodontal pockets.

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Limitation of Conventional Radiography

Radiographs cannot distinguish between posttreatment periodontitis and active periodontitis.

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Limitation of Conventional Radiography

Radiographs do not show buccal and lingual aspects of tooth and alveolar bone.

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Limitation of Conventional Radiography

Radiographs cannot detect tooth mobility.

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Limitation of Conventional Radiography

Radiographs provide evidence of past destruction to the periodontium, but cannot identify sites with active or ongoing periodontal inflammation.

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Limitation of Conventional Radiography

Clinical attachment loss always precedes visual radiographic changes by approximately 6 to 8 months.

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What is Bleeding on Probing (BOP)?

A sign of inflammation, but not a reliable indicator of active disease.

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What are Probing Depths (PDs)?

Indicates the depth of the periodontal pocket.

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What is Recession (RE)?

The distance between the CEJ and the gingival margin.

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What is Tooth Mobility?

Indicates the degree of tooth movement.

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What is Furcation Involvement?

Indicates the degree of bone loss in the furcation area.

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What is Schiller’s iodine test?

Differentiates oral mucosa from attached gingiva/keratinized gingiva (AG/KG) based on glycogen distribution.

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What is the Roll technique?

Differentiates oral mucosa from AG/KG by identifying the mucogingival junction (MGJ).

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What is Chronic Periodontitis?

Previously known as "Adult Periodontitis."

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What is Aggressive Periodontitis?

Previously known as "Early-onset Periodontitis."

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What are Necrotizing Periodontal Diseases?

Includes necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis.

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What is Periodontitis as a Manifestation of Systemic Disease?

Includes periodontitis associated with specific systemic diseases such as diabetes and HIV.

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What are Periodontic-Endodontic Lesions?

Involve both the periodontium and the pulp of a tooth.

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What is Periodontitis Staging?

Classifies the severity and extent of disease based on tissue destruction.

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What is Periodontitis Grading?

Assesses factors that influence disease control and long-term outcomes.

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Study Notes

Periodontal Examination

  • Clinical Attachment Level (CAL): The distance from the cementoenamel junction (CEJ) to the tip of a periodontal probe during probing.
  • Furcation: The anatomical area of a multirooted tooth where the roots diverge.
  • Furcation Involvement: Pathologic resorption of bone within a furcation area.

Limitations of Conventional Radiography

  • Radiographs do not show periodontal pockets.
  • Radiographs cannot distinguish between posttreatment periodontitis and active periodontitis.
  • Radiographs do not show buccal and lingual aspects of tooth and alveolar bone.
  • Radiographs cannot detect tooth mobility.
  • Radiographs can provide evidence of past destruction to the periodontium, but they cannot identify sites with active or ongoing periodontal inflammation.
  • Clinical attachment loss always precedes visual radiographic changes by approximately 6 to 8 months.

Clinical Examination Components

  • Bleeding on Probing (BOP): A sign of inflammation, but not a reliable indicator of active disease.
  • Probing Depths (PDs): Indicates the depth of the periodontal pocket.
  • Recession (RE): The distance between the CEJ and the gingival margin.
  • Tooth Mobility: Indicates the degree of tooth movement.
  • Furcation Involvement: Indicates the degree of bone loss in the furcation area.

Diagnostic Tools

  • Schiller’s iodine test: Differentiates oral mucosa from attached gingiva/keratinized gingiva (AG/KG) based on glycogen distribution.
  • Roll technique: Differentiates oral mucosa from AG/KG by identifying the mucogingival junction (MGJ).

Periodontal Disease Classifications

  • Chronic Periodontitis: Previously known as "Adult Periodontitis."
  • Aggressive Periodontitis: Previously known as "Early-onset Periodontitis."
  • Necrotizing Periodontal Diseases: Includes necrotizing ulcerative gingivitis and necrotizing ulcerative periodontitis.
  • Periodontitis as a Manifestation of Systemic Disease: Includes periodontitis associated with specific systemic diseases such as diabetes and HIV.
  • Periodontic-Endodontic Lesions: Involve both the periodontium and the pulp of a tooth.

Periodontal Staging and Grading

  • Staging: Classifies the severity and extent of disease based on tissue destruction.
  • Grading: Assesses factors that influence disease control and long-term outcomes.

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Description

This quiz covers essential concepts related to periodontal examination, including clinical attachment levels, furcation involvement, and the limitations of conventional radiography in diagnosing periodontal issues. Test your knowledge on key terms and the significance of clinical examinations in periodontal health.

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