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Questions and Answers
Which of the following is a systemic factor that can impact periodontal disease prognosis?
What type of bone loss has a better prognosis?
What is the primary factor that leads to periodontal disease?
Which neurological condition can impact a patient's ability to brush their teeth?
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What is the most important factor in determining periodontal prognosis?
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Which of the following is NOT a local factor that affects periodontal disease prognosis?
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What is the term for the safest type of bone defect to heal with regenerative therapy?
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What is the worst prognosis category for periodontal disease?
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Which of the following is an anatomic factor that affects periodontal disease prognosis?
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What is the term for the patient's ability to keep a certain area of the mouth clean?
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What is prognosis in the context of disease?
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Why is a younger patient's prognosis worse than an older patient's?
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What is more important to consider when determining prognosis: probing pocket depth or clinical attachment loss?
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Why is it important to consider the entire dentition when determining prognosis?
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What does the phrase 'see the forest for the trees' mean in the context of prognosis?
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What is a key factor to consider when determining a patient's prognosis?
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Why is clinical attachment loss a better measurement than probing pocket depth?
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What is the main goal of determining prognosis?
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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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