Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Periodontology > chapter 8 > Flashcards

chapter 8 Flashcards

1
Q

this is gathered and is critical to have as a reference tool, a historical record and a patient educational resource

A

documentation of information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

this stain has been attributed to flurorescent bactria and fungi such as penicillium and aspergillus.. occurs on gingival half of facial surfaces of anterior teeth

A

green stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

this discourages flossing

A

tight contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

this type of furcation classification is early stage furcation involvement with pocket formation into the flute of the furca that may include limited bone loss and without radiographic changes

A

grade I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the locations of bifurcation?

A

2 rooted mandibular molars on the buccal and lingual aspects

2 rooted maxilary first pre molars on the mesial and distal aspects

3 rooted maxillary molars on the buccal, mesiolingual and distolingual aspects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what type of furcation is present in a two rooted tooth?

A

bifurcation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

this type of radiograph is more helpful with third molars and larger image diagnosis

A

panoramic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is 85% of dental treatment related to?

A

diagnosis, treatment and prevention of plaque biofilm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

this is the first stage in the dental hygiene progress of patient care

A

assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The medical history ensures patient safety, health and well being by aiding the clinician in the following:

A

evaluation oral manifestations of systemic disease

detecting systemic conditions that may affect the periodontal tissue response

detecting systemic and infectious conditions that require special precautions and modifications in treatment procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

this is only an indication that destructive disease has occurred

A

clinical attachment loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the reasons for 75% of extractions?

A

periodontal disease and dental caries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

this is the loss of the tooth structure caused by chronic destructive processes other than dental caries

A

tooth wear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what sources can excessive ingestion of fluoride come from?

A

tooth paste, fluoride supplements and water can cause hypomineralization of enamel during development known as fluorosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what type of color gingiva indicates chronic inflammation

A

dark red to cyanktic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the chief complain of erosion?

A

temperature and tactile sensitivity and increased staining in the wear lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

this is early lesions are wide shallow or silky smooth concavities that are greater in width from chemical actions of acid… advanced lesions are denton involvement, restorations rising above adjacent tooth and from chemical actions of acids

A

erosion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

in orange stain, what have been the responsible chromogenic organisms?

A

serratia marcesens and flavobacterium lutesecens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

this is a green to yellow stain, most often seen in children and thought to be from biting fingernails

A

green stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how can you access furcation of mandibular molars?

A

straight buccally and lingually between the mesial and distal roots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

colored area of probe remains completely visible in the deepest crevice of the sextant… no calculus or defective margins are detected… gingival tissues are healthy with no BOP

A

code 0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

this type of measurement is the distance between the gingival margin and the base of the gingival sulcus

A

pocket depth, probing depth or gingival sulcus depth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

this is the distance between the CEJ and the most apical extent of the epithelial attachment

A

clinical attachment loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

these are stains that occur within the tooth structure and cannot be mechanically removed by scaling or polishing mainly from pre eruption and post eruption drug interactions

A

intrinsic stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

this is wedge shaped defects, concavities or notches… ditches, notches or indentations from mechanical process from foreign object usually a tooth brush..

A

abrasion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

this type of furcation involvement of one or more furcations of a tooth with bone loss that does not extend beyond the dome of the root. with or without radiograph changes

A

grade II

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

flattening or well definided wear facets and ledges from tooth to tooth contact. can be related to deep over bite or cross bite

A

attrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

this is the measurement of boneloss within the bifurcation or trifurcation to the current bone level

A

vertical component

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

this type of stain occurs as a thin black line on the facial and lingual surfaces of the teeth of individuals who have excellent oral hygiene care

A

black stain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

this symbol is added to the sextant score whenever findings indicate clinical abnormalities such as: furcation invasion, mobility, mucogingival problems, recession extending to the colored area of the probe (3.5 mm or greater )

A

code *

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what is done with extra and intra oral assessment?

A

head and neck examination

oral mucosa assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

distance between the CEJ and gingival margin

A

gingival recession

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

an implant is considered to have this when there is inflammation of the soft tissue surrounding the implant

A

peri implant mucositis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what is the chief complaint with attrition?

A

hot and cold sensitivity or sweets. tooth pain on incisal or occlusal edges when biting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

this is the movement of a tooth or teeth beyond physiologic limits. it can be caused by factors affecting the PDL space and loss of alveolar bone.

A

pathologic or abnormal mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what are the common locations of erosion?

A

cervical and buccal surfaces of maxillary teeth… occlusal surfaces and buccal surfaces of mandibular teeth

lingual surfaces of anterior and posterior maxillary teeth… buccal surfaces of mandibular posterior teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

what are some characteristics of implant failure?

