Exam 1 B Flashcards

1
Q

Circular gingival fibers do what?

A

support & contour to free gingiva

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2
Q

Dentogingival gingival fibers do what?

A

support of gingiva

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3
Q

Dentoperiosteal gingival fibers do what?

A

anchors tooth to bone

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4
Q

Alveologingival fibers do what?

A

attaches gingiva to alveolar bone

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5
Q

Transseptal fibers do what?

A

keep teeth in alignment and protects bone

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6
Q

What gingival fibers are not found on implants?

A

dentogingival
dentoperiosteal
transseptal

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7
Q

Alveolar crest periodontal fibers do what?

A

resists lateral movement

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8
Q

Horizontal periodontal fibers do what?

A

opposes lateral forces

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9
Q

Oblique periodontal fibers do what?

A

absorbs occlusal forces (largest group)

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10
Q

Apical periodontal fibers do what?

A

resists tipping of tooth

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11
Q

Interradicular periodontal fibers do what?

A

resists forces of luxation (pulling out) and tipping

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12
Q

What is biological width?

A

physiologic zone of gingival tissue coronal to the alveolar bone crest

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13
Q

What is biological width made of?

A

epithelial attachment and the gingival connective tissue attachment (junctional epithelium + connective tissue)

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14
Q

Biological width average numbers

A

2.04 mm (need 2-3 mm to have restorative work done)

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15
Q

Calculate CAL with words?

A

Probing depth measurement + gingival margin level ( + if apical to CEJ or - if coronal to CEJ)

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16
Q

Different types of gingivitis?

A

Plaque induced

non-plaque induced

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17
Q

Plaque induced gingitivis from?

A

systemic factors, drugs, malnutrition

18
Q

Plaque induced systemic factors?

A

puberty, pregnancy, diabetes, leukemia

19
Q
Plaque induced gingivitis drugs
Anti-seizure/convulsants med?
Ca channel blockers?
Immunosuppressants?
and 1 other plaque induced gingivitis drug?
A

anti-seizure med = Dilantin
Ca channel blockers = Nifedipine
Immunosuppressants = Cyclosporin
Oral contraceptives

20
Q

Non-plaque induced gingivitis reasons?

A
bacteria
viruses
fungal infections
trauma
foreign body reactions (popcorn kernal, braces), genetic
21
Q

What type of category does pregnancy and gingivitis fall into?

A

plaque induced gingivitis

22
Q

What does epidemiology risk mean?

A

likelihood a person will get a disease

23
Q

What does epidemiology risk factor mean?

A

factor that puts them at a greater risk

24
Q

What MO’s cause Chronic PD?

A

Porphyromonas gingivalis
Tannerella forsythia
Treponema denticola
Aggregatibacter actinomycetemcomintans

25
Q

What MO’s cause Aggressive PD?

A

Aggregatibacter actinomycetemcomintans

Porphyromonas gingivalis

26
Q

What MO’s cause Necrotizing PD?

A

Prevotella intermedia
Spirochetes (invade CT)
Fusiform bacilli

27
Q

Describe tooth associated subgingival plaque

A
densely adherent
G+ rods, cocci
facultative aerobes/anaerobes
remove by SRP (mechanical removal)
less virulent
28
Q

Describe tissue associated subgingival plaque

A
loosely adherent
G- motile anaerobes
spirochetes
remove surgically
more virulent
29
Q

Microbial shift: Healthy to Gingivitis to Periodontitis?

A

G+ to G-
Cocci to Rods to Spirochetes
Non-motile to motile
Facultative to obligate anaerobes

30
Q

What is calculus?

A

calcified dental plaque

31
Q

What is calculus’ role?

A

increases surface area, density where plaque can accumulate and bacteria can concentrate

32
Q

Is calculus a primary or secondary role in PD?

A

secondary

33
Q

Factors that can cause calculus?

A

anatomical abnormalities - fluted root surfaces, enamel pearls
physical irritants - amalgam overhangs, restoration contours
habits - mouth breathing, incorrect tooth brushing
systemic disease

34
Q

Calculus attachments

A

pellicle
penetrate cementum
lock into surface irregularities
into depressions/concavities in roots (PREMOLAR roots)

35
Q

True/False Furcations and mutirooted teeth more prone to perio disease

A

True

36
Q

What cells first to invade into the pocket?

A

PMNs from leaky ulcerative gingival epithelium

37
Q

What do PMNs do?

A

phagocytize crap

38
Q

What’s second into pockets?

A

Mast cells

39
Q

What do Mast cells do in pocket?

A

release amines to increase vascular permeability

40
Q

What’s 3rd into pockets?

A

macrophage

41
Q

What does macrophage do in pockets?

A

present antigen to T-cells