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Perio 2 > Ch 27 Periodontal Surgery > Flashcards

Ch 27 Periodontal Surgery Flashcards

1
Q

A healing of a wound by formation of tissues that do not precisely restore the original architecture or original function of the body part?

A

Healing by REPAIR

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2
Q

A healing of a periodontal wound by the reunion of the connective tissue and roots where these two tissues have been separated by incision or injury but not by disease?

A

Healing by REATTACHMENT

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3
Q

A term used to describe the union of a pathologically exposed root with connective tissue or epithelium?

A

healing by NEW ATTACHMENT

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4
Q

The biologic process by which the architecture and function of lost tissue is completely restored?

A

healing by REGENERATION

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5
Q

healing by______occurs when the wound margins or edges are closely adapted to each other?

A

Primary intention

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6
Q

An example of this healing intention is when a small wound in a finger that requires stitches. To adapt the margins of the wound closely, a physician places stitches

A

Primary intention

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7
Q

Healing by_____takes place when the margins or edges of the wound are not closely adapted?

A

Secondary intention

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8
Q

What is needed in secondary intention healing to close the space for wound healing?

A

Granulation tissue

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9
Q

Healing of a wound that is temporarily left open with the specific intent of surgically closing that wound at a later date?

A

Teritary intention

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10
Q

A surgical procedure in which incision re made in the gingiva or mucosa to allow for separation of the surface tissues from the underlying tooth roots and underlying tooth roots and underlying alveolar bone?

A

Periodontal flap

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11
Q

Separating the surface tissues from the underlying tooth root and alveolar bone is commonly referred to?

A

Elevation

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12
Q

What are the 4 types of healing of the paeriodontium following periodontal surgery?

A
  1. repair
  2. reattachment
  3. new attachment
  4. regeneration
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13
Q

What are common relative contraindications for periodontal surgery?

A
  • Certain systemic disease or conditions
  • Noncompliant with self-care
  • High risk for dental caries
  • Unrealistic expectations for surgical outcomes
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14
Q

Indications for periodontal surgery ?

A
  • Provide access for improved periodontal instrumentation for root surfaces
  • Reduce pocket depths
  • Provide access to periodontal osseous defects
  • Resect or remove tissue
  • Regenerate the periodontium lost due to disease
  • Graft bone or bone-stimulating materials into osseous defects
  • Improve the appearance of the periodontium
  • Enhance prosthetic dental care
  • Allow for the placement of a dental implant
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15
Q

A deformity in the tooth-supporting alveolar bone usually resulting from periodontitis ?

A

Osseous defect

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16
Q

A flap that is sutured with the margin of the flap at its original position in relationship to the CEJ on the tooth?

A

A non displaced flap

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17
Q

A flap that is sutured with the margin of the flap placed at a position other than its original position in relationship to the CEJ of the tooth?

A

A displaced flap

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18
Q

Refers to the removal of alveolar bone that is actually attached to the tooth?

A

Ostectomy

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19
Q

Ostectomy is also known as?

A

Osteoectomy

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20
Q

Bone taken from patients own body is?

A

Autograft

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21
Q

Bone taken from another human is?

A

Allograft

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22
Q

Bone taken from another species is?

A

Xenograft

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23
Q

Synthetic bone-like material is?

A

Alloplast

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24
Q

A periodontal surgical procedure employed to encourage regeneration of lost periodontal structures (to regrow lost cementum, lost periodontal ligament, and lost alveolar)?

A

Guided tissue regeneration (GTR)

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25
Q

Post-surgical complications can be?

A
  1. face swelling (Common)
  2. bleeding (Minor)
  3. smoking (not during healing time)
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26
Q

Following routine flap surgery and gingivectomy, manual self-care can be resumed by the patient in how many das?

A

10-14

27
Q

GTR or bone grafting, the surgical sites should not be cleaned with routine mechanical plaque control for up to ?

A

4-6 weeks

28
Q

Following periodontal flap surgery, the patient is most often reappointed in how many days for the first post surgical visit?

A

5-7 days

29
Q

Periodontal plastic surgery designed to create a longer clinical crown for a tooth by removing some of the gingiva and usually by removing some alveolar bone from the necks of the teeth?

A

Crown lengthening surgery

30
Q

A periodontal plastic surgical procedures that results in removal of a frenum, including removal of the attachment of the frenum to bone?

A

Frenectomy

31
Q

A periodontal plastic surgical procedure the can be used to cover gingival recession where the recession is not far advanced and where the keratinized tissues have an adequate thickness?

A

Semilunar Flap

32
Q

T/F During esthetic crown lengthening, the gingival tissues are incised and reshaped to expose more of the natural crown of the tooth?

A

True

33
Q

A surgical procedure used to encourage the body to rebuild alveolar bone that has been lost usually as a result of periodontal disease?

A

Bone replacement graft

34
Q

Removal of some tooth-supporting bone is known as?

A

Ostectomy

35
Q

Reshaping of the surface bone contours is known as?

A

Osteoplasty

36
Q

Two of the most common classification of periodontal flaps are?

A
  1. the degree of bone exposure provided by the flap

2. the location of the margin (or edge) of the flap when it is suture back into place.

37
Q

An immature tissue with many capillaries (neovascularization) and fibroblasts?

A

Granulation tissue

38
Q

Uses a barrier membrane to block migration of epithelial cells?

A

Gtr

39
Q

What is the most common surgical procedure to reduce pocket pocket depths?

Removes soft tissue only
Treatment of gingival hyperplasia and pesudopockets

A

Gingivectomy

40
Q

The potential for new bone cells and new bone to form following bone grafting?

A

Osteogenesis

41
Q

Healing by NEW ATTACHMENT occurs when ______ and _________are newly attached to a tooth root where periodontitis had previously destroyed this attachment?

A

Epithelium and connective tissue

42
Q

An example of healing by REPAIR is?

A

A formation of a scar

43
Q

For healing of the periodontium to be described as REGENERATION, what has to be reformed?

A

Lost Cementum
Lost Alveolar bone
Lost Periodontal ligament

44
Q

During surgery to minimize periodontal pockets it is common for the pt to experience?

A

Temporary Dentinal hypersensitivity (postsurgical)

45
Q

T/F The free gingival graft requires harvesting a donor section of tissue, usually from the palate, so there are TWO INTRAORAL WOUNDS that are created during this surgery

A

True

46
Q

The two intraoral wounds in free gingival graft are known as?

A

Donor site

Recipient site

47
Q

The donor tissue for a free gingival graft includes what tissues?

A

Surface epithelium and some of he underlying connective tissue

48
Q

T/F The type of healing expected from flap for access surgery is healing by repair and usually involves formation of a long junctional epithelium

A

True

49
Q

T/F Thorough and meticulous nonsurgical therapy even in areas of deep pockets can reduce the extent of any planned periodontal surgical treatment and is always an important part of pt care

A

True

50
Q

T/F dental plants are not surrounded by cementum and periodontal ligaments (as are natural teeth), these implants are subject to periodontal disease that can result in the los of supporting bone just like the natural tooth?

A

True

51
Q

Many sutures are loose and no longer needed to stabilize the tissues at the time of ________posy surgical visit?

A

1 week

52
Q

Most periodontal sutures should not be left in place longer than?

A

2 weeks

53
Q

T/F dressing amount should be minimal to avoid contact of the dressing with the teeth in the opposite arch

A

True

54
Q

Includes elevation of entire thickness of the soft tissue (including epithelium, connective tissue, and periosteum)

A

Full thickness flap

55
Q

What provides the complete access to underlying bone that might be needed when bone replacement grafting or periodontal regeneration procedures are anticipated

A

Full thickness flap

56
Q

Includes elevation of only the epithelium and a thin layer of underlying connective tissue rather than the entire thickness of the u underlying soft tissue

A

Partial thickness flap

57
Q

Use of this technique would leave the periosteal tissue covering the bone ?

A

Partial thickness flap

58
Q

T/F The gingivectomy was used for many years in periodontitis as a primary treatmentmodify, but, it plays a great reduced role in modern dentistry

A

True

59
Q

Removing some of the gingiva and usually by removing some alveolar bone from the necks of teeth is known as?

A

Crown lengthening surgery

60
Q

T/F the site of bone replacement graft should be left u disturbed for many months the and should not be probed until an appropriate Interval has elapsed?

A

True

61
Q

T/F The dental hygienist should consult with the dentist to determine when a graft site may be probed safely?

A

True

62
Q

Perio flap incisions are used to?

A

SRP and reshape or treat alveolar bone defects due to periodontitis

63
Q

T/F root coverage is attempted with the subepithelial connective tissue graft and not all sites result in complete root coverage

A

True

64
Q

T/F subepithelial connective tissue graft results In excellent aesthetics since the healed tissues mimics preexisting tissue color

A

True

Perio 2 (2 decks)

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