Ch. 9 Periodontal Therapy Flashcards
What is the primary objective of periodontal therapy?
To treat periodontal disease
A prophylaxis, or prophy, is performed on patients with what disease?
Performed on patients with stage 1 (early gingivitis) to prevent periodontal disease
Periodontal therapy, which is non surgical, is used in the treatment of patients with what disesae?
Stage 2 (early periodontitis), stage 3 (established periodontitis), and stage 4 (advanced periodontitis) periodontal disease
What does COAPT or COHAPT stand for?
Complete Oral Health Assessment and Prevention or Treatment
What 3 things does COAPT cover?
Assessment, Prophy, and Treatment
What is scaling?
Mechanical removal of plaque, calculus, and stains from the crown and root surfaces
What is root planing?
The removal of calculus and cementum from the root surface and the creation of a clean, smooth, glasslike root surface
What is the technique used with root planing?
A curette is positioned against the root surface that move in overlapping strokes (up/down, side to side, diagonal)
What is the technique of root planing called?
Cross-hatch planing
Periodontal debridement definition
The treatment of gingival and periodontal inflammation or the removal of damaged tissue or foreign objects from a wound
What is a periodontal pocket?
An area of diseased gingival attachment, characterized by loss of attachment and eventual damage to the tooth’s supporting bone
What are the benefits of ultrasonic scaling vs traditional therapy with the use of a curette?
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
What is cementum?
The substance that attaches the periodontal ligament to the tooth
What is the past belief about build-up within the cementum?
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
What is doxirobe gel?
An antibiotic that delivers doxycycline directly to periodontal pockets for antibiotic therapy of periodontal debridement
What are the effects of doxirobe?
Reduced periodontal pocket depth, increases attachment levels, and reduces gingival inflammation
How is doxirobe mixed?
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
What is the indication for use of doxirobe gel?
For the treatment and control of periodontal disease in dogs with depths greater than or equal to 4mm
What is Arestin and how is it used?
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
What is the active ingredient in Arestin?
Monocycline Hydrochloride
What is Clindoral?
A sol-to-gel liquid
How is Clindoral used?
Releases slowly over 7 to 10 days to fight periodontal pathogens by inhibiting protein synthesis in the bacterial cell
What is the active ingredient in clindoral?
Clindamycin Hydrochloride
What does CUPS stand for?
Chronic Ulcerative Paradental Stomatits aka oral mucositis
What is the cause of CUPS?
Intolerance to the indigenous microbial constituents of the oral cavity
What does CUPS look like?
Painful ulcers of the mucosa that is in intimate contact with the accumulations of plaque on the surfaces of the teeth
What is the treatment for CUPS?
Thorough cleaning and hygiene, and home care or exodontia
