CPT

Question 1

how CPT defines caries?

Answer 1

caries has definite resistance to perpendicular withdrawal of explorer and may have a dry leathery appearance

Question 2

how CPT defines prophylaxis?

Answer 2

mean removal of plaque, calculus, and stain to control local irrotational factors and frequently involves scaling of coronal and sub gingival surfaces of teeth

Question 3

Does the CPT include fluoride in prophylaxis?

Answer 3

no!

fluoride application must be listed separately

Question 4

how should periodontal treatment be stated?

Answer 4

by quadrate, including #of teeth

ie prophylaxis, S/RP: UR and LL 1-3 teeth

Question 5

what periodontal findings require S/RP

Answer 5

CLA with pock depths ≥ 5mm or ≥ 4mm with BOP

Question 6

Class 1 furcation (/)

Answer 6

incipient involvement: tissue destruction extends 1.0mm but not more than 2mm measured horizontally from the most coronal aspect of the furcation

Question 7

Class 2 furcations (∆)

Answer 7

Cul de sac involvement: tissue destruction extends deeper than 2mm, measured horizontally from the most coronal aspect of the furcation, but does not totally pass through the furcation.

Question 8

Class 3 furcation (filled in ∆)

Answer 8

through and through involvement: tissue destruction extends through the entire furcation. a blunt instrument passed between the roots can emerge on the other side of the tooth.

Question 9

Class 1 mobility

Answer 9

total facial-lingual tooth movement of less than 1mm

Question 10

Class 2 mobility

Answer 10

total facial-lingual movement from 1.0-2.0mm, without movement in vertical direction

Question 11

class 3 mobility

Answer 11

total facial-lingual movement of more than 2.0mm, and/or movement in a vertical direction (ie depression)

Question 12

what is CAL

Answer 12

clinical attachment level

is the distance from the CEJ to base of sulcus/ pocket

in health the base is at or near the CEJ
CAL = 0

Question 13

RX: pre-med amoxicillin

Answer 13

Amoxicillin 500mg capsules
4 capsules
Take 4 capsules one hour prior to appointment
**for children its 50mg/kg 1 hour prior

Question 14

Rx: amoxicillin

Answer 14

Amoxicillin 500mg capsules
21 capsules
Take 1 capsules 3 times per day for 7 days

Question 15

Rx: Pre-med clindamycin

Answer 15

Clindamycin 300mg capsules
2 capsules
Take 2 capsules 1 hour prior to appointment
** for children its 20mg/kg

Question 16

Rx:clindamycin

Answer 16

Clindamycin 300mg capsules
21 capsules
Take 1 capsule 3 times per day for 7 days

Question 17

Rx: pre-med clarithromycin

Answer 17

Clarithromycin 500mg tablets
1 tablet
Take 1 tablet 1 hour prior to appointment
**for children its 15mg/kg

Question 18

Rx: clarithromycin

Answer 18

Clarithromycin 500mg tablets
14 tablets
Take 1 tablet 2 times per day for 7 days
*avoid in patient with cardiac problems or arrhythmias (QT prolongation)

Question 19

Rx: ibuprofen (motrin, advil)

Answer 19

Ibuprofen 200mg tablets
# of tabs is based on pain period
Take 1-2 tabs every 4 hours as needed for pain
**caution in asthmatic pts cause it can trigger asthmatic attacks
ALSO
400-800mg dose every 6-8 hours

Question 20

Rx: acetaminophen (Tylenol)

Answer 20

Tylenol 500mg tablets
# based on pain period
Take 1 tablet every 4-6 hours as needed for pain
**pts with liver problems are at increased risk for liver toxicity

Question 21

Rx: norco

Answer 21

Norco 5mg Hydrocodone
5mg hydrocodone 325mg Acetaminophen
16-24 tablets
Take 1 tablet every 4-6 hours as needed for pain
**pts with liver problems are at increase risk for liver toxicity