Exam 2

Question 1

Goals of NSPT

Answer 1

1. minimize bacteria challenge to pt
2. eliminate/control local factors
3. minimize impact of systemic factors
4. stabilize attachment levels

Question 2

Gingivitis Treatment Plan

Answer 2

Self-Care, Instrumentation, Eliminate local factors, *Re-Evaluate response

Question 3

Re-Evaluation Steps

Answer 3

med update, clinical assessment, compare results, decide on next steps, perform additional therapy (if needed), determine maintenance schedule, referral (if needed)

Question 4

Cairo Classification: Recession

Answer 4

based on buccal and interdental CAL

Question 5

Gingival/Periodontal Abscess Treatment

Answer 5

anesthetize, drain, instrumentate, adjust occlusion, antibiotics or pain meds, saline rinses, follow up

Question 6

Pericoronal Abscess

Answer 6

anesthetize, drain, instrumentate, irrigate, antibiotics or pain meds, saline rinses, evaluate for extraction, follow up

Question 7

Necrotizing Periodontal Disease

Answer 7

3 types - NUG, NUP, NUS

necrosis, ulceration, pseudomembrane, punched out papilla

Question 8

NUG Treatment

Answer 8

1. remove pseudomembrane, limited supra intrumentation, soft brushing osc, chlorhexidine rinses, avoid tobacco/alcohol
2. 2 days later, sub instrumentation, more osc, stress reduction/sleep
3. 5 days, complete instrumentation, antibiotics + further

Question 9

NUP and NUS

Answer 9

referral to periodontist

Question 10

OPT Aids for embrasures

Answer 10

1 - floss
2 - interdental brush/toothpick
3 - interdental brush/end tuft brush

Question 11

Anatomic tooth local factors

Answer 11

enamel pearls, palatolingual grooves, tooth malalignment

Question 12

Cells involved in healing

Answer 12

inital Nuetrophil
early Lymphocyte
established Plasma
Advanced

Question 13

Medications that cause gingival enlargement

Answer 13

Dilantin [anticonvulsant]
Ca Channel [hypertension/heart]
Cyclosporin [transplants]