Risk Factors for Periodontal Disease
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Questions and Answers

What is a systemic risk factor for periodontal disease?

  • Poor oral hygiene
  • Smoking (correct)
  • Overhanging restorations
  • Supra and subgingival calculus deposits
  • Which example represents tertiary prevention in periodontal care?

  • Replacing missing teeth with an implant or bridge (correct)
  • Daily flossing
  • Administering fluoride toothpaste
  • Detecting early gingivitis
  • How much does smoking increase the risk of periodontal disease?

  • 2 times
  • 5 times
  • 3 times
  • 4 times (correct)
  • What is measured to assess glycaemic control in diabetic patients?

    <p>HbA1C levels</p> Signup and view all the answers

    What are the '5 A's' in smoking cessation?

    <p>Ask, Advise, Assess, Assist, Arrange</p> Signup and view all the answers

    What are three predictors of periodontal health?

    <p>Absence of plaque</p> Signup and view all the answers

    Which of the following is not a clinical response expected after effective periodontal therapy?

    <p>Increased inflammation</p> Signup and view all the answers

    What could lead to increased probing depths before periodontal therapy?

    <p>Presence of biofilm causing inflammation</p> Signup and view all the answers

    What is one response to successful periodontal treatment that can be visually assessed?

    <p>Gain in clinical attachment levels</p> Signup and view all the answers

    Which of the following is a sign that a site-specific area has been treated?

    <p>Absence of bleeding</p> Signup and view all the answers

    What are the classifications for site-specific responses after treatment?

    <p>Treated, Responding, Non-responding</p> Signup and view all the answers

    What is a common reason for recession following periodontal therapy?

    <p>Reduction of inflammation</p> Signup and view all the answers

    What should be assessed in a full periodontal reassessment?

    <p>Mobility</p> Signup and view all the answers

    What is the recommended time frame to conduct a periodontal reassessment after conventional periodontal surgery?

    <p>3 to 6 months</p> Signup and view all the answers

    When do the most significant improvements in pocket depths typically occur post periodontal treatment?

    <p>3 months</p> Signup and view all the answers

    During supportive periodontal therapy, how often should periodontal assessments occur?

    <p>Every 3 months</p> Signup and view all the answers

    What is an essential factor for the long-term success of periodontal treatment?

    <p>Daily plaque control</p> Signup and view all the answers

    How long should one wait after reconstructive or regenerative approaches before reassessing periodontal health?

    <p>9 to 12 months</p> Signup and view all the answers

    What is the purpose of periodontal reassessment?

    <p>To evaluate treatment effectiveness</p> Signup and view all the answers

    Which factors can affect a patient's susceptibility to periodontal disease?

    <p>Genetics, lifestyle, oral hygiene, stress</p> Signup and view all the answers

    Why is it important to wait at least 6 weeks for periodontal reassessment?

    <p>To ensure complete tissue healing</p> Signup and view all the answers

    Which of the following is NOT a sign that a site-specific area is non-responding?

    <p>Presence of pain</p> Signup and view all the answers

    What is a primary reason for suboptimal outcomes with site-specific responses?

    <p>Patient non-compliance with home care</p> Signup and view all the answers

    Which of the following steps is crucial to remedy suboptimal outcomes with site-specific responses?

    <p>Improved oral hygiene education</p> Signup and view all the answers

    Which histological lesions are typically seen in initial gingivitis within 24-48 hours?

    <p>Neutrophilic infiltration</p> Signup and view all the answers

    What histological changes are associated with established gingivitis (2-3 weeks)?

    <p>Increase in lymphocytic infiltration</p> Signup and view all the answers

    Which of the following is a microbiological change seen after non-surgical therapy?

    <p>Reduction in total bacterial count</p> Signup and view all the answers

    What occurs to gingival tissues as inflammation subsides following non-surgical therapy?

    <p>Reduce in swelling and redness</p> Signup and view all the answers

    What type of healing occurs via the long junctional epithelium post non-surgical therapy?

    <p>Repair healing without regeneration</p> Signup and view all the answers

    Which limitation is associated with healing post non-surgical therapy?

    <p>Poor tissue aesthetics</p> Signup and view all the answers

    Which response is most commonly reported by patients following non-surgical therapy?

    <p>Decreased bleeding</p> Signup and view all the answers

    What is a common cellular response following non-surgical therapy?

    <p>Increased macrophage numbers</p> Signup and view all the answers

    Which of the following is a common finding in a periodontal pocket one week after non-surgical therapy?

    <p>Decrease in depth of the pocket</p> Signup and view all the answers

    What can be observed in periodontal pockets one month following non-surgical therapy?

    <p>Establishment of healthy tissue</p> Signup and view all the answers

    Which mechanism explains pocket reduction following non-surgical therapy?

    <p>Resolution of inflammation</p> Signup and view all the answers

    Study Notes

    Risk Factors for Periodontal Disease

    • Risk Factor Definition: A characteristic of a person or their environment that increases the likelihood of developing a disease. Its absence decreases the likelihood.

    Systemic Risk Factors for Periodontal Disease

    • Smoking: Increases risk by 4 times. Frequency also increases risk. Former smokers can take over 10 years to eliminate the effect of smoking.
    • Uncontrolled Diabetes: A significant systemic risk factor is uncontrolled diabetes.
    • Genetics: Genetic predisposition can influence periodontal disease risk.
    • Nutrition: Poor nutrition can increase periodontal disease risk.
    • Stress: Stress can negatively impact periodontal health.

    Local Risk Factors for Periodontal Disease

    • Overhanging restorations: Poorly fitted restorations increase the risk of periodontal disease.
    • Supra and subgingival calculus deposits: Buildup of calculus (tartar) above and below the gum line is a local risk factor.

    Types of Preventive Care

    • Primary Prevention: Actions taken to prevent a disease before it occurs.
      • Example: Administering fluoride toothpaste.
    • Secondary Prevention: Actions to reduce the impact of an existing disease.
      • Example: Detecting early gingivitis.
    • Tertiary Prevention: Actions to reduce the complications of an established disease and improve quality of life.
      • Example: Replacing missing teeth with implants or bridges.

    Smoking and Periodontal Disease

    • Smoking significantly increases the risk of periodontal disease.
    • Smokers often have a less predictable response to non-surgical and surgical periodontal treatments.
    • It may take over 10 years for the effects of smoking on the periodontium to be reduced after quitting.

    Smoking Cessation - "5 A's"

    • Ask about smoking status.
    • Advise individuals to quit smoking.
    • Assess willingness to quit.
    • Assist in developing a cessation plan.
    • Arrange follow-up support.

    Diabetes and Glycemic Control

    • HbA1c: Used to measure glycemic control in diabetic patients.
    • Units: mmom/mol.
    • Good glycemic control: HbA1c levels need to be identified.
    • Poor glycemic control: HbA1c levels need to be identified.

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    Description

    This quiz explores the various risk factors associated with periodontal disease, including systemic and local influences. You will learn how lifestyle choices, genetics, nutrition, and dental practices can impact oral health. Test your knowledge on prevention strategies for maintaining periodontal health.

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