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Questions and Answers
What is the primary purpose of evaluating clinical parameters during SPT?
What is the primary purpose of evaluating clinical parameters during SPT?
What type of risk assessment evaluates the overall risk profile for recurrence of periodontitis?
What type of risk assessment evaluates the overall risk profile for recurrence of periodontitis?
Which of the following is NOT a component of the Spider diagram for subject periodontal risk assessment?
Which of the following is NOT a component of the Spider diagram for subject periodontal risk assessment?
What type of risk assessment is concerned with the evaluation of a specific tooth?
What type of risk assessment is concerned with the evaluation of a specific tooth?
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Which of the following is an example of an environmental factor that contributes to periodontal risk assessment?
Which of the following is an example of an environmental factor that contributes to periodontal risk assessment?
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What is reflected by the loss of more than 8 teeth?
What is reflected by the loss of more than 8 teeth?
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What is the major risk factor for periodontal disease in IL-1 genotype-positive patients?
What is the major risk factor for periodontal disease in IL-1 genotype-positive patients?
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What is the threshold for moderate risk according to the subject periodontal risk assessment?
What is the threshold for moderate risk according to the subject periodontal risk assessment?
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What is considered a high-risk factor for periodontal disease?
What is considered a high-risk factor for periodontal disease?
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What is the primary factor in tooth risk assessment?
What is the primary factor in tooth risk assessment?
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According to the Guidelines of the American Academy of Periodontology (2006), when should a patient be referred to a periodontist?
According to the Guidelines of the American Academy of Periodontology (2006), when should a patient be referred to a periodontist?
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What is a key consideration when determining whether a patient's maintenance phase of therapy should be performed by a general practitioner or a specialist?
What is a key consideration when determining whether a patient's maintenance phase of therapy should be performed by a general practitioner or a specialist?
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According to the guidelines, what type of teeth should be referred to a periodontist?
According to the guidelines, what type of teeth should be referred to a periodontist?
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What is a key factor in determining the need for referral to a periodontist?
What is a key factor in determining the need for referral to a periodontist?
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What is a criterion for referral to a periodontist, according to the Guidelines of the American Academy of Periodontology (2006)?
What is a criterion for referral to a periodontist, according to the Guidelines of the American Academy of Periodontology (2006)?
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What is a common symptom of recurrence of periodontal disease?
What is a common symptom of recurrence of periodontal disease?
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Which of the following is a main cause of recurrence of periodontal disease?
Which of the following is a main cause of recurrence of periodontal disease?
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What can lead to increased mobility in periodontal disease?
What can lead to increased mobility in periodontal disease?
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What does the percentage of sites with bleeding on probing reflect?
What does the percentage of sites with bleeding on probing reflect?
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What is a possible cause of recession in periodontal disease?
What is a possible cause of recession in periodontal disease?
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What is a common consequence of inadequate treatment in periodontal disease?
What is a common consequence of inadequate treatment in periodontal disease?
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What is the significance of more than 8 residual pockets?
What is the significance of more than 8 residual pockets?
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What is the cut-off point for high risk in terms of percentage of sites with bleeding on probing?
What is the cut-off point for high risk in terms of percentage of sites with bleeding on probing?
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What does regular interference with the microbial ecosystem during periodontal maintenance do?
What does regular interference with the microbial ecosystem during periodontal maintenance do?
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What is the significance of a patient quitting smoking in terms of periodontal risk assessment?
What is the significance of a patient quitting smoking in terms of periodontal risk assessment?
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What is the primary role of residual periodontal support in tooth risk assessment?
What is the primary role of residual periodontal support in tooth risk assessment?
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Which of the following clinical parameters is NOT used to evaluate periodontal disease activity?
Which of the following clinical parameters is NOT used to evaluate periodontal disease activity?
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What is the primary purpose of site risk assessment in periodontal therapy?
What is the primary purpose of site risk assessment in periodontal therapy?
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Which of the following is a systemic factor that contributes to periodontal risk assessment?
Which of the following is a systemic factor that contributes to periodontal risk assessment?
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What is the primary role of BOP measurements in periodontal therapy?
What is the primary role of BOP measurements in periodontal therapy?
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What is the primary objective of subject risk assessment in periodontal therapy?
What is the primary objective of subject risk assessment in periodontal therapy?
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Which clinical parameter is most closely associated with site risk assessment?
Which clinical parameter is most closely associated with site risk assessment?
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What is the primary factor influencing tooth risk assessment?
