D3 Perio Midterm

Question 0

What are 4 therapeutic endpoints to periodontal therapy?

Answer 0

1. Plaque control compatible with health
2. Shallow sulci (3mm or less pocket)
3. Eliminate/minimize BOP/inflammation
4. Establish physiologic architecture of soft/hard tissue

Question 1

What are 5 therapeutic goals of periodontal therapy?

Answer 1

1. Resolve inflammation
2. Arrest disease progression
3. Regenerate lost periodontium
4. Deter recurrent disease
5. Establish and maintain comfort, function, and esthetics

Question 2

When does Surgical Periodontal therapy normally come into play in periodontal therapy?

Answer 2

After PIOE, diagnosis, Scale and root plane 4quadrants, and eval of initial therapy

Question 3

What is included in initial therapy phase for perio?

Answer 3

1. Medical consults
2. OHI
3. Occlusal adjustments
4. Scaling and root planning

Question 4

What is done at the Eval of Initial Therapy (EIT)?

Answer 4

1. Evaluate tissue response
2. Evaluate oral hygiene
3. Repeat exam and charting
4. Determine next treatment options

Question 5

For Scaling and root planning (Sc/RP) effectiveness,what is a general rule?

Answer 5

The deeper the pocket, the less effective
1-3mm, can get 86% calculus free
4-6 mm, can get 43% calculus free
>6mm, can get get 32% calculus free

Question 6

With a 4-6 mm probing depth, what improvement can be expected with Sc/RP therapy?

Answer 6

1mm improvement (0.96 decrease probing depth and 0.23mm increase in attachment)

Question 7

For 7mm and greater probing depth what improvement can be expected with Sc/RP therapy?

Answer 7

2mm improvement (2.2 mm decrease probing depth and 0.91mm increase in attachment)

Question 8

For the initial probing depths listed above and their intended outcomes, what is the remaining consideration about the periodontium after therapy?

Answer 8

There is still a probing depth

Question 9

Incomplete removal of subgingival plaque and calculus results in what?

Answer 9

1. Persistent infection

2. Continued loss of attachment

Question 10

What is considered periodontal health withminimal probing depths at EIT?

Answer 10

Up to 4 mm probing depth

Question 11

What is EIT with up to 5mm probing depth?

Answer 11

Periodontal health with residual moderate-to-severe probing depths

Question 12

What are 3 treatment options at EIT?

Answer 12

1. Periodontal maintenance
2. Continue intial therapy (Sc/RP again, systemicantibiotics, local antibiotics)
3. Surgical Periodontal treatme

Question 13

What is the term for the surgical manipulation of periodontal soft tissues, tooth roots and bone with the primary goal to create an oral environment that is conducive to maintaining the patient’s dentition in health, comfort and function?

Answer 13

Periodontal surgery

Question 14

What are 5 objectives for periodontal surgery?

Answer 14

1.

Question 15

What are 5 surgical options for the treatment of periodontitis?

Answer 15

1. Open flap debridement
2. Osseous resective surgery (pocket elimination)
3. Regeneration (guided tissue regeneration)
4. Root resection
5. Extraction and replace root with implant