Poisson Distribution: Definition and Examples

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Questions and Answers

According to the periodontal disease classification, what is the initial step following a code 3 BPE score in the absence of interdental recession?

  • Initiate a strict oral hygiene regime and reassess in 6 months.
  • Appropriate radiographic assessment. (correct)
  • Full periodontal assessment, including a detailed 6-point pocket chart.
  • Referral to a periodontist for surgical intervention.

In the context of staging periodontitis, what is the key differentiating factor between Stage II and Stage III?

  • The percentage of interproximal bone loss in relation to the root length. (correct)
  • Pocket probing depths (PPD) exceeding 6mm.
  • Presence of any clinical attachment loss (CAL).
  • Furcation involvement detected clinically.

What combination of clinical findings would classify a patient's current periodontitis status as 'Currently in Remission'?

  • Bleeding on probing (BoP) ≥10%, pocket probing depth (PPD) ≤4mm, and no bleeding on probing at 4mm sites. (correct)
  • No bleeding on probing, regardless of pocket probing depth.
  • Bleeding on probing (BoP) <10%, pocket probing depth (PPD) ≤4mm, and no bleeding on probing at 4mm sites.
  • Pocket probing depth (PPD) ≥5mm with bleeding on probing.

According to the guidelines, when is it most appropriate to utilize CAL or bone loss from CEJ, in radiographic assessment for periodontal staging?

<p>When bitewings are the only available radiographs. (D)</p> Signup and view all the answers

Given the parameters for grading periodontitis, which calculation determines the grade?

<p>Percentage of bone loss divided by patient age. (A)</p> Signup and view all the answers

If a patient presents with a BPE score of code 2, which additional diagnostic step should be undertaken according to the provided guidelines?

<p>Assess and document any plaque retentive factors. (D)</p> Signup and view all the answers

A patient exhibits probing depths of 5mm and bleeding on probing at several sites. How would you classify their current periodontitis status according to the BSP guidelines?

<p>Currently unstable. (D)</p> Signup and view all the answers

In determining the 'Extent' component of the periodontal diagnosis statement, what percentages of teeth affected would classify periodontitis as 'Generalised'?

<p>More than 30% of teeth are affected. (D)</p> Signup and view all the answers

What is the significance of assessing 'Risk Factors' in the context of the 2017 classification of periodontal diseases?

<p>To guide preventative and therapeutic strategies. (B)</p> Signup and view all the answers

Following initial periodontal therapy for a patient with a code 3 BPE score, when should the review with a localised 6-point pocket chart be conducted?

<p>In 3 months within localised sextant(s). (B)</p> Signup and view all the answers

Flashcards

Periodontal Disease Diagnosis

The history, examination, and screening process used to identify periodontal disease, including BPE and assessment of historic periodontitis (interdental recession).

Periodontal Code 0/1/2

No obvious evidence of interdental recession.

Periodontal Code 3

No obvious evidence of interdental recession.

Periodontal Code 4

Presence and/or obvious evidence of interdental recession.

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<10% Bleeding on Probing

Less than 10% bleeding on probing, indicating clinical gingival health.

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10-30% Bleeding on Probing

Between 10-30% bleeding on probing, indicating localized gingivitis.

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30% Bleeding on Probing

More than 30% bleeding on probing, indicating generalized gingivitis.

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No Pockets ≥4mm

No pockets ≥4mm and no radiographic evidence of bone loss due to periodontitis; continue with code 0/1/2 pathway.

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Pockets ≥4mm Remain

Pockets ≥4mm remain and/or radiographic evidence of bone loss is present/ continue with code 4 pathway.

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Currently Stable Periodontitis

Current status where bleeding on probing (BOP) is less than 10%, pocket probing depth (PPD) is ≤4mm, and there is no bleeding on probing at 4mm sites.

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Study Notes

The Poisson Distribution

  • The Poisson distribution is a discrete probability distribution.
  • It expresses the probability of a given number of events occurring in a fixed interval of time or space.
  • These events occur with a known constant mean rate.
  • These events occur independently of the time since the last event.

Definition of Poisson Distribution

  • A discrete random variable $X$ has a Poisson distribution with parameter $\lambda > 0$ if its probability mass function (PMF) is given by $P(X = k) = \frac{e^{-\lambda} \lambda^k}{k!}$, where $k = 0, 1, 2,...$
  • $e$ is Euler's number ($e \approx 2.71828$).
  • $k$ is the number of occurrences of an event.
  • $k!$ is the factorial of $k$.
  • $\lambda$ is a positive real number, equal to the expected number of occurrences during the interval.

Mean and Variance of Poisson Distribution

  • If $X \sim Poisson(\lambda)$, then:
    • $E[X] = \lambda$ (Mean)
    • $Var(X) = \lambda$ (Variance)

Example of Poisson Distribution

  • Scenario: Average goals in a soccer match = 2.
  • Question: What is the chance of 5 goals being scored in a match?
  • Solution:
    • $P(X = 5) = \frac{e^{-2} 2^5}{5!} = 0.0361$

Poisson Sums

  • Let $X_1, X_2,..., X_n$ be independent Poisson random variables with means $\lambda_1, \lambda_2,..., \lambda_n$, respectively.
  • Then $X_1 + X_2 +... + X_n$ is a Poisson random variable with mean $\lambda_1 + \lambda_2 +... + \lambda_n$.

Example of Poisson Sums

  • Scenario: Two email accounts. The number of emails arriving to the first account follows a Poisson distribution with a rate of 3 emails per hour. The number of emails arriving to the second account follows a Poisson distribution with a rate of 5 emails per hour.
  • Question: What is the probability that you will receive a total of 10 emails in one hour?
    • Let X be the number of emails arriving to the first account, and Y be the number of emails arriving to the second account. Then $X \sim Poisson(3)$ and $Y \sim Poisson(5)$.
    • $X + Y \sim Poisson(3 + 5) = Poisson(8)$
    • $P(X + Y = 10) = \frac{e^{-8} 8^{10}}{10!} = 0.09926$

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