Chapter 13

Question 1

What is the initial approach for treating gingival and periodontal diseases?

Answer 1

debridement of plaque biofilm and calculus through nonsurgical therapeutic techniques

Question 2

Other terms used to describe nonsurgical therapy:

Answer 2

initial therapy
Phase 1 therapy
etiotropic phase
periodontal debridement

Question 3

What is the goal of root planning?

Answer 3

to remove the surface layer of cementum or dentin that be impregnated with bacterial lipopolysaccharides (endotoxins) or calculus to create a glassy, hard surface

Question 4

What is the goal of periodontal debridement and scaling?

Answer 4

to restore the periodontium to health and produce surfaces that are free of various deposits

Question 5

What is polishing?

Answer 5

the use of polishing agents to remove stains and supragingival plaque biofilm from the teeth

Question 6

What is selective polishing?

Answer 6

choosing the surfaces to polish on the basis of patient concerns and the presence of plaque biofilm and stains that cannot be removed with normal patient oral hygiene practices

Question 7

Removes most extrinsic stains and soft deposits from the exposed surfaces of the teeth

Answer 7

air powder polishing

Question 8

Defined by the AAP as scraping or cleaning the walls of a cavity or surface; the removal of the inflamed soft tissue lateral to the pocket wall

Answer 8

Gingival curettage

Question 9

Term used to describe accidental and incomplete removal of the pocket lining during scaling and root planning or periodontal debridement procedures

Answer 9

inadvertent curettage

Question 10

What are the goals of nonsurgical periodontal therapy?

Answer 10

immediate treatment goals at the time of the appointment and long term goals for the patient