Term
| Treatment success depends on what 3 things? |
|
Definition
Plaque control by patient
Type of perio disease
Proper case selection-some cases you can't treat |
|
|
Term
| Why does the incidence of gingivitis drop around the age of ~14? |
|
Definition
| puberty (points out that mouth is not separate from the body) |
|
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Term
| What is the main reason (95%) adults lose teeth? |
|
Definition
|
|
Term
| Treatment success depends on what 3 things? |
|
Definition
Plaque control by patient
Type of perio disease
Proper case selection-some cases you can't treat |
|
|
Term
| Why does the incidence of gingivitis drop around the age of ~14? |
|
Definition
| puberty (points out that mouth is not separate from the body) |
|
|
Term
| What is the main reason (95%) adults lose teeth? |
|
Definition
|
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Term
| What is a predisposing factor that increases the probability of disease development? |
|
Definition
|
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Term
True or false
risk factors may be modifiable or non-modifiable |
|
Definition
true
modifiable (smoking)
non-modifiable (intrinsic, genetic predisposition, individual diversity) |
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Term
| What type of hypothesis states that periodontal disease is caused when it accumulates to the point of exceeding host-defense mechanisms. |
|
Definition
| non-specific plaque hypothesis |
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|
Term
True or false:
Most treatment approaches are based on the Specific Plaque Hypothesis |
|
Definition
False
Most treatment approaches are based on the Non-Specific Plaque Hypothesis |
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Term
| What type of hypothesis is a few specific microorganisms in the subgingival flora are responsible for one or more different forms of periodontal disease. |
|
Definition
specific plaque hypothesis
(Dental plaque from periodontally diseased sites are different from those adjacent to healthy sites.) |
|
|
Term
All of the following are characteristics of what structure?
Protects bacteria from potentially harmful surrounding environment
Insoluble making them difficult to remove
Increase resistance to antibiotics (Ab penetration difficult, slows growth rater of bacteria making them less susceptible to Ab) |
|
Definition
|
|
Term
True or false:
Specific types of bacteria cause periodontal disease |
|
Definition
True
Specific types of bacteria cause periodontal disease (bacteria/biofilm) |
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|
Term
True or false:
Bacteria causes most of the tissue destruction in periodontal disease |
|
Definition
False
Host inflammatory response cause most of the tissue destruction in periodontal dz |
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|
Term
True or false:
Diversity exists among individuals but most are susceptible to disease |
|
Definition
|
|
Term
True or false:
Perio disease is episodic. |
|
Definition
True
times of remission and exacerbation but always progressively losing bone |
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|
Term
True or false:
root planing is the definitive treatment for all periodontal disease |
|
Definition
False
Root planing is not definitive treatment for all periodontal disease (a group of diseases) |
|
|
Term
| What are the 2 types of gingivitis? |
|
Definition
plaque induced
non-plaque induced (virus, injury, etc) |
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|
Term
| Chronic periodontitis is generally in people over the age of ____? |
|
Definition
|
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Term
| Severe destruction at an early age is known as _________ periodontitis |
|
Definition
|
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Term
| What are the phases of periodontal treatment? |
|
Definition
Phase I treatment --> Phase I evaluation --> supportive treatment (maintenance, recall) - if everything is treated after phase I
OR
Phase I treatment --> phase I evaluation --> phase II treatment --> phase II evaluation --> supportive treatment (maintenance, recall) |
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|
Term
| List the steps of phase I treatment |
|
Definition
Control of etiological factors
-Plaque -> Oral Hygiene Instructions
-Calculus -> Scaling and root planing
Correction of plaque retentive factors:
-Overhanging/overcontoured restorations
-Odontoplasty
-Open contacts
Caries control
Extraction of hopeless teeth
Treatment of Occlusal trauma
Evaluation of Results ( Phase I Evaluation) |
|
|
Term
| After scaling and root planing, how does it reduce pocket depth? |
|
Definition
gingival recession due to reduction of edema
gain in clinical attachment levels
long junctional epithelium
connective tissue re-attachment
1-3 mm |
|
|
Term
True or false:
You can get rid of fibrous tissue by scaling and root planing. |
|
Definition
False
Only way to get rid is to surgically remove it |
|
|
Term
After scaling and root planing, when are the greatest changes?
