Ok.
have started reading over notes again.. and here are the strats of my questions:
1: Fenestrations are anatomical defects in bone..(windows) but they shouldn't technically cause any clinical problems(perio pocket readings) unless they are close to the alveolar crest.. Is this correct??
2:Is a dental abscess the same as a periodontal abscess.??? as it says that inflammatory causes of perio can be caused by retrograde perio;dental abscess and then below that it says periodontal abscess is another cause..???
3: and lastely.. one of the few questions that i am sure i got from in todays exam... Module 4 says that obesity is something we should look for when diagnosing perio...bu can someone explain to me... How is being obese associated with perio??? coz all ican think of is that it mayyyyyy possibly lead to increase in diabetes risk???
OKthats all for now Dont worry..guaranteed there will be more.
5 comments:
1. Correct. Fenestrations are missing gingiva exposing bone. They only thing a fenestration can do i am pretty sure is cause increase risk of root caries, and sensitivity.
2. I was under the impression a dental abscess was the same as a periodontal abscess.
3. I did the same thing and... in looking over the notes for the exam today he did not mention obesity as a risk factor so therefore he can not include it although it does suggest it for the perio 3 exam. However, I did some research jut now which suggests it could potentially be a risk factor for numerous diseases including perio. however, i think more research is needed to prove it is an actual risk factor....but I agree how is been obese lead to perio.
Sorry I couldn't tell you much.
1. (due to exposure of cementum)
Okay here is some more jargon that i have just come across....supposedly obesity isnt a risk factor for perio but it is a risk factor for diabetes and diabetes is a risk factor for perio.
Ok lets clear a few things up here.
Think about why people become obese? Usually poor eating habits are associated with high levels of stress. Second fact, think of the dietary intake of people with obesity. What do you think they may be lacking in? How is this associated then with perio?
Also, go back to your first year notes guys....fenestrations are windows of bony defects, not gingival defects. What other bony defects exist and what is their significance..
have one more go at these.
ok so obese people probably dont have a great fruit and veg intake.. Which is likely to decrease Vit C (scurvy), and also as we said before being obese increases chances of diabetes which affects neutrophils/macrophages etc. SOOOO i guess it is a risk facotr.. (i was kinda hoping it wasn't... knew ishouldn't have answered that one)
Other boney defects include dehiscence( where the tooth sits out of the boney plate) and therefore can appear as attachment loss but is not actually caused bydisease.. and can lead to an increase in recession(due to know underlying bone for support).
With the fenestrations thing.. i had in my notes that they dont cause clinical problems unless close to alveolar crest, so was just checking bascially to determine if these "clinical problems" were like pocket depths.?
beth also i was under the impression that perio abscess and dental absces were the same, but coz theywrote them seperately and differently i wasnted to double check..my assumptions lately have really not gotten me far. lol..
I have more questions going up..i feel like im asking soo much and n one else is?? mehh you can all help me anyways..haha
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