Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BHS I > 3. Periodontal Disease Prevention > Flashcards

3. Periodontal Disease Prevention Flashcards

1
Q

Healthy Periodontium

____
____ Bone
____
____

A

gingiva
alveolar
periodontal ligament
cementum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Periodontal Disease Model

____ burden > ____ host > epithelium, connective tissue & bone ____ > bleeding, pockets, loss of attachment & bone loss

A

infectious
susceptible
metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk Factors for Periodontal Diseases

____ & ____ Host Factors

____ & ____

A

innate
acquired
environment
biofilm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Periodontal Disease Risk Assessment

  • Innate factors:
  • ____
  • gender
  • ____
  • congenital conditions
  • Acquired Risk Factors:
  • ____
  • medications
  • ____
  • income, SES
  • Environmental Factors:
  • poor ____
  • tobacco use
  • infrequent ____
  • occlusion
A 
age
race
diabetes/systemic conditions
stress/nutrition
oral hygiene
dental care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk factors for perio disease

Non-modifiable: ____, ____, race, congenital coniditons

Modifiable: ____, poorly controlled diabetes, ____, osteoporosis, low diet ____, stress/inadequate coping

A 
age
gender
smoking
obesity
calcium/vitamin D
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Monitor Health Status

  • ____ routine
  • ____ testing readily available
  • collaborate with ____
  • educate patient about ____ to identify & reduce complex interaction of ____
A 
health history
laboratory
primary care providers
risks
risk factors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Oral Complications in Diabetics

Increased ____ and Periodontitis
____, Xerostomia Enlarged ____ Gland
Caries, Tooth Loss
____ Dysfunction, Burning Mouth

A

gingivitis
thrush
parotid
taste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Change Local Environmental Factors

  • identify & eliminate ____ restorations
  • eliminate ____ depth
  • complete ____ therapy
  • evaluate & adjust occlusion
A

iatrogenic
pocket
orthodontic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Quitting Tobacco Essential in Periodontal Care

  • More than 50% of adult periodontal cases are attributable to ____
  • In current smokers ____ of cases may be caused by smoking
A

cigarette smoking

75%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Gram Negative Anaerobes

  • Reside ____ in pocket
  • Very difficult to access & control daily by patient
  • ____
  • Tannerella Forsythia
  • ____
  • AA: Aggregatibacter Actinomycetemcomitans
A

subgingivally

p. gingivalis
t. denticola

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Controlling Microbial Plaque Biofilm

____ Removal
Ø Toothbrush, Interdental Cleaners
Ø Water Pic (Oral Irrigator)

Antimicrobial Rinses & Toothpastes
Ø Rinses: 0.12% Chlorhexidine, ____ or Cetylpyridium Chloride
Ø Toothpaste: ____ or .0454 Stannous Fluoride

A

mechanical
essential oils
3% triclosan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Target Bacteria

Mechanical \_\_\_\_ Removal
\_\_\_\_ Rinses & Toothpastes
\_\_\_\_ placed antiseptics or antibiotics (gels or threads)
\_\_\_\_ Antibiotics
\_\_\_\_ Therapy
A 
plaque
antimicrobial
locally
systemic
pocket reduction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Identify and Increase Patient’s ____ Level

A

educational

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Use Disclosing Solution To Visualize ____

A

plaque biofilm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

____ Index
Gingival Bleeding on Probing or Instrumentation

Practice Teaching ____ Skills

A

Bleeding

Oral Hygiene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Brush Your Teeth And Gums

  • Brush ____ a day???
  • Use a ____ toothbrush
  • Bass & Modified Bass Method (Sulcular Brushing)
  • Angle the bristles into the ____, gently wiggle brush against tooth, roll remaining surface
  • ____ stroke
  • Fones: ____ brushing
  • Stillmans, Charter
  • Don’t forget your ____
A 
twice
soft
gum line
rolling
circular
tongue
17
Q

Powered Brushing

3 Basic Types

  • ____ Battery Powered
    • ____ brush, ____
  • Rechargeable Battery
    • Braun Oral B
  • Sonice Rechargeable Battery
    • Sonicare, Braun Sonic
A

AA
spin
actibrush

18
Q

Power Toothbrushes

  • removes ____, stain and reduces gingivitis greater than manual brushing
  • reduce physical & ____ skill needed for brushing
  • easier to use for ____
  • easier to brush someone else’s ____
A

plaque
cognitive
children
teeth

19
Q

Power Brushes Remove More Plaque in Same Time

Percentage Reduction of Plaque Over ____

A

time

20
Q

Cochrane Collaboratio, 2003

  • comparisons difficult to differing research designs
  • ____ (oral B braun) most effective in reducing plaque, gingivitis and bleeding
A

rotation oscillation

21
Q

Floss Between Your Teeth

  • use floss daily
  • stretch floss between fingers
  • glide floss between teeth, slide floss under gums
  • scrape floss against side of tooth
  • no difference ____ floss
A

waxed/unwaxed

22
Q

Research base for flossing

  • cochrane systematic review shows evidence that ____ plus toothbrushing reduced gingivitis, with weak evidence of plaque reduction
  • ____ flossing reduced interproximal caries risk
  • ____ brushes remove more plaque & reduce gingivitis as well as flossing
A

flossing
professional
interproximal

23
Q

Antiseptic Agents Mouth Rinse, Toothpaste

0.12% \_\_\_\_ Rinse
• \_\_\_\_ Mouth Rinse
• 0.454% \_\_\_\_ Fluoride Toothpaste
• .3% \_\_\_\_ Toothpaste,
2% \_\_\_\_ Copolymer, 0.2% \_\_\_\_
A 
chlorhexidine gluconate
essential oil
stannous
triclosan
gantrez
sodium fluoride
24
Q