What is the primary factor influencing tooth risk assessment?
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How often should patients with a high risk of periodontal disease recurrence be recalled for maintenance therapy?
How often should patients with a high risk of periodontal disease recurrence be recalled for maintenance therapy?
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What is the primary consideration when determining whether a patient's maintenance phase of therapy should be performed by a general practitioner or a specialist?
What is the primary consideration when determining whether a patient's maintenance phase of therapy should be performed by a general practitioner or a specialist?
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What is the role of systemic and genetic factors in periodontal risk assessment?
What is the role of systemic and genetic factors in periodontal risk assessment?
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What is the purpose of the Spider diagram in subject risk assessment?
What is the purpose of the Spider diagram in subject risk assessment?
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What is the primary objective of tooth risk assessment in periodontal therapy?
What is the primary objective of tooth risk assessment in periodontal therapy?
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What is the primary consideration when evaluating the need for referral to a periodontist?
What is the primary consideration when evaluating the need for referral to a periodontist?
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What is the role of bleeding on probing (BOP) in periodontal risk assessment?
What is the role of bleeding on probing (BOP) in periodontal risk assessment?
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Study Notes
Clinical Parameters and Risk Assessment
- Evaluating clinical parameters during SPT aims to assess the severity and extent of periodontal disease.
- Overall risk profile for recurrence of periodontitis is evaluated through subject periodontal risk assessment.
- The Spider diagram for subject periodontal risk assessment does not include the specific treatment history of the patient as a component.
- Tooth risk assessment focuses on evaluation of a specific tooth's condition and susceptibility to disease.
- Environmental factors such as smoking, poor oral hygiene, and stress are significant contributors to periodontal risk assessment.
Periodontal Disease Indicators
- Loss of more than 8 teeth indicates advanced periodontal disease and significant tooth loss.
- Major risk factor in IL-1 genotype-positive patients is the enhanced inflammatory response leading to greater periodontal breakdown.
- Moderate risk is indicated by specific thresholds such as a certain percentage of sites with bleeding on probing.
- High-risk factors for periodontal disease include diabetes, smoking history, and genetic predisposition.
Referral and Maintenance Considerations
- Referral to a periodontist should occur based on clinical indicators such as advanced disease, tooth mobility, and inadequate response to therapy.
- Consideration for whether maintenance should be performed by a general practitioner or a specialist includes the complexity of periodontal condition.
- Specific teeth with significant attachment loss or mobility should be referred to a periodontist.
- Key factors for determining referral include presence of advanced periodontal disease and patient's overall systemic health.
Recurrence and Disease Activity
- Common symptoms of recurrence of periodontal disease include increased tooth mobility and bleeding gums.
- A main cause of the recurrence is usually inadequate treatment adherence and maintenance.
- Increased mobility in periodontal disease can arise from extensive loss of periodontal support.
- Percentage of sites with bleeding on probing reflects the level of inflammation and disease activity in the periodontal tissues.
Treatment Outcomes and Risk Assessment
- More than 8 residual pockets are significant, indicating poor control of disease progression.
- High risk is identified with over 30% of sites exhibiting bleeding on probing.
- Regular microbial ecosystem interference during periodontal maintenance helps manage bacteria levels and prevent inflammation.
- Quitting smoking can lead to significant improvements in periodontal condition and reduces overall risk.
Assessment Roles and Objectives
- Residual periodontal support plays a primary role in tooth risk assessment concerning the stability of the tooth.
- Parameters such as clinical attachment level and probing depth are used to evaluate periodontal disease activity.
- Site risk assessment in periodontal therapy aims to identify high-risk areas for targeted treatment strategies.
- Systemic factors such as hormonal changes and underlying health conditions are pertinent to periodontal risk assessment.
- Bleeding on probing (BOP) measurements provide insights into active disease and tissue response during periodontal therapy.
Maintenance and Frequency
- Patients with a high risk of recurrence should be recalled for maintenance therapy every 3 to 4 months.
- Primary consideration for the maintenance phase of therapy relates to disease status and treatment response.
Spider Diagram Purpose
- Purpose of the Spider diagram in subject risk assessment is to visually represent multiple risk factors and their cumulative impact on periodontal health.
- Tooth risk assessment primarily objectives include assessing the current status, predicting potential disease development, and planning appropriate interventions.
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Description
Evaluate your knowledge of periodontal risk assessment, including subject, tooth, and site risk assessment. Learn how to identify early indicators of periodontal disease and prevent undertreatment or overtreatment.
