Perio LO-Agent Map

Maps the Periodontics learning objectives (DMD3S1) to the live D3S1::Perio Anki deck, ranks objectives most→least likely-to-be-tested, and gives paste-ready filtered-deck queries as an importance-band × yield matrix (incl. an 80/20 Pareto core). Built 2026-05-23 against real card counts. Ranking signals, strongest first: (S2) the Perio Exam Tips recall note (the only direct exam signal — no curated exam-high deck exists for Perio), (S3) per-lecture emphasis (one agent per lecture), (S4) minimal web search. Selection is by tag, scoped by deck:"D3S1::Perio" (yield/LO live in tags, shared across subjects — always keep the deck scope).

§A — Anki Snapshot

MetricValue
DeckD3S1::Perio (L1–L6, structure Lecture::Topic-slug::Yield::Scope)
Total cards1838 (911 notes)
High_Yield759 · Medium_Yield 682 · Low_Yield 235
Untiered (~Images + 1 placeholder)~162
LO:: tags present58 (≈1:1 with topic-slugs) + LO::UNASSIGNED (60 cards)
Yield / scope / type tagsAnki_Creator_Yield_Scope::{High,Medium,Low}_Yield, …::{Broad,Mid,Small}_Scope, Anki_Creator::{Case_Study,Front_Back,Image,Image_Occlusion,Quiz}
ankicreator::isolated-good-yield-fact0 (clean)
Curated exam-high decknone for Perio (cf. MIR/OralMed/OralSurgery under D3S1::Exams)

L6 yields were assigned on 2026-05-23

L6 cards shipped without yield tags (328/348 untiered). A dedicated agent classified all 180 untagged notes from card content + the exam-tips emphasis; tags were written with addTags (65 High / 84 Medium / 31 Low notes). L6 now mirrors L1–L5: 123 High / 172 Medium / 53 Low. This is the only collection write (see §E).

§A1 — LO ↔ tag coverage & gaps

All 58 LO bullets resolve to a LO:: tag (verified live). Coverage flags:

  • Strong High coverage (Pareto LOs all have ≥7 High cards) — see §B.
  • 0-High gap: LO::Occlusal_Adjustment_Splinting_Modalities (35 cards, 0 High / 28 Med) and LO::Interdisciplinary_Perio-Prostho_Foundation (1 High) — splinting/management detail; sit in the Tail band, surface only via Core-broad.
  • Unmapped isolated facts: LO::UNASSIGNED = 60 cards (all L5): mucoperiosteal flap thickness types, advanced regen (growth factors, Gem21s/PDGF, 3D scaffolds, cell/gene therapy), healing-assessment parameters (CAL, re-entry), and a palatal-root-groove management case. These escape every LO-band filter → captured by the Rescue filter (§D).

§B — Per-lecture LO ranking

One agent per lecture ranked its LOs by exam-likelihood (most→least). H/M/L = live High/Medium/Low card counts. Band = final cross-lecture grouping used by the filters (§C): ParetoCore; Tail = low-priority (excluded from Core). ⭐ = direct Perio Exam Tips hit.

L1 Introduction to Periodontal Surgery

LOLO:: tagH/M/LBand
Indications & contraindications for perio surgery ⭐Periodontal_Surgery_Indications17/10/3Pareto
Classify surgical procedures (resective/regen/access/plastic) ⭐Periodontal_Surgical_Classifications16/5/0Pareto
Regenerative modalities (GTR/EMD/grafts; regen vs repair) ⭐Regenerative_Surgery_Modalities7/7/1Pareto
EFP S3 treatment sequence (Steps 0–4)EFP_S3_Treatment_Sequence29/8/11Core
Surgical incision sequenceSurgical_Incision_Sequence10/4/0Core
Flap design principles ⭐Flap_Design_Principles9/3/0Core
Furcation defect managementFurcation_Defect_Management7/5/0Core
Crown lengthening (aesthetic & functional)Crown_Lengthening_Procedures6/1/0Core
GTR barrier membrane principlesGTR_Membrane_Principles5/3/0Core
Osseous resective surgeryOsseous_Resective_Surgery1/2/1Tail