Where is there no further gain after the time above? |
|
Definition
in first 4 weeks
No further gain in subsequent 3 months |
|
|
Term
After scaling and root planing, when is the dento gingival junction established?
How long may gradual repair & maturation occur? |
|
Definition
2-4 weeks
Gradual repair & maturation may occur over 9 to 12 months (microscopically) |
|
|
Term
When would you see a patient for phase I evaluation?
Why is this? |
|
Definition
After 4 weeks
Maximum effect of scaling and root planing
Most favorable micro flora
OH most optimal |
|
|
Term
What all are you looking for during phase I evaluation?
What happens if you find poor OH in phase I evaluation? |
|
Definition
Improvement of Oral Hygiene: Plaque Index
Reduction of Inflammation: Gingival Index
Reduction of probing depths
Change in attachment levels
Control of Occlusal forces
Poor OH: extend phase I (we want perfect OH) |
|
|
Term
| In phase I evaluation, what do we want to be under control/ want to be absent? |
|
Definition
etiological factors and inflammation under control
absence of calculus and plaque retentive factors
adequate oral hygiene
residual probing depths (>3mm) - otherwise pt can't clean it |
|
|
Term
True or false
Patients with poor oral hygiene will benefit from surgical therapy. |
|
Definition
False
only do surgical treatment if good oral hygiene and swelling has gone down but there's still a pocket |
|
|
Term
| If a patient still has deep residual probing depths after phase I evaluation should they go on to maintenance? |
|
Definition
No
It will not remain healthy because patient can't clean |
|
|
Term
True or false
Behavioral modification important of success of treatment of periodontal disease |
|
Definition
|
|
Term
| What phase treatment is correction of defects created by disease/periodontal surgery? |
|
Definition
|
|
Term
| What type of corrections would be considered phase II treatment? |
|
Definition
Pocket depth
Irregular Osseous architecture
Gingival overgrowth |
|
|
Term
| What type of periodontal surgery makes Flaps for access, Apically positioned flaps so they can clean? |
|
Definition
|
|
Term
| Why type of periodontal surgery forms new bone, cementum, and PDL = attachment gain? |
|
Definition
|
|
Term
What procedures correct mucogingival problems?
What are some examples of mucogingival problems? |
|
Definition
Mucogingival Procedures
Lack of keratinized tissue
Localized recession, root coverage
Frenum pull
Thin gingival tissue
-Orthodontic movement |
|
|
Term
True or false
Periodontal maintenance are measures taken by the therapist to preserve periodontal health and prevent further destruction. |
|
Definition
False
Measures taken by BOTH the patient and therapist to preserve periodontal health and prevent further destruction |
|
|
Term
| What is the difference between prophylaxis/prophy vs periodontal maintenance? |
|
Definition
History of periodontal disease
Instrumentation usually more involved
In depth assessment of periodontal status vs screening
Increase emphasis on plaque control |
|
|
Term
| When seeing implant patients, what all must you be cautious of? |
|
Definition
Special instruments that will not scratch the implants
Avoid acidic fluoride agents
Use nonabrasive prophy pastes |
|
|
Term
| In the successfully treated patient with normal sulcular depth, maintenance every ____ months may prevent further attachment loss. |
|
Definition
|
|
Term
True or false:
The long-term preservation of the dentition is closely associated with the frequency and quality of maintenance therapy. |
|
Definition
|
|
Term
True or false:
Most, if not all, success with regards to root planning, osseous surgery, regeneration and implant placement assumes strict compliance with periodontal maintenance. |
|
Definition
|
|
Term
True or false:
It is enough to inform the patient that they are to return for periodic maintenance. |
|
Definition
False
It is meaningless simply to inform patients that they are to return for periodic maintenance without clearly explaining the significance of these visits and describing what is expected of patients between visits. |
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