Understanding Periodontal Diseases

Learning Objectives

Chapter 1                       

A Whistle-Stop Tour of the Periodontium

  1. Define orthokeratinized.
  2. Describe gingival crevicular fluid.
  3. Describe the three types of gingival epithelium.
  4. Describe root cementum
  5. Describe the alveolar bone.

Chapter 2                       

How Does Plaque Cause Disease?

  1. Define pathogen, commensal and opportunistic pathogen.
  2. Discuss the 1988 study by Preus and Olsen.
  3. Define planktonic, pioneer and corn-on-the-cob relationship.
  4. State why the use of antibiotics is counter-productive in chronic periodontitis.
  5. Define aerobic, anaerobic and facultative.
  6. State the three hypothesis that have developed to explain how bacteria causes periodontal diseases.

Chapter 3                       

The Role of the Host Response

  1. Discuss the two types of immunity.
  2. Discuss the complement cascade.
  3. Describe the neutrophil.
  4. Compare the immunoglobulins IgM and IgG.


Chapter 4                       

Risk Assessment

  1. Discuss a risk factor and define the two types.
  2. Describe risk markers and risk patients.
  3. List the four levels of the multi-level risk assessment and the patient-level risk factors.
  4. List the genetic, environmental, behavioral, lifestyle, and metabolic diseases/disorders risk factors for periodontitis.

Chapter 5                       

Natural History and Clinical Signs of Periodontal Disease

  1. Discuss several natural history studies of periodontal disease.
  2. Compare the linear model and random burst or multiple asynchronous burst model
  3. Compare the clinical signs of gingivitis and periodontitis.
  4. State the principle limitation of clinical measures of periodontal disease.

Chapter 6                      

Classification of Periodontal Diseases

  1. List the specific issues with the 1999 Classification System.
  2. State the main problem of the 1999 International Workshop System.
  3. Describe the ideal classification system

Learning Objectives

Chapter 7                      

The Initial Consultation-Screening Examination

  1. Compare the medical history and social history.
  2. Compare the extra-oral and intra-oral exam.
  3. Describe the Basic Periodontal Examination.
  4. Compare the advantages and disadvantages of the Basic Periodontal Examination.

Chapter 8                      

The Detailed Clinical Periodontal Examination

  1. Discuss bleeding on probing and probing pocket depth.
  2. Describe the significance and detection of furcation involvement.
  3. Describe grading of tooth mobility.
  4. Discuss errors associated with manual probing and how the type of probe affects the measurements.

Chapter 9                      

Radiographic Examination and Special Tests

  1. Compare dental panoramic tomograms, bitewings, and periapicals.
  2. List the three aspects of bone loss.
  3. State several disadvantages of radiographs.
  4. List common blood tests.
  5. Describe a guttapercha point.

Chapter 10                    

Periodontal Diagnosis and Prognosis

  1. Define a prognosis.
  2. List several local prognostic factors.