Podcast
Questions and Answers
Which of the following is a systemic factor that can impact periodontal disease prognosis?
Which of the following is a systemic factor that can impact periodontal disease prognosis?
- Arthritis
- Obesity
- High blood pressure
- Diabetes (correct)
What type of bone loss has a better prognosis?
What type of bone loss has a better prognosis?
- Horizontal bone loss
- Angular bone loss
- Vertical bone loss (correct)
- Radicular bone loss
What is the primary factor that leads to periodontal disease?
What is the primary factor that leads to periodontal disease?
- Plaque (correct)
- Poor oral hygiene
- Smoking
- Diabetes
Which neurological condition can impact a patient's ability to brush their teeth?
Which neurological condition can impact a patient's ability to brush their teeth?
What is the most important factor in determining periodontal prognosis?
What is the most important factor in determining periodontal prognosis?
Which of the following is NOT a local factor that affects periodontal disease prognosis?
Which of the following is NOT a local factor that affects periodontal disease prognosis?
What is the term for the safest type of bone defect to heal with regenerative therapy?
What is the term for the safest type of bone defect to heal with regenerative therapy?
What is the worst prognosis category for periodontal disease?
What is the worst prognosis category for periodontal disease?
Which of the following is an anatomic factor that affects periodontal disease prognosis?
Which of the following is an anatomic factor that affects periodontal disease prognosis?
What is the term for the patient's ability to keep a certain area of the mouth clean?
What is the term for the patient's ability to keep a certain area of the mouth clean?
What is prognosis in the context of disease?
What is prognosis in the context of disease?
Why is a younger patient's prognosis worse than an older patient's?
Why is a younger patient's prognosis worse than an older patient's?
What is more important to consider when determining prognosis: probing pocket depth or clinical attachment loss?
What is more important to consider when determining prognosis: probing pocket depth or clinical attachment loss?
Why is it important to consider the entire dentition when determining prognosis?
Why is it important to consider the entire dentition when determining prognosis?
What does the phrase 'see the forest for the trees' mean in the context of prognosis?
What does the phrase 'see the forest for the trees' mean in the context of prognosis?
What is a key factor to consider when determining a patient's prognosis?
What is a key factor to consider when determining a patient's prognosis?
Why is clinical attachment loss a better measurement than probing pocket depth?
Why is clinical attachment loss a better measurement than probing pocket depth?
What is the main goal of determining prognosis?
What is the main goal of determining prognosis?
Study Notes
Prognosis in Periodontal Disease
- Prognosis is the prediction of the outcome of a disease, considering factors such as the entire dentition, not just individual teeth.
Clinical Factors
- Patient's age is an important factor; younger patients with periodontal disease have a worse prognosis due to longer time for the disease to progress.
- Clinical attachment loss is a more important factor than probing pocket depth, as it's a fixed point measurement.
- Pot control and oral hygiene are crucial; poor oral hygiene and non-compliance can lead to a worse prognosis.
- Vertical bone loss has a better prognosis than horizontal bone loss, as it can be treated with regenerative therapy.
Systemic Factors
- Smoking decreases healing and can cause direct damage to the periodontal apparatus.
- Poorly controlled diabetes leads to poor healing and a worse prognosis for periodontal disease.
- Parkinson's disease can impact motor ability, making it difficult for patients to brush their teeth, leading to a worse prognosis.
Anatomic Factors
- Features that predispose a tooth to furcation involvement can compromise the patient's ability to keep the area clean, worsening prognosis.
Prognosis Categories
- The six prognosis categories, from best to worst, are: excellent, good, fair, poor, questionable, and hopeless.
- These categories are determined by factors such as bone level, tooth mobility, furcation involvement, local and systemic factors, and patient motivation and cooperation.
Key Takeaway
- Clinical attachment loss is the most important factor in determining periodontal prognosis, and is the best measurement to use.
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