Periodontics Chapter 8 Quiz

Periodontics Chapter 8

• Anatomy: Covers the anatomy of the periodontium, including gingiva, periodontal ligament, cementum, and alveolar bone. Details of gingival components (oral epithelium, sulcular epithelium, junctional epithelium) and principal fibers of the periodontal ligament are discussed. Also includes descriptions of gingival crevicular fluid (GCF). Specific fibers and their functions are detailed (alaveolar crest, oblique, apical, and interradicular). Gingival apparatus is described. Stippling is explained, including its appearance and significance. Epithelial attachment is described.

• Diagnostic: Describes periodontal examination methods and assesses tooth mobility. A specific Glickman furcation classification for tooth evaluation is detailed, including Grades I-IV. Bleeding on probing (BOP) and pocket depths are also examined.

• Periodontal Pathology: Explores a variety of pathological conditions, including tooth brush trauma, gingival overgrowth, and trauma from occlusion (primary and secondary). The conditions, their signs, and their possible causes are highlighted. Trauma from occlusion may be reversible or irreversible depending on the circumstances.

• Therapy: Details scaling and root planing techniques. Different forms of periodontal curettes are discussed, including tactile sensitivity. Types of trauma from occlusion (primary and secondary) are described. Treatment options for these forms of trauma are detailed, including selective grinding and various forms of restorative care. Specific cases of tooth mobility and its implications are described.

• Maintenance: Discusses gingivitis and periodontal disease, including clinical criteria for diagnosis (color, etc). The details of various stages and progression of gingival diseases (incipient, developing, chronic) are described. Maintenance strategies are discussed, including the frequency of recalls. The importance of patient oral hygiene is emphasized.

• Periodontal Surgery: Explores different types of surgical interventions, such as osseous surgery, gingivoplasty, and gingivectomy. Detailed methods and benefits are provided for each technique, along with detailed explanations of techniques and applications. Specific procedures like Modified Widman Flap, Apically Positioned Flap, Distal Wedge Procedures, Guided Tissue Regeneration, Osteoplasty, Ostectomy, Root Amputation, and Hemisecction are outlined.

• Other Treatment Modalities Considered: Outlines other surgical intervention methods and procedures considered in periodontal treatment, such as bone grafting, reattachment procedures (including their indications), and considerations during treatment planning. Includes discussion of Treatment Modalities: Maintenance with periodic root planning, bone grafting, and reattachment procedures. Detailed discussion of the complications of periodontal surgery, including gingival recession.

• Trauma from Occlusion: Covers identification and possible treatments of various types of occlusion trauma, including radiographic symptoms and clinical symptoms. The distinction between primary and secondary occlusal trauma is highlighted and possible treatment considerations are discussed. Symptoms and diagnosis associated with trauma from occlusion are detailed.

• Clinical Criteria for Diagnosing Gingivitis: Explains clinical findings for diagnosis of inflammation, including details on color (normal, erythema, cyanosis), and other indicators.

• Pregnancy Gingivitis: Discusses the specific form of gingivitis associated with pregnancy, including its causes (hormonal changes) and symptoms.

• Acute Necrotizing Ulcerative Gingivitis (ANUG): Covers the symptoms (soreness, bleeding, offensive odor) of this condition and highlights its unique characteristics (predominantly affects adults, risk factors like smoking, poor hygiene, fatigue, stress and those with immune compromises), and treatment.

• Acquired Immune Deficiency Syndrome (AIDS) and HIV Gingivitis: Provides information on the association between HIV and periodontitis and the specific symptoms (linear marginal gingival erythema) of HIV gingivitis. The resistance to conventional therapy with this condition is also mentioned.

• Gingival Overgrowth, Tooth Brush Trauma: Explores the different types of trauma (brush trauma) and overgrowth diseases, detailing their causes, symptoms, and treatment options. Associated medications, such as phenytoin, are discussed.

• Gingivitis and Periodontitis: Discusses their distinct characteristics, stages of diseases and severity, clinical findings, and treatments. The distinction between the two conditions is also emphasized.

• Figures & Images: Highlights the supporting images (Figures 8-1 to 8-17, 8-20) throughout the chapter relating to each topic for further visual aids and information. More detailed descriptions of images and their implications are provided.