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Chapter 27 Exam 2 Flashcards

1
Q

All are indications for perio surgery except?

A

To remove epithelial tissue from inner wall of perio pocket

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2
Q

Indications for perio surgery

A

Provide access for improved perio instrumentation of root surfaces
Reduce pocket depths
Provide access to perio osseous defects
Respect 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 placement of a dental implant

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3
Q

Common contraindications for perio surgery

A

Pts who have certain systemic diseases or conditions
Pts who are totally noncompliant with self care
Pts who have a high risk for dental caries
Pts who have totally unrealistic expectations for surgical outcomes

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4
Q

Can you do surgery on a pt who is on dialysis?

A

NO

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5
Q

Can you do surgery on a pt with seizures?

A

YES

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6
Q

What is the goal of perio surgery?

A

For long junctional epithelium to form

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7
Q

Should all pts receive non surgical therapy along with surgical therapy?

A

YES

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8
Q

Bone take from pts own body

A

Autograft

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9
Q

Bone taken from another human

A

Allograft

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10
Q

Bone taken from another species

A

Xenograft

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11
Q

Synthetic bone like material

A

Alloplast

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12
Q

How soon should you probe a bone graft site?

A

When dr says

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13
Q

How long do you leave a bone graft undisturbed?

A

Months or until dr says

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14
Q

Before surgery you should always..

A

Inform pt of changes that they may not like

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15
Q

Postsurgically you should…

A 
Expect Swelling 
Take medications as prescribed 
Take it easy for several days
Eat soft foods 
No hot beverages
Don’t chew on surgical site
Rinse with recommended mouth rinse
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16
Q

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

A

Repair

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17
Q

What is an example of healing by repair?

A

The formation of a scar during the healing of an accidental cut finger

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18
Q

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

Reattachment

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19
Q

The union of a pathologically exposed root with connective tissue or epithelium

A

New attachment

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20
Q

Biological process by which the architecture and function of lost tissue is completely restored

A

Regeneration

21
Q

For healing of the periodontium to be described as ________ the healing would have to result in the formation of lost cementum, lost periodontal ligament, and lost alveolar bone

A

Regeneration

22
Q

A procedure in which incisions are made in the gingiva or mucosa to allow for separation of the surface tissues (epithelium and connective tissue) from the underlying tooth roots and underlying alveolar bone

A

Periodontal flap

23
Q

A full thickness flap is elevated with what is generally referred to as a

A

Blunt dissection

24
Q

What is a full thickness flap also called?

A

Mucoperiosteal flap

25
Q

Involves elevation of entire thickness of the soft tissue

A

Full thickness flap

26
Q

What is a partial thickness flap also called?

A

Split thickness flap

27
Q

Includes elevation of only the epithelium and a thin layer of the underlying connective tissue

A

Partial thickness flap

28
Q

A partial thickness flap is elevated with

A

Sharp dissection

29
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

Nondisplaced flap

30
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

Displaced flap

31
Q

Which type of healing is expected from flap for access surgery?

A

Healing by repair and usually involved formation of a long junctional epithelium

32
Q

Removal of some tooth supporting bone

A

Osectomy

33
Q

Reshaping of the surface bone contours

A

Osteoplasty

34
Q

During surgery to minimize periodontal pockets, it is common for the gingival margin to be positioned..

A

At a more apical level to the CEJ than originally occupied

35
Q

What does the more apical positioning of the gingival margin result in?

A

Exposure of a portion of the root to the oral cavity

36
Q

New bone cells and new bone that forms following bone grafting

A

Osteogenesis

37
Q

A periodontal surgical procedure employed to encourage regeneration of lost periodontal structures (to regrow lost cementum, lost PDL, lost alveolar bone)

A

Guided tissue regeneration

38
Q

What might be placed under a periodontal flap at the time of surgery to delay the ingrowth of unwanted types of cells into the healing of the wound?

A

A barrier membrane

39
Q

A type of periodontal plastic surgery that was one of the first procedures to augment the width of attached gingiva

A

Free gingival graft

40
Q

What does the donor tissue for a free gingival graft include?

A

Surface epithelium and some of the underlying connective tissue

41
Q

Results in excellent esthetics since the color of the healed tissue often mimics the natural pre existing tissue color precisely what

A

Subepithelial connective tissue graft

42
Q

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

43
Q

A surgical procedure designed to excise and remove some of the gingival tissue

A

Gingivectomy

44
Q

Are dental implants surrounded by cementum and periodontal ligament?

A

No

45
Q

Are implants subject to periodontal disease that can result in the loss of supporting bone just like a natural tooth?

A

YES

46
Q

How long should you wait to remove sutures?

A

After 1 week of healing

47
Q

How long can most absorbable sutured be left in place?

A

1-3 weeks

48
Q

Dressing should be what?

A

Minimal!

advanced Perio (3 decks)

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