Poisson Distribution Explained

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Questions and Answers

According to the periodontal disease classification, what distinguishes Code 3 from Code 0/1/2?

  • Code 3 indicates pockets ≥4mm, while Code 0/1/2 indicates no pockets ≥4mm.
  • Code 3 involves no obvious evidence of interdental recession, requiring radiographic assessment, while Code 0/1/2 also shows no interdental recession but does not automatically require radiographs. (correct)
  • Code 3 requires full periodontal assessment, while Code 0/1/2 only requires initial therapy.
  • Code 3 involves >30% bleeding on probing, while Code 0/1/2 involves <10%.

In the context of periodontal staging, which factor primarily differentiates Stage II from Stage I?

  • Stage II demonstrates moderate severity, indicated by bone loss in the coronal third of the root, whereas Stage I is early/mild, with <15% attachment loss. (correct)
  • Stage II is always associated with a 'currently unstable' periodontitis status, unlike Stage I.
  • Stage II requires OPG/DPT radiographic assessment, while Stage I only needs bitewings.
  • Stage II involves a slower rate of progression compared to Stage I.

When is it appropriate to continue to the '0/1/2 pathway' after initial periodontal therapy?

  • When no pockets of ≥4mm are present, and there is no radiographic evidence of bone loss due to periodontitis. (correct)
  • When pockets of ≥4mm remain.
  • When there is radiographic evidence of bone loss due to periodontitis.
  • When bleeding on probing is greater than 30%.

What is the key distinction regarding radiographic assessment between the initial stages of diagnosis (Codes 0/1/2 and 3) and the staging process?

<p>Codes 0/1/2 and 3 involve radiographic assessment only if there is evidence of interdental recession, whereas staging uses radiographs to assess interproximal bone loss irrespective of recession. (B)</p> Signup and view all the answers

According to the classification, how does the assessment of 'currently stable' periodontitis status differ from 'currently in remission'?

<p>'Currently stable' indicates BoP &lt;10%, PPD ≤4mm, and no BoP at 4mm sites, while 'currently in remission' indicates BoP ≥10%, PPD ≤4mm, and no BoP at 4mm sites. (D)</p> Signup and view all the answers

In determining the 'Grade' of periodontitis, what calculation is used, and why is it significant?

<p>The calculation is '% bone loss ÷ patient age', reflecting the rate of disease progression and impacting its classification as Grade A, B, or C. (D)</p> Signup and view all the answers

When assessing interproximal bone loss for periodontal staging, what specific guideline is provided?

<p>Use the worst site of bone loss due to periodontitis. (D)</p> Signup and view all the answers

How does the diagnosis differ when localized gingivitis progresses to generalized gingivitis?

<p>Localized gingivitis involves &lt;10% bleeding on probing, while generalized gingivitis involves &gt;30% bleeding on probing. (A)</p> Signup and view all the answers

What is the significance of identifying plaque retentive factors in the diagnosis of periodontal diseases, and when should this be included?

<p>Plaque retentive factors should be commented on where a BPE code 2 is present as part of the diagnosis, which influences treatment planning and patient management. (C)</p> Signup and view all the answers

In the 'Diagnosis Statement', what specific elements, in order, are included to describe a patient's periodontal condition comprehensively?

<p>Extent - Periodontitis - Stage - Grade - Stability - Risk Factors (B)</p> Signup and view all the answers

Flashcards

Periodontal Disease Diagnosis

Involves history, examination, and screening; assesses historic periodontitis, including interdental recession.

Periodontitis: Code 0/1/2 Pathway

No pockets ≥4mm, and no radiographic evidence of bone loss due to periodontitis.

Periodontitis: Code 4 Pathway

Pockets ≥4mm remain and/or radiographic evidence of bone loss due to periodontitis.

Periodontitis Stage I

Less than 15% attachment loss (or <2mm) from the cementoenamel junction (CEJ).

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Periodontitis Stage II

Interproximal bone loss extends to the coronal third of the root.

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Periodontitis Stage III

Interproximal bone loss extends to the mid-third of the root.

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Periodontitis Stage IV

Interproximal bone loss extends to the apical third of the root.

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Periodontitis Grade A

Slow rate of progression; % bone loss divided by patient age is <0.5.

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Periodontitis Grade B

Moderate rate of progression; % bone loss divided by patient age is 0.5-1.0.

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Periodontitis Grade C

Rapid rate of progression; % bone loss divided by patient age is >1.0.

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Study Notes

The Poisson Distribution

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

Definition

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

Mean and Variance

  • If $X \sim Poisson(\lambda)$, then:
  • $E[X] = \lambda$ (the expected value of X is lambda)
  • $Var(X) = \lambda$ (the variance of X is lambda)

Example

  • Goals scored in a soccer match average 2.
  • The probability of scoring 5 goals in a match can be modeled as follows:
  • $P(X = 5) = \frac{e^{-2} 2^5}{5!} = 0.0361$

Poisson Sums

  • Taking $X_1, X_2,..., X_n$ as independent Poisson random variables.
  • Their means are $\lambda_1, \lambda_2,..., \lambda_n$, respectively.
  • $X_1 + X_2 +... + X_n$ is a Poisson random variable.
  • The mean becomes $\lambda_1 + \lambda_2 +... + \lambda_n$.

Example

  • There are two email accounts.
  • The first account receives emails following a Poisson distribution at a rate of 3 per hour.
  • The second account receives emails following a Poisson distribution at a rate of 5 per hour.
  • The probability of receiving a total of 10 emails in one hour can be found using Poisson Sums:
  • Let X be the number of emails arriving to the first account, and Y be the number of emails arriving to the second account.
  • $X \sim Poisson(3)$ 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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