A

most common in maxillary

occur more often in diabetics

higher risk with history of head and neck radiation

higher risk in smokers

increased with occlusal loading

greater with bruxism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

what things are assessed with periodontal assessment?

A 
prove depth
clinical attachment loss
bleeding and suppuration
furcation involvement
tooth mobility 
tooth migration
implant status
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

this reflects the history of periodontal disease and does not assess the disease activity

A

radiographic image assessment of bone loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

the presence of this along with bleeding on probing and periodontal pockets can indicate that a site is in an active disease state and attachment loss is increasing

A

suppuration or pus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

how are stains documented?

A

according to color… (brown, black, green blue, gray, yellow, or orange)

location (tooth surface, intrinsic or extrinsic)

extent (amount of tooth surface or tissue covered, localized or generalized)

intensity (light moderate or heavy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

what is the most common occurring stain?

A

brown stain

43
Q

where is abrasion most commonly located?

A

buccal surface at CEJ and incisal and occlusal surfaces

44
Q

what type of implants maintain their probing depths after initial healing?

A

healthy

45
Q

these are most helpful in decay detection and bone loss

A

bitewings and periapical

46
Q

what do probing depths provide information for?

A

pocket depths- can be used to compare over time

CAL- used to determine progression of disease

furcation involvement- helps determine viability of the tooth

bone loss

47
Q

what is the patients chief complaint with abfraction?

A

hot and cold sensitivity, pain when biting and food trap

48
Q

colored area of probe remains completely visible in deepest probing depth in sextant… supra or subgingival calculus is detected or defective margins are detected

A

code 2

49
Q

what are the classifications of blacks cavity?

A

class 1: pit and fissure (occlusal surfaces of premolars or molars, occlusal 2 thirds of facials and lingual, lingual surface of max incisors)

class 2: proximal in premolars and molars

class 3: proximal in incisors and canines (does not involve incisal edge)

class 4: proximal in inciors and canines and involves incisal edge

class 5: gingival third cavities (does not include pit and fissure)

class 6: incisal edge and cusp tip

50
Q

these are necessary to capture an image with existing perio disease

A

vertical bite wings

51
Q

this is loosely attached, moveable tissue that is not keratinized… it begins at the mucogingival junction and is continuous with the lining mucosa of the oral cavity

A

alveolar mucosa

52
Q

how is the width of the attached gingiva determined by?

A

subtracting the sulcus or pocket depth from the total width of the keratinized gingiva (from
the gingival margin to the mucogingival junction)

53
Q

what do all patients require?

A

regular comprehensive periodontal assessments to detail their status, provide a historical accounting and alert the hygiene standards to evidence of disease activity

54
Q

why is it essential to take and record vital signs?

A

because of the connection between oral health and general health

55
Q

how do you determine the correct measurement of pseudopocket?

A

the cal is subtracted from pocket depth

56
Q

these are pigmented deposits on the tooth surface that results from the pigmentation of ordinarily colorless acquired pellicular and dental biofilm by chromogenic bacteria foods and chemicals

A

extrinsic stains

57
Q

colored area of probe remains completely visible in deepest probing depth of sextant… no calculus or defective margins BUT there is BOP

A

code 1

58
Q

this is V or wedge shaped lesions with sharp edges that are greater in depth than width generally supragingival…. mechanical process from tooth flexhre by eccentric occlusal brushing

A

abfraction

59
Q

what is essential to asses changes in the disease over time

A

accurate records

60
Q

how can you access maxillary molars?

A

buccally between the mesial buccal and distobuccal roots and access distolingually between the palatial and distobuccal root

61
Q

how should mobility be assessed by?

A

placing the handles of metal instruments next to the tooth and applying pressure in the buccal-lingual direction and apically

62
Q

this is the least common of stain and may occur on both facial and lingual surfaces of anterior teeth… associated wit poor oral hygiene

A

orange stain

63
Q

this allows you to assess immediate needs and is a critical part of establishing rapport with the patient and developing a treatment plan that meets the patients personal goals of care

A

chief complaint

64
Q

how can visualization for the patient be achieved?

A

direct observation using a mirror

intraoral photographs to view soft tissue conditions, enamel, cracks, dental caries, and oral abnormalities

radiographic images to point out bone loss, dental caries, furcations in molars and hard tissue abnormalities

65
Q

what type of gingival tissues indicate inflammation?

A

bright red

66
Q

colored area of probe remains partly visible in the deepest probing area in the sextant

A

code 3

67
Q

what things are looked at in the dentition assessment?