L2 Gingival Recession and Overgrowth

LOLO:: tagH/M/LBand
Root coverage procedures (CAF/CTG/FGG/Tunnel/LPF) ⭐Root_Coverage_Procedures16/17/0Pareto
Recession classification (Miller/S&A/Cairo RT1–3)Recession_Classification_Systems19/5/1Core
Aetiological factors (anatomical/inflammatory/traumatic/iatrogenic)Recession_Etiological_Factors19/10/0Core
Manage gingival overgrowth (non-surgical & surgical)Gingival_Overgrowth_Management10/30/3Core
Prognostic factors for recession treatmentRecession_Treatment_Prognosis11/5/0Core
Drug-induced overgrowth pathogenesis (phenytoin/CsA/CCB)Drug-Induced_Overgrowth_Pathogenesis8/10/9Core
Clinical consequences of recessionGingival_Recession_Consequences7/2/0Tail
Recession definition & epidemiologyRecession_Definition_Epidemiology6/2/3Tail

L3 Endo Perio

No direct exam-tip hits — L3 competes for fewer MCQs; study the top of the list densely.

LOLO:: tagH/M/LBand
Treatment sequencing (endo first, ≥4-week wait)Endo-Perio_Treatment_Sequencing20/25/1Pareto
Essential Three diagnostics (sensibility/probing/radiograph)Combined_Lesion_Diagnostics15/18/3Core
Classify endo-perio lesions (EFP ± root damage, grades 1–3)Endo-Perio_Lesion_Classification14/5/8Core
Lesion-origin decision tree (Linde)Linde_Lesion_Origin_Tree19/6/2Core
Multifactorial prognosis frameworkMultifactorial_Prognosis_Assessment10/31/0Core
Anatomical communication pathways (accessory canals)Anatomical_Communication_Pathways11/6/1Core
Manage root damage (VRF/perforation/resorption)Root_Damage_Management3/15/4Core
Diagnostic pitfalls (transient pulpal response)Diagnostic_Pitfall_Recognition8/6/6Tail
Bidirectional spread (pulp→perio common; perio→pulp rare)Bidirectional_Pathological_Spread6/5/4Tail
Cortellini 2011 regenerative outcomesRegenerative_Therapy_Outcomes6/2/4Tail

L4 Perio Resto

No direct exam-tip hits, but biologic width is a perennial written-exam topic.

LOLO:: tagH/M/LBand
Consequences of biologic width violationBiologic_Width_Violation_Consequences16/6/0Pareto
Biologic width dimensions (Gargiulo; Schmidt variability)Biologic_Width_Dimensions14/7/8Core
Restorative margin classification (supra/equi/subgingival)Restorative_Margin_Classification13/25/9Core
Prerequisites for comprehensive dentistryComprehensive_Dentistry_Prerequisites21/15/7Core
Crown lengthening assessment (<3 mm rule, bone sounding)Crown_Lengthening_Assessment9/7/3Core
Restorative design for plaque retentionRestorative_Plaque_Retention15/6/0Core
Crown lengthening surgical techniques (BW × KT matrix)Crown_Lengthening_Surgical_Techniques6/20/2Core
Subgingival margin management (Carvalho)Subgingival_Margin_Management8/1/3Tail
Interdisciplinary perio→prostho foundationInterdisciplinary_Perio-Prostho_Foundation1/10/10Tail
Manage overhanging/defective restorationsDefective_Restoration_Management4/1/3Tail

L5 Wound healing and regeneration

Densest exam-relevant lecture; the exam tips explicitly flag healing phases + cell types and GTR/graft material types.

LOLO:: tagH/M/LBand
Four phases of healing + epithelial migration “wins the race” ⭐Periodontal_Wound_Healing_Phases30/22/4Pareto
Melcher hypothesis (cell type → outcome) ⭐Melcher_Hypothesis_Regeneration29/2/4Pareto
Emdogain (EMD) indications & contraindications ⭐Emdogain_Regeneration_Indications39/17/6Pareto
Bone graft classification (osteogenic/inductive/conductive/scaffold) ⭐Bone_Graft_Material_Classification12/25/7Pareto
LJE (repair) vs true regeneration; histology gold standardLJE_Versus_True_Regeneration30/24/1Core
Intrabony defect morphology (1/2/3-wall) & regen potentialIntrabony_Defect_Morphology25/20/0Core
Patient & defect factors affecting regenerationRegeneration_Patient_Factors20/7/2Core
GTR membrane function (resorbable vs non-resorbable) ⭐GTR_Membrane_Function6/10/11Core
Critical surgical elements for regenerationSurgical_Regeneration_Principles11/3/0Core
Three intentions of wound healing (1st/2nd/3rd)Wound_Healing_Intentions7/5/4Tail

