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Perio 2 > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What are the characteristics of acute periodontal conditions?

A
  • Sudden onset of the condition
  • Rapid course of progression
  • Accompanied by pain and discomfort
  • May be unrelated to pre-exisiting gingivitis or periodontitis
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2
Q

The process of forming pus is called?

A

Suppuration

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3
Q

An acute infection involving a circumscribed collection of pus in the periodontium is known as?

A

Abscess of the periodontium

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4
Q

What does pus consist of?

A
  • Primarily dead and dying neutrophils
  • Bacteria
  • Cellular debris
  • Fluid leaked from blood vessels
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5
Q

T/F Pus can result when body defense mechanisms are involved in attempting to control an infection?

A

True

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6
Q

What causes abscess of the periodontium?

A
  • Blockage of the orifice of a pocket
  • Accidentally forcing a foreign object into the tissues
  • Incomplete calculus removal in a periodontal pocket
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7
Q

The flap of gingival tissue that covers a portion of the crown of a partially erupted tooth can become infected is called?

A

Operculum

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8
Q

What are the signs and symptoms of a pericoronal abscess?

A
  • Pain at site
  • Swelling of operculum
  • Possible trismus (limited opening)
  • Possible elevated body temperature
  • Possible lymphadenopathy
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9
Q

Refers to cell death, in this instance referring to the death of the cells comprising the gingival epithelium is called?

A

Necrosis

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10
Q

Refers to the loss of the epithelium normally covering underlying connective tissue is called?

A

Ulceration

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11
Q

The highest incidence of NUG is seen in patients between what ages?

A

20 and 30 years of age

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12
Q

T/F NUG occurs in patients of all ages

A

True

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13
Q

What are behaviors or conditions that are frequently present in patients who develop NUG?

A
  • History of smoking
  • History of poor nutrition
  • History of severe stress
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14
Q

Refers to an abscess of the periodontium that is primarily limited to the gingival margin or to the interdental papilla without involvement of the deeper structures of the periodontium?

A

Gingival abscess

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15
Q

Refers to an abscess of the periodontium that affects the deeper structures of the periodontium as well as the gingival tissues?

A

Periodontal abscess

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16
Q

The periocoronal abscess is most frequently seen around which teeth?

A

Mandibular 3rd molars

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17
Q

What are the fundamental treatment steps for a patient with pericoronitis?

A
  1. Establishment of a path of drainage for pus
  2. irrigate the operculum
  3. thorough debridement of tooth surfaces of area of abscess
  4. relief of pain
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18
Q

What are the steps in treating a patient with pericoronitis?

A
  1. Anesthetize site for comfort
  2. Drainage of pus is critical.
  3. Thorough instrumentation
  4. Irrigation under flap
  5. Antibiotics, advance cases
  6. Recommend warm Salt water (Saline)
  7. Pain meds prescribed
  8. Periodontal assessment
  9. Excise flap
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19
Q

A fragment of necrotic (dead) bone?

A

Sequestrum

20
Q

What is one unusual finding in NUP that doesn’t appear in NUG?

A

Sequestrum

21
Q

What are the clinical signs of Primary Herpetic Gingivostomatitis?

A
  • Oral pain with difficultly eating/drinking
  • Edematous gingival tissues (swollen)
  • Bleeding from gingival tissues
  • Vesicles (blisters) and ulceration of the gingival tissue sometimes the lips, tongue, and palate (sounded by red halo)
  • Elevated body temp.
  • Malaise (vague feeling of discomfort)
  • Swollen lymph nodes
22
Q

What are the steps in management of Primary Herpetic Gingivostomatitis?

A
  • Disease is highly contagious
  • Regresses in about 2 weeks
  • Control oral discomfort. topical oral anesthetics can be used for temporary relief of oral discomfort so that the pt can eat/drink
  • Recommend frequent fluid intake to avoid dehydration
  • Refer to Physician, if severe
23
Q

What are risk factors for developing root caries?

A
  • Attachment loss
  • Caries experience
  • Inadequate salivary flow
  • Lack of fluoride exposure
  • Removable partial dentures
24
Q

Root caries is significant problem for adults of what percentage?

A

21.6% of adults 50 to 64 years of age

31% of adults 65 to 74 years of age

25
Q

(Acknowledged) to communicate support to the patient for discussing something difficult is known as?

A

Affirmed

26
Q

Biofilm accumulation can be related to what factors?

A
  • Lack of dexterity
  • Pt discontinue the use of self care methods recommended
  • Gingival recession or shrinkage following periodontal; surgery
27
Q

Clinical data gathered at the beginning of the periodontal treatment that is subsequently used for comparison is?

A

Baseline data

28
Q

Clinical assessment should be conducted when?

A

1 month after

29
Q

Patients that are LOW RISK caries should be recommended what type of aids?

A
  • Fluoride tooth paste 2x daily

- topical fl2 applications are optional

30
Q

Patients that are MODERATE RISK caries should be recommended what type of aids?

A
  • Fl2 toothpaste 2x daily
  • Sodium fl2 mouth rinse 2x daily
  • Receive fl2 varnish at appointments
31
Q

Patients that are HIGH RISK caries should be recommended what type of aids?

A
  • Prescribed 1.1% Sodium fl2 toothpaste 2x daily
  • 1 to 3 varnish during initial therapy
  • Varnish applied at 3 month intervals
32
Q

Patients that are EXTREME RISK caries should be recommended what type of aids?

A
  • Baking soda rinses
  • 0.5% sodium fl2 rinses
  • Calcium/phosphate pastes
33
Q

Impaired host responses related to NUG may be?

A
  • Poor nutrition
  • Fatigue
  • Psychosocial factors
  • Systemic disease
  • Alcohol abuse
  • Drug abuse
34
Q

Bacteria associated with NUG are?

A
  • Spirochetal organisms

- Fusiform bacilli

35
Q

MI include?

A
  • Reflective listening
  • Evocation
  • Collaboration
36
Q

When it comes to health behavior change it is important to recognize that patients are?

A

Ambivalent about change

37
Q

“a patient-centered counseling style for addressing the common problem of ambivalence about change” is known as?

A

Motivational interviewing (MI)

38
Q

The process in which the healthcare provider listens to the patient’s remarks and then paraphrases what the clinican to check with the patient that he or she is ‘getting the patient’s message right” ensuring that the clinician is developing a good picture of the patients perspective is known as

A

Reflective Listening

39
Q

MI is captured in what four key elements?

A
  • Partnership
  • Acceptance
  • Compassion
  • Evocation
40
Q

What has the effect of validating the patient, expressing understanding, and typically encourages the patient to elaborate, so that the clinician can learn more is

A

Reflective listening

41
Q

T/F To employ MI effectively, it is essential to have the behavior change goal or goals in mind

A

True

42
Q

The process of clarifying, in collaboration with the patient, what direction the conversation should take is known as?

A

Focusing

43
Q

Questions that are framed to avoid a simple a yes/no response is what type of questions?

A

Open-ended questions

44
Q

T/F The open-ended style of questioning encourages patients to elaborate and provides much more information to the clinician regarding the patient’s perspective?

A

True

45
Q

What are other names for NUG?

A
  • Vincent infection
  • Trench mouth
  • Ulceromembranous gingivitis
  • ANUG

Perio 2 (2 decks)

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