0.12% Chlorhexidine - Anti-plaque, anti-gingivitis

  • complete ____ kill in 30s with a 15ml rinse 2x a day
  • controls gingivitis & ____
  • disrupts ____
  • substantive for ____ hours
  • available in ____ free versions, check label
A 
microbial
candida
cell wall
12
alcohol
25
Q

0.12% Chlorhexidine -anti-plaque, anti-gingivitis

  • ____ stain
  • strong ____
  • reduces ____
  • interacts with ____ in toothpaste
  • DO NOT USE in ____, CHX will be rendered inactive
A 
brown
flavor
taste
SLS (sodium lauryl sulfate)
combination
26
Q

Essential Oil Mouth Rinse - anti-plaque, anti-gingivitis

  • listerine mouthrinse, & other generic products
  • thymol, menthol, eucalypotl, methyl salicylate disrupt ____ & function
  • ____ spectrum antiseptic, also targets ____ from gram negative
  • ____ alcohol concentration, LISTERINE Zero
  • Use a 20ml rinse full strength for 30 seconds ____ daily
  • check label for therapeutic versions
A 
cell wall
broad
endotoxins
21/28%
twice
27
Q

Ethanol Mouthrinses & Risk for Oral Cancer: Conflicting Evidence, Consensus: Safe with Caution

  • Meta analysis revealed no statistically significant association bt EtOH containing mouthrinses & ____
  • 10 reviews/6 case control studies against an ____, with 1 review/9 case control studies supporting ____
  • conclusion: mouthrinses considered safe
  • recommendation: use with caution, continue to develop ____ versions
A

cancer
association
association
non-alcoholic

28
Q

0.07% CPC - crest pro health rinse, colgate total rinse

  • Alcohol Free Rinse Makes Anti-Plaque & Anti- Gingivitis Claims, No ____ Seal
  • “____” Essential Oils in Reducing, Plaque, Gingivitis & Bleeding Garcia, J Evid Based Dent Practice, 2008
  • feres, JADA, 2010
  • variations in products (crest complete + fluoride)
A

ADA

at least as good as

29
Q

Research Base for Rinsing

  • ____ and ____ effective in reducing plaque and gingivitis (Boyle, 2013)
  • ____ plus brushing reduces more plaque and gingivitis than brushing & flossing (Sharma, 2004)
  • ____ equivocal
  • ____ rinse reduces caries in both children and adults
A 
CHX
essential oil
essential oil
CPC
sodium fluoride
30
Q

0.3% Triclosan Toothpaste, 2% Gantrez Copolymer, 0.243% Sodium Fluoride - anti-plaque, anti-gingivitis, anti-caries

  • formulated in toothpaste (colgate total) that is accepted for antiplaque, antigingivitis, anticaries and tartar control claims
  • anti-bacterial effects - 24% less ____, 57% less ____, 14% ____
  • anti-inflam effects - reduces markers of inflammation: ____, IL1b, ____, CRP
A

plaque biofilm
gingivitis
caries reduction

PGE2
TNFa

31
Q

0.3% Triclosan Colgate Total

  • ____ Copolymer Ensures Stability & Twelve Hour Substantivity
  • Triclosan provides anti____ and anti-____ ____ spectrum action
  • ____ reduces dentin hypersensitivity and also reduces calculus
  • reduces decay due to ____
A 
PVM/MA
septic
inflammatory
broad
zinc chloride
sodium fluoride
32
Q

0.454% SnF2 - crest pro health - anti-plaque, anti-gingi, anti-caries

  • Stannous ion in fluoride stabilized with ____
  • ____ reductions vary from -2 to 22.7%
  • ____ reductions range from 18-22%
  • ____ reductions 24%
A

sodium hexametaphosphate
plaque
gingivitis
dentin hypersensitivity

33
Q 
Oral Irrigation: Water Flosser?
As compared to floss
- 50% \_\_\_\_ reduction
- Twice as effective reducing \_\_\_\_
- 29% better at \_\_\_\_ reduction
A

gingivitis
bleeding
plaque

34
Q

Oral Irrigation Research

Best at plaque reduction: irrigation w/ ____

Best as gingivitis reduction: irrigation w/ ____

A

CHX

essential oils

35
Q

Role of Antibiotic Agents in Treatment of Periodontal Disease

  • Topical gels placed ____
    • Minocycline microspheres (arestin)
    • doxycycline gel (atridox)
    • tetracycline threads (actisite)
    • metronidazole (elyzol)
  • ____ full strength anti’s
    • tetracyclines, metronidazole, quinolone & macrolid
  • Systemic low dose antibiotics as ____
    • doxycycline 20mg (periostat)
A

subgingivally
systemic
host modulation

36
Q

Tartar control products

  • ____ scavengers - reduce new calculus ____
  • cosmetic, not ____
  • ____
  • ____
A 
calcium
formation
therapeutic
pyrophosphates
zinc chloride
37
Q

Frequent Professional Care Controls Risks For Periodontal Diseases

  • Periodontal Debridement Reduces ____ & ____ Biofilm and Other Deposits
  • Scaling and Root Planing
    Remove all ____ and ____ calculus
  • Interval Based on Patient’s ____ and Extent of ____
A 
supra
subgingival
supragingival
subgingival
risks
disease

BHS I (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions