DEH2604 Periodontics Final Flashcards
What antibiotic may result in pseudomembraneous colitis?
A) Penicillin
B) Amoxicillin
C) Clindamycin
D) Tetracycline
C) Clindamycin
All of the following are causes of an abscess of the periodontium except:
A) incomplete calc removal
B) blockage of perio pocket
C) impacted popcorn husk
D) drainage of existing perio pocket
D) drainage of existing perio pocket
A gingival abscess occurs at a pre-existing perio pocket site
A) True
B) False
B) False
What antibiotic has an Antabuse effect:
metronidazole
The most common clinical sign of occlusal trauma is:
A) increased mobility
B) widened PDL
C) wear facets
D) bone loss
A) increased mobility
The most important treatment for a child suffering from PHG is:
A) provide topical anesthetic
B) plaque removal
C) nutritional counseling
D) keep them hydrated
D) keep them hydrated
An implant should not be bridged to a natural tooth for more support.
A) True
B) False
A) True
Occlusal trauma causes periodontal pocketing:
A) True
B) False
B) False
How many millimeters of bone loss should be expected during the 1st year of an implant?
A) none
B) 1mm
C) 2mm
D) 3mm
B) 1mm
This is the “root” of an implant:
body
What type of graft is from a cadaver?
A) autograft
B) allograft
C) xenograft
D) alloplast
B) allograft
Most healing after nonsurgical therapy occurs by decreased edema and:
A) reattachment
B) regeneration
C) new attachment
D) formation of long JE
D) formation of long JE
Strontium chloride has an effect against gingivitis:
A) True
B) False
B) False
aid in desensitizing teeth for those that suffer with hypersensitivity
The Modified Widman Flap is used to gain access to root surfaces for debridement:
A) True
B) False
A) True
This laser is most commonly used for hard tissue treatment and calculus removal
A) Erbium
B) Diode
C) Co2
D) Nd:YAG
A) Erbium
All of the following are indications for periodontal surgery except one. What is the exception?
A) To reduce pocket depths
B) To graft bone of bone stimulating materials into osseous defects
C) To reduce the amount of attached gingiva
C) To reduce the amount of attached gingiva
Crown lengthening surgery results in longer clinical crowns for the teeth.
A) True
B) False
A) True
One of the indications for periodontal surgery is to provide access for improved periodontal instrumentation of the root surfaces.
A) True
B) False
A) True
The first post-surgical appointment following periodontal flap surgery should be scheduled in 14-21 days?
A) True
B) False
B) False
“The patient is most often reappointed in 5 to 7 days for the first postsurgical visit.”
Certain systemic diseases/conditions that are relative contraindications for periodontal surgeries include all of the following except:
A) Controlled hypertension
B) Recent history of myocardial infarction
C) History of radiation to jaws
D) uncontrolled diabetes
A) Controlled hypertension
evidence based dental care is an approach to periodontal care in which dental professionals and patients make decisions about care based on the best availableinformation. The evidence based decsion making process requires the integration of the best clinical research, practitioner experience and patient values.
Both true
At the top of the pyramid for the levels of evidence you will find
systemic reviews
in the PICO process to form an answerable question the C stands for
Comparison
There is not chemical agent that can halt periodontitis. There are a number of different chemical agents that can be used as a part as a comprehensive plan for patients with either gingivitis or periodontitis
both true
chlorhexidine gluconate is the most effective antimicrobial and anti gingivitis agent because it is highly substantive
Both the statement and reason are correct and related
which of the following antibiotic has anticollegenase properties?
Tetracycline
All the following are advantages of controlled (sustained-release) drug delivery over systemic drug administration in periodontal therapy EXCEPT
a. less concern about client adherence throughout indicated time frame.
b. site-specific antimicrobial action in periodontal pocket.
c. high concentration delivered to the site of infection.
d. can be used when periodontal infection is generalized or severe.
d. can be used when periodontal infection is generalized or severe.
patient with localized aggressive perio may be treated with all of the following systemic antibiotics or combinations except one
???
Erythromycin and penicillin
which systemic antibiotic is most commonly used with NUG/NUP when they have a systemic complication
metrondinazole
Host modulation therapies ususaly involve medication that can alter biochemical pathways in a manner that will
All of the above ??
Parafunctional occlusal forces are forces placed on the teeth that
result from TOOTH TO TOOTH contact other than during chewing (bruxism)
the most common clinical sign of occlusal trauma is
increase in mobility
From the information you have what do you think is causing her sensitivity in the area of #18-20
??
primary occlusal trauma
if left untreated clinical / radiographic changes that may occur with the above sensitivity in the area are
widening of the PDL, vertical bone loss and tooth mobility
All of the following are signs of occlusal trauma except one
??
periodontal pocket
When the jaw is in the most unrestrained returded anatomical and functional position pf the condyles in the gleniod fossa of the tmj and the jaws are centered without using the teeth is referred to as
centric relation
when there is a diseased periodontium first and the normal occlusal forces are applied resulting in a reduced ability of the tissues to rist occlusal forces and the signs of occlusal trauma exhibited indicate
Secondary occlusal taruma
Positive osseous architecture is when
the alveolar bone is more coronal interdentally than over the direct facial and lingual
The best surgical treatment for adequate zone of attached gingiva on the facial of #23 and 24 would be
??
connective tissue graft
of the following procedure which would entail the removal of the largest amount of soft tissue
??
gingivectomy
when using the GTR which of the following tissues do you not want to form or attach to the tooth
epithelial tissue
most healing after non surgical therapy or flap periodontal surgery occurs by a decrease in edema and then
formation of the long JE
the most important aspect of post surgical maintance care is
adequate plaque control
the modified widmanflap is used to do all the following except
??
reduce pockets by apical positioning
the main difference between the (lateral positioned flap) pedicle graft and the free gingival graft is that the pedicle
maintains its own blood supply
All of the following except one are indications for osseous resection which is the exception
??
deep defects in maxillary anteriors
one walled infrabony pockets are best treated surgically with which of the following procedures
ostectomy and osteoplasty
what surgery is performed to give the general dentist better access to restore a tooth with a crown
crown lengthening surgery
root to tooth recontouring to eliminate proximal concavities or a “barreling in “ of furcations to reshape the tooth and a figure 8 is referred to as
odontoplasty
a common sign of occlusal trauma is wear facets
is still participating in an active bruxism habit
which of the following statements about occlusal trauma is NOT true
??
occlusal trauma can cause tissue attachment loss and bone loss
in order to gain clinic expertise and quire practical wisdom the clinician needs to learn how to
be reflective and analyze his or her own performance
All of the following describe oral probiotics except one
??
used as an initial treatment for periodontal disease
Select the most appropriate PICO question
??
for a patient with mild gingivitis, is rinsging with mouth wash “X” as compared to flossing as effective in reducing plaque and eliminating gingivitis