Destructive perio in a patient who, when monitored over time, exhibits additional
attachment loss at one or more sites, despite appropriate repeated professional Perio
therapy and a patient who practices satisfactory self-care.
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Refractory disease
,Aesthetically disfiguring overgrowth of the gingiva that is a side effect of associated
with certain medications
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Drug induced gingival enlargement
Diabetes mellitus, osteoporosis, hormone alteration, medications, tobacco use, and
genetic influences. Also tobacco use is a risk factor
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Systemic risk factors for periodontitis
Foreign objects that have been implicated in the periodontium. Include toothpicks
popcorn kernels peanut skin. Another cause is bacteria remaining in the deeper
aspects of the periodontal pocket.
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Perio abscesses causes
The host response is successful if all of the periodontal pathogen's are destroyed
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, Outcome of the host response
These cells are rapid responders and provide the first line of defense against many
common micro organisms and Are essential for the control of bacterial infections.
They are short lived cells.
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PMNs
Gingival inflammation initiated by plaque biofilm and Exacerbated by hormonal
changes in the second and third trimesters of pregnancy
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Pregnancy gingivitis
Changes in Contour, color, consistency. Common signs include redness, swelling,
bleeding, and tenderness.
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Clincal signs of plaque incuded gingivitis
First statement is false. Second is true
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Chronic periodontitis is usually painful. This disease can be site-specific
All statements are true.
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Smoking impairs healing in all aspects of periodontal treatment. Current
smokers usually have significantly worse. Conditions than never smokers or
former smokers. The American Academy of periodontology strongly
recommends inclusion of tobacco cessation counseling as part of. Therapy
This refers to an abscess of the periodontium that affects the deeper structures as
well as the gingival tissues. They usually occur in a site with pre-existing. Including
pre-existing patio pockets. It is not limited to the gingival only
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Periodontal abscess
An estimate of the extent that the tooth supporting structures have been destroyed
around a tooth.
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Clinical attachment loss
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