Cooperative Dentistry Flashcards
T/F: Nearly all ortho patients have gingival enlargement.
True
Will develop pseudopockets
T/F: Most of the time the post ortho gingival enlargement will resolve.
True
About 20% does not
What is the evidence like connecting ortho and gingival recession?
Not very strong
What can predispose a patient to recession via ortho?
Thin gingiva, poor oral hygiene, and aggressive brushing
T/F: FIxed ortho treatment will create attachment loss.
False
What are the major perio concerns that might indicate treatment prior to ortho?
- Impact of mechanical forces, in the presence of inflammation
- Movement of teeth into inflamed intrabony pockets
Is ortho possible in patients with severe periodontitis?
Yes as long as they are stable
What are the key perio considerations before ortho?
Eliminate or reduce plaque and gingival inflammation
What is a fiberotomy?
Post ortho treatment to re-orient the gingival fibers after tooth rotation
T/F: Perio health is a prerequisite for successful restorative treatment.
True
What are some reasons for doing perio treatment prior to restorative?
- Stabel gingival margins
- Adequate tooth structure
- Resolution of inflammation may change things
- More long term stability
- Better esthetics
What is the first sequence of treatment in a perio - restorative plan?
- Correct etiological problems (overhangs)
2. Pre-prosthetic surgery (crown lengthening, ridge augmentation, etc.)
What is the second phase of treatment?
Restoration design and possible pre-implant surgery
What types of procedures could be done post-prosthetic?
Correction of tissue deformities or smile correction
T/F: Composite materials are more adherent to plaque than enamel.
True
