Periodontics · patient case question

All of the following are risk factors for periodontal disease EXCEPT:

Patient case: Analgesia, periodontal risk and ectodermal dysplasia

Scenario: Three items.

  1. Diabetes mellitus
  2. HIV infection
  3. Tobacco use
  4. Asthma
Show answer and explanation

Correct answer: D. Asthma

  • A. Diabetes is one of the strongest and best-documented risk factors, with a bidirectional relationship — periodontitis also worsens glycaemic control.
  • B. HIV is a genuine risk factor. Immunosuppression predisposes to necrotising periodontal diseases and accelerated attachment loss.
  • C. Smoking is the single most important modifiable risk factor, and it also masks bleeding on probing, hiding disease from both patient and clinician.
  • D. Correct — this is the exception. Asthma is not an established periodontal risk factor. Inhaled corticosteroids raise candidiasis risk and beta-agonists can dry the mouth, but neither makes asthma itself a risk factor for periodontitis.

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