ch 16 & 55

Question 1

what do we check for during a periodontal exam and charting?

Answer 1

patient medical history, oral tissue, xray, dental history
1. pocket depth
2. mobility
3. exudate (pus)
4. bleeding index
5. gum recession

Question 2

what instrument do we use to measure periodontal pocket depth?

Answer 2

periodontal probe

Question 3

what is the best xray to evaluate bone loss?

Answer 3

vertical bitewing

Question 4

what instrument uses high frequency sound waves to remove calculus?

Answer 4

ultrasonic scaler

Question 5

how do we treat gingivitis?

Answer 5

dental prophy

Question 6

which antimicrobial solution/therapy is most effective for reducing plaque and gingivitis?

Answer 6

chlorhexidine (chx)

Question 7

this perio surgery pushes away tissue from bone

Answer 7

perio flap surgery

Question 8

what are 5 advantages to laser surgery?

Answer 8

hemostasis is rapid (control bleeding)
dry surgical field
less trauma
less scary sounding
no numbing

Question 9

what signs and symptoms do we find with periodontal disease?

Answer 9

red, inflammation, bleeding
mobility
4 mm+ pockets
bone loss

Question 10

what are our levels of mobility?

Answer 10

0 - normal
1 - slightly mobile
2 - moderate mobility
3 - extreme mobility

Question 11

what soft material forms on the teeth causing gum inflammation?

Answer 11

plaque

Question 12

what are our sulcus range measurements?

Answer 12

1-3 mm - healthy
4mm - warning
5 mm+ - perio disease

Question 13

how many probing depths do we measure per tooth

Answer 13

6

Question 14

what 2 instruments are most commonly used in periodontal procedures?

Answer 14

scalers and curettes

Question 15

what procedure removes calculus deposits from teeth?

Answer 15

scaling

Question 16

what does a 4mm pocket tell us?

Answer 16

inflammation - warning

Question 17

what is our non-surgical perio treatment?

Answer 17

dental prophy

Question 18

what are the contraindications for ultrasonic scalers?

Answer 18

communicable disease
susceptible to infection
resp. problems
pacemaker

Question 19

what procedure removes toxic cementum from the tooth root?

Answer 19

root planing

Question 20

what is the adverse effect of tetracycline that we warn patients about?

Answer 20

interferes with birth control

Question 21

how do we deliver antibiotics directly into a perio pocket?

Answer 21

gel/powder directly into pocket

Question 22

what is a gingivoplasty?

Answer 22

surgical reshaping of gums

Question 23

what is bone augmentation?

Answer 23

adding artifivial bone

Question 24

what should a patient do after perio surgery if bleeding persists?

Answer 24

apply pressure on gauze for 20 min, call office

Question 25

what are the disadvantages of using a laser?

Answer 25

expensive, not always faster

Question 26

why do dentists mark the pockets on the facials an linguals before starting surgery?

Answer 26

creates dotted line of blood for dr to cut

Question 27

post op. instruction: activity

Answer 27

limit activity for next few days

Question 28

post op. instruction: rinsing

Answer 28

no rinsing for 24 hours

Question 29

post op. instruction: bleeding

Answer 29

slight bleeding for 4-5 hours. if bleeding continues, apply pressure on gauze for 20 minutes. do not rise. if bleeding persists call office.

Question 30

post op. instruction: discomfort

Answer 30

mild discomfort expected, take pain meds as needed

Question 31

post op. instruction: eating

Answer 31

soft diet, avoid hot/spicy/acidic/citrusy, avoid chewing on surgical side

Question 32

post op. instruction: dressing

Answer 32

will harden over 2 hours after placement, stays in place until follow up, if a piece chips its fine, if big piece call office

Question 33

post op. instruction: swelling

Answer 33

ice pack 15/20 on, 15/20 off for next 4 hours, if swelling travels down neck call office

Question 34

post op. instruction: smoking

Answer 34

NO SMOKING

Question 35

post op. instruction: home care

Answer 35

if dressing present, brush gently. if no dressing, keep area clean. medicated mouth wash as instructed, warm salt water rinses the day after

Question 36

post op. instruction: If you...

Answer 36

have any questions, call the office.