L6 The role of Occlusion in Periodontal therapy

LOLO:: tagH/M/LBand
Jiggling forces mechanism (bidirectional, funnel crest) ⭐Jiggling_Forces_Mechanism9/12/0Pareto
Clinical & radiographic signs of TFO (fremitus, mobility, PDL widening)Trauma_From_Occlusion_Signs31/29/4Pareto
PDL physiology & changes from traumatic occlusion ⭐PDL_Physiology_Adaptive_Capacity10/18/3Pareto
Occlusal trauma ↔ periodontitis (co-destruction, not initiation)Occlusal_Trauma_Periodontitis_Relationship24/20/12Core
Define occlusal trauma (2017 World Workshop)Occlusal_Trauma_Classification17/19/16Core
Primary vs secondary occlusal traumaPrimary_Secondary_Occlusal_Trauma6/9/0Core
Pathological mobility assessment (Periotest, Miller)Pathological_Tooth_Mobility_Assessment11/24/7Core
Histological responses (pressure/tension)Histological_Responses_Traumatic_Forces8/10/0Core
Occlusal adjustment & splinting modalitiesOcclusal_Adjustment_Splinting_Modalities0/28/7Tail
Abfraction & recession evidence (2017)Abfraction_Gingival_Recession_Evidence7/3/2Tail

§C — Bands

Band 1 — Pareto Core (13 LOs · 480 cards). The jeev-anchored must-knows + one insurance pick each for the jeev-cold L3/L4. Every direct exam-tip topic is here.

Periodontal_Surgery_Indications · Periodontal_Surgical_Classifications · Regenerative_Surgery_Modalities · Root_Coverage_Procedures · Endo-Perio_Treatment_Sequencing · Biologic_Width_Violation_Consequences · Periodontal_Wound_Healing_Phases · Melcher_Hypothesis_Regeneration · Emdogain_Regeneration_Indications · Bone_Graft_Material_Classification · Jiggling_Forces_Mechanism · Trauma_From_Occlusion_Signs · PDL_Physiology_Adaptive_Capacity

Band 2 — Core (46 LOs · 1603 cards). All LOs except the 12 Tail LOs and UNASSIGNED. Expressed as an exclusion (shorter and equivalent to OR-ing the 46). Tail LOs excluded:

Osseous_Resective_Surgery · Gingival_Recession_Consequences · Recession_Definition_Epidemiology · Diagnostic_Pitfall_Recognition · Bidirectional_Pathological_Spread · Regenerative_Therapy_Outcomes · Subgingival_Margin_Management · Interdisciplinary_Perio-Prostho_Foundation · Defective_Restoration_Management · Wound_Healing_Intentions · Occlusal_Adjustment_Splinting_Modalities · Abfraction_Gingival_Recession_Evidence

§D — Filter matrix (paste-ready)

Build with Tools → Create Filtered Deck (Ctrl+Alt+F) → paste a query → Build. Build one at a time (overlapping filtered decks cannibalise cards). Each filter has two variants — (a) is:new for fresh cramming, (b) due/review for retention. The deck is currently all-new, so the (b) counts are 0 today and grow as you study. Ladder (live): Pareto-strict 252 ⊂ Core-strict 698 ⊂ Core-broad 1286 ⊂ deck 1838.

Pareto-strict — Band 1 ∩ High_Yield (252 cards)

(a) new — 252

deck:"D3S1::Perio" (tag:LO::Periodontal_Surgery_Indications OR tag:LO::Periodontal_Surgical_Classifications OR tag:LO::Regenerative_Surgery_Modalities OR tag:LO::Root_Coverage_Procedures OR tag:LO::Endo-Perio_Treatment_Sequencing OR tag:LO::Biologic_Width_Violation_Consequences OR tag:LO::Periodontal_Wound_Healing_Phases OR tag:LO::Melcher_Hypothesis_Regeneration OR tag:LO::Emdogain_Regeneration_Indications OR tag:LO::Bone_Graft_Material_Classification OR tag:LO::Jiggling_Forces_Mechanism OR tag:LO::Trauma_From_Occlusion_Signs OR tag:LO::PDL_Physiology_Adaptive_Capacity) tag:Anki_Creator_Yield_Scope::High_Yield is:new

(b) due/review — 0 now

deck:"D3S1::Perio" (tag:LO::Periodontal_Surgery_Indications OR tag:LO::Periodontal_Surgical_Classifications OR tag:LO::Regenerative_Surgery_Modalities OR tag:LO::Root_Coverage_Procedures OR tag:LO::Endo-Perio_Treatment_Sequencing OR tag:LO::Biologic_Width_Violation_Consequences OR tag:LO::Periodontal_Wound_Healing_Phases OR tag:LO::Melcher_Hypothesis_Regeneration OR tag:LO::Emdogain_Regeneration_Indications OR tag:LO::Bone_Graft_Material_Classification OR tag:LO::Jiggling_Forces_Mechanism OR tag:LO::Trauma_From_Occlusion_Signs OR tag:LO::PDL_Physiology_Adaptive_Capacity) tag:Anki_Creator_Yield_Scope::High_Yield (is:due OR is:review)

Pareto-broad — Band 1 ∩ (High OR Medium) (447 cards)

(a) new — 447

deck:"D3S1::Perio" (tag:LO::Periodontal_Surgery_Indications OR tag:LO::Periodontal_Surgical_Classifications OR tag:LO::Regenerative_Surgery_Modalities OR tag:LO::Root_Coverage_Procedures OR tag:LO::Endo-Perio_Treatment_Sequencing OR tag:LO::Biologic_Width_Violation_Consequences OR tag:LO::Periodontal_Wound_Healing_Phases OR tag:LO::Melcher_Hypothesis_Regeneration OR tag:LO::Emdogain_Regeneration_Indications OR tag:LO::Bone_Graft_Material_Classification OR tag:LO::Jiggling_Forces_Mechanism OR tag:LO::Trauma_From_Occlusion_Signs OR tag:LO::PDL_Physiology_Adaptive_Capacity) (tag:Anki_Creator_Yield_Scope::High_Yield OR tag:Anki_Creator_Yield_Scope::Medium_Yield) is:new

(b) due/review — 0 now

deck:"D3S1::Perio" (tag:LO::Periodontal_Surgery_Indications OR tag:LO::Periodontal_Surgical_Classifications OR tag:LO::Regenerative_Surgery_Modalities OR tag:LO::Root_Coverage_Procedures OR tag:LO::Endo-Perio_Treatment_Sequencing OR tag:LO::Biologic_Width_Violation_Consequences OR tag:LO::Periodontal_Wound_Healing_Phases OR tag:LO::Melcher_Hypothesis_Regeneration OR tag:LO::Emdogain_Regeneration_Indications OR tag:LO::Bone_Graft_Material_Classification OR tag:LO::Jiggling_Forces_Mechanism OR tag:LO::Trauma_From_Occlusion_Signs OR tag:LO::PDL_Physiology_Adaptive_Capacity) (tag:Anki_Creator_Yield_Scope::High_Yield OR tag:Anki_Creator_Yield_Scope::Medium_Yield) (is:due OR is:review)

Core-strict — Band 2 ∩ High_Yield (698 cards)

(a) new — 698

deck:"D3S1::Perio" -tag:LO::UNASSIGNED -tag:LO::Osseous_Resective_Surgery -tag:LO::Gingival_Recession_Consequences -tag:LO::Recession_Definition_Epidemiology -tag:LO::Diagnostic_Pitfall_Recognition -tag:LO::Bidirectional_Pathological_Spread -tag:LO::Regenerative_Therapy_Outcomes -tag:LO::Subgingival_Margin_Management -tag:LO::Interdisciplinary_Perio-Prostho_Foundation -tag:LO::Defective_Restoration_Management -tag:LO::Wound_Healing_Intentions -tag:LO::Occlusal_Adjustment_Splinting_Modalities -tag:LO::Abfraction_Gingival_Recession_Evidence tag:Anki_Creator_Yield_Scope::High_Yield is:new

(b) due/review — 0 now

deck:"D3S1::Perio" -tag:LO::UNASSIGNED -tag:LO::Osseous_Resective_Surgery -tag:LO::Gingival_Recession_Consequences -tag:LO::Recession_Definition_Epidemiology -tag:LO::Diagnostic_Pitfall_Recognition -tag:LO::Bidirectional_Pathological_Spread -tag:LO::Regenerative_Therapy_Outcomes -tag:LO::Subgingival_Margin_Management -tag:LO::Interdisciplinary_Perio-Prostho_Foundation -tag:LO::Defective_Restoration_Management -tag:LO::Wound_Healing_Intentions -tag:LO::Occlusal_Adjustment_Splinting_Modalities -tag:LO::Abfraction_Gingival_Recession_Evidence tag:Anki_Creator_Yield_Scope::High_Yield (is:due OR is:review)

Core-broad — Band 2 ∩ (High OR Medium) (1286 cards)

(a) new — 1286

deck:"D3S1::Perio" -tag:LO::UNASSIGNED -tag:LO::Osseous_Resective_Surgery -tag:LO::Gingival_Recession_Consequences -tag:LO::Recession_Definition_Epidemiology -tag:LO::Diagnostic_Pitfall_Recognition -tag:LO::Bidirectional_Pathological_Spread -tag:LO::Regenerative_Therapy_Outcomes -tag:LO::Subgingival_Margin_Management -tag:LO::Interdisciplinary_Perio-Prostho_Foundation -tag:LO::Defective_Restoration_Management -tag:LO::Wound_Healing_Intentions -tag:LO::Occlusal_Adjustment_Splinting_Modalities -tag:LO::Abfraction_Gingival_Recession_Evidence (tag:Anki_Creator_Yield_Scope::High_Yield OR tag:Anki_Creator_Yield_Scope::Medium_Yield) is:new

(b) due/review — 0 now

deck:"D3S1::Perio" -tag:LO::UNASSIGNED -tag:LO::Osseous_Resective_Surgery -tag:LO::Gingival_Recession_Consequences -tag:LO::Recession_Definition_Epidemiology -tag:LO::Diagnostic_Pitfall_Recognition -tag:LO::Bidirectional_Pathological_Spread -tag:LO::Regenerative_Therapy_Outcomes -tag:LO::Subgingival_Margin_Management -tag:LO::Interdisciplinary_Perio-Prostho_Foundation -tag:LO::Defective_Restoration_Management -tag:LO::Wound_Healing_Intentions -tag:LO::Occlusal_Adjustment_Splinting_Modalities -tag:LO::Abfraction_Gingival_Recession_Evidence (tag:Anki_Creator_Yield_Scope::High_Yield OR tag:Anki_Creator_Yield_Scope::Medium_Yield) (is:due OR is:review)

Rescue — unmapped isolated facts (60 cards)

High-value L5 facts (flap thickness types, growth factors/Gem21s/PDGF, 3D scaffolds, cell/gene therapy, palatal-root-groove case) that carry no LO:: tag and so escape every band filter. (a) new — 60

deck:"D3S1::Perio" tag:LO::UNASSIGNED is:new

(b) due/review — 0 now

deck:"D3S1::Perio" tag:LO::UNASSIGNED (is:due OR is:review)

§V — Verification

  • All filter counts confirmed live via AnkiConnect (2026-05-23). Deck total 1838 reconciles with per-lecture sums (L1 192 · L2 209 · L3 294 · L4 285 · L5 509 · L6 348 + cross-deck Images).
  • Every LO resolves to a LO:: tag; all 13 Pareto LOs have ≥6 High cards (no Pareto coverage gap).
  • Subset ladder holds: Pareto-strict (252) ⊂ Core-strict (698) ⊂ Core-broad (1286) ⊂ deck (1838); Pareto-strict (252) ⊂ Pareto-broad (447).
  • Known gaps to make cards for later: Occlusal_Adjustment_Splinting_Modalities (0 High — splinting detail) and Interdisciplinary_Perio-Prostho_Foundation (1 High); both sit in Tail and appear only in Core-broad.
  • Yield isolation: L6 yields are newly assigned (this map’s write), not pipeline-native — High = exam-tip-anchored facts (jiggling forces, PDL changes, TFO signs, primary/secondary, trauma↔plaque); spot-check after a study session and re-tag if any feel mis-banded.

§E — Change log

  • Collection write (one): assigned Anki_Creator_Yield_Scope::{High,Medium,Low}_Yield to 180 previously-untiered L6 notes (65/84/31) via addTags — reversible with removeTags. Working files: ~/.claude/plans/l6-cards.tsv, l6-yield-assignment.tsv.
  • Everything else is filter-only — no LO/band tags written; the full queries above live in this doc, not the collection. ankicreator::isolated-good-yield-fact left at 0.