endodontics and perio Flashcards
Reactionary dentin
reaction to minor damage
chance of necrosis with closed apices
96%,80%,65%,6%,25%
CAL formula for recession
PPD+ recession
chemical name of dilantin drug
cyclosporine
phenytoin(sodium channel blocker)
calcineurin inhibitor
Chronic Periodontitis
- Clinically not healthy
- Slower, progressive bone
destruction - Microbial deposits
consistent with extent of
destruction - Modified by systemic
issue
Supragingival
microorganism
aerobic
– Tooth= G+
– Outer surface of plaque= G-
Subgingival
anaerobic
– Tooth= G+ coronal and G- apical
– Epithelium= G-ve
stages of dental plaque formation
pellicle formation
adhesion and attachment of bacteria
colonization and maturation of plaque
red complex
P. gingivalis
– T. denticola
– T. forsythia
orange complex
Fusobacterium
– Prevotella intermedia
– Campylobacter rectus
antiinflammatory mediators
IL-4
* IL-10
* TIMPs
proinflammatory mediators
IL-1= bone resorption
* IL-6
* PGE2
* TNFa= macrophage activation
* MMPs= collagen destruction
stages of gingivitis
inital lesion
early lesion
established
advanced
Piezoelectric ultrasonics vibrate in a—-pattern
linear
scaling and root planing angulation is
45-90 degree
Positive architecture
interproximal
bone is coronal to radicular bone,
Regeneration
completely restore architecture
and function
Repair
not completely restore architecture and
function, involving healing by scar or formation of
long JE
Reattachment
reunion of epithelial and
connective tissue with root surface after incision
or injury
New attachment
embedding of new PDL fibers
into new cementum that has been previously
deprived of its original attachment
1 and 2-wall defects
resection
3 and 4-wall defects
regeneration
Gracey 1-2 and 3-4
– Gracey 5-6
– Gracey 7-8 and 9-10
– Gracey 11-12
– Gracey 13-14
anterior
anterior and premolars
posterior, facial and lingual
posterior, mesial
posterior, distal
Histologic Zones of Pulp
- Predentin
- Odontoblastic layer
- Cell-free zone of Weil
- Cell-rich zone
- Pulp core
SS hand file
.02 taper
size of file 15 at D0 is
0.15
poor fit
more efficiency, less fracture
<24 hours
DPC
> = 24 hours
Cvek
> =72 hours
PPTY