A 
caries
restorations
overhanging margins
proximal contact relationships
tooth abnormalities 
parafunctional habits
tooth wear 
sensitivity and hypersensitivity
68
Q

this furcation is extensive bone loss permitting complete passage throughout the furcation with clinically visible furcation openings

A

grade IV

69
Q

what does the documentation of calculus include?

A

description type (supra or sub)

location (tooth surface, gen. or local., interprox. or marginal)

quantity (heavy, moderate or light)

nature (white, chalky, spicules, rings, black and tenacious)

70
Q

what is found in the oral hygiene assessment?

A

plaque biofilm
calculus
stain

71
Q

where are the common locations for attrition ?

A

incisal or occclusal surfaces. buccal and lingual

72
Q

what are the reasoning we use probe measurements?

A

assess periodontal disease status

used to support treatment planning decisions

used to design individual plans of treatment and home care

used to evaluate success

73
Q

when inflammation progresses to include a loss of the peri implant bone, it is considered to have ?

A

peri implantitis

74
Q

what type of furcation is present in three rooted tooth?

A

may be bifurcation or tri furcation(if involved all three roots)

75
Q

what are the codes of the periodontal screening and recording system?

A

Code 0, 1, 2, 3, 4 and *

76
Q

how long should you wait before you probe an implant?

A

never for the first three months

77
Q

this cannot detect disease activity or predict destruction

A

periodontal probing measurements

78
Q

what do you use to probe or scale and implant?

A

plastic instruments

79
Q

this type of furcation is extension of bone loss beyond the dome of the root and may permit probing through the furcation. with radiolucency in the furcation crotch

A

grade III

80
Q

where are the common locations for abfraction?

A

cervical surfaces. mostly buccal and usually in incisors and pre molars

81
Q

this stain is more common in women, caused by chromogenic bacteria and me be insoluble ferric sulfide

A

black stain

82
Q

this medicine has been shown for causing intrinsic staining and is used for acne treatment, rosacea, rheumatoid arthritis and perio…

A

minocylcine

83
Q

these subject the teeth to forces outside the normal scope of functional occlusion and include tooth to tooth contact, contact between teeth and soft tissue and contact between teeth and foreign objects

A

parafunctional habits

84
Q

this type of contact packs food especially in meats

A

open contact

85
Q

the information and procedures essential to the assessment of patients perio status include:

A

the chief complaint

medical and dental history

clinical examination

radiographic examination

86
Q

this is the measurement of bone loss horizontally under the anatomical crown of the tooth

A

horizontal component

87
Q

what are the three types of oral mucosa that line the oral cavity?

A

masticatory, specialized and lining

88
Q

this provides a baseline assessment and comparisons overtime, and what do they include?

A

gingival descriptive categories…. include color, contour, consistency, and texture

89
Q

how is the contour or shape or form of healthy marginal gingiva?

A

scalloped… healthy interdental is knife like tissues that fill the embrasures

90
Q

this is recession plus pocket depth

A

CAL

91
Q

this is area between the roots

A

furcation

92
Q

this is normal movement within the teeth, and is most noticeable in the morning… supported by the PDL

A

Physiologic mobility

93
Q

how should the consistency of healthy gingiva be?

A

firm and stippled or orange peel texture

94
Q

this does not mean that disease is active, however, sites that exhibit this over time are more likely to present with increasing attachment loss

A

bleeding on proving

95
Q

what is the most important parameter for the assessment of the failure of an implant?

A

mobility

96
Q

what is the patients cheif complaint with abrasion?

A

sensitivity to brushing, temperature, sweets and tactile pressure… aesthetic concerns

97
Q

how many stages or grades are there or Glickman index of furcation classifications?

A

grade I through grade IV

98
Q

what things are looked at with radiographic assessment?

A

interdental septa

bone destruction

furcation areas

dental implants

99
Q

this is a key instructional strategy for helping patients understand their oral health status

A

visualization

100
Q

colored area of probe completely disappears indicating probing depth greater than 5.5 mm

A

code 4

101
Q

what is the color of a normal margin and attached gingiva?

A

pale, coral pink

102
Q

what provides the most accurate and reliable means of asssesing progression and remission of periodontal disease?

A

CAL

103
Q

these are ideal for assessment of bone height in patients without periodontal disease

A

horizontal bitewings

104
Q

this stain is bacteria free, may be caused by chlorhexadine stannous fluoride and most common cause is coffee, tea, smoking or soda

A

brown stain

Periodontology (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions