Ch. 9 Periodontal Therapy

Question 1

What is the primary objective of periodontal therapy?

Answer 1

To treat periodontal disease

Question 2

A prophylaxis, or prophy, is performed on patients with what disease?

Answer 2

Performed on patients with stage 1 (early gingivitis) to prevent periodontal disease

Question 3

Periodontal therapy, which is non surgical, is used in the treatment of patients with what disesae?

Answer 3

Stage 2 (early periodontitis), stage 3 (established periodontitis), and stage 4 (advanced periodontitis) periodontal disease

Question 4

What does COAPT or COHAPT stand for?

Answer 4

Complete Oral Health Assessment and Prevention or Treatment

Question 5

What 3 things does COAPT cover?

Answer 5

Assessment, Prophy, and Treatment

Question 6

What is scaling?

Answer 6

Mechanical removal of plaque, calculus, and stains from the crown and root surfaces

Question 7

What is root planing?

Answer 7

The removal of calculus and cementum from the root surface and the creation of a clean, smooth, glasslike root surface

Question 8

What is the technique used with root planing?

Answer 8

A curette is positioned against the root surface that move in overlapping strokes (up/down, side to side, diagonal)

Question 9

What is the technique of root planing called?

Answer 9

Cross-hatch planing

Question 10

Periodontal debridement definition

Answer 10

The treatment of gingival and periodontal inflammation or the removal of damaged tissue or foreign objects from a wound

Question 11

What is a periodontal pocket?

Answer 11

An area of diseased gingival attachment, characterized by loss of attachment and eventual damage to the tooth’s supporting bone

Question 12

What are the benefits of ultrasonic scaling vs traditional therapy with the use of a curette?

Answer 12

Provides water lavage, irrigates the tissues, and flushes debris from pockets to improve cleanliness and wound healing, disrupts the bacterial cell walls, less treatment time, and is less traumatic to gingival tissues

Question 13

What is cementum?

Answer 13

The substance that attaches the periodontal ligament to the tooth

Question 14

What is the past belief about build-up within the cementum?

Answer 14

Experts believed that calculus and toxins from bacteria were embedded in the cementum, therefore, removal of the cementum was necessary

Newer research has shown that bacterial plaque is loosely bound and molecular growth factors are contained within the cementum, aiding in the reattachment of the periodontal ligament to the root surface. Now, only the removal of plaque and calculus is mandatory

Question 15

What is doxirobe gel?

Answer 15

An antibiotic that delivers doxycycline directly to periodontal pockets for antibiotic therapy of periodontal debridement

Question 16

What are the effects of doxirobe?

Answer 16

Reduced periodontal pocket depth, increases attachment levels, and reduces gingival inflammation

Question 17

How is doxirobe mixed?

Answer 17

You need 2 syringes that are connected. Syring A contains the polymer delivery system and syring B contains the active ingredient (doxycycline). The materials are mixed back and forth between syringes 100 times and is transferred to syringe A for final mix

Question 18

What is the indication for use of doxirobe gel?

Answer 18

For the treatment and control of periodontal disease in dogs with depths greater than or equal to 4mm

Question 19

What is Arestin and how is it used?

Answer 19

Arestin is a sustained-release, locally applied antibiotic that targets the porphyromonas that cause periodontal disease. This is a powder that is applied with a syringe

Question 20

What is the active ingredient in Arestin?

Answer 20

Monocycline Hydrochloride

Question 21

What is Clindoral?

Answer 21

A sol-to-gel liquid

Question 22

How is Clindoral used?

Answer 22

Releases slowly over 7 to 10 days to fight periodontal pathogens by inhibiting protein synthesis in the bacterial cell

Question 23

What is the active ingredient in clindoral?

Answer 23

Clindamycin Hydrochloride

Question 24

What does CUPS stand for?

Answer 24

Chronic Ulcerative Paradental Stomatits aka oral mucositis

Question 25

What is the cause of CUPS?

Answer 25

Intolerance to the indigenous microbial constituents of the oral cavity

Question 26

What does CUPS look like?

Answer 26

Painful ulcers of the mucosa that is in intimate contact with the accumulations of plaque on the surfaces of the teeth

Question 27

What is the treatment for CUPS?

Answer 27

Thorough cleaning and hygiene, and home care or exodontia