Exam 2 Chapter 24 (Travis) Flashcards
A phase of periodontal therapy that includes self-care measures, periodontal instrumentation, and use of chemical agents to prevent or control plaque induced gingivitis or periodontitis.
Nonsurgical periodontal therapy
The close collaboration of two or more health care providers from different disciplines to address the needs of the patient and establish an optimal care plan that results in enhanced health outcomes.
Interdisciplinary care
(periodontal debridement) is defined as the removal or disruption of plaque biofilm, its byproducts, and biofilm retentive calculus deposits from coronal tooth surfaces and tooth root surfaces to the extent needed to re-establish periodontal health and restore a balance between the bacterial flora and the host’s immune responses.
Periodontal instrumentation
A form of periodontal repair that is characterized by the apical down growth of the junctional epithelium. This type of healing primarily occurs following periodontal instrumentation of a diseased root surface. Healing by long junctional epithelium is not the same as periodontal regeneration.
Long junctional epithelium
short, sharp painful reaction that occurs when some areas of exposed dentin are subjected to mechanical, thermal, or chemical stimuli.
Dentinal hypersensitivity
A formal step at the completion of nonsurgical therapy. During the re-evaluation appointment, the members of the dental team perform another periodontal assessment to gather information about the patient’s periodontal status.
Re-evaluation
areas in the periodontium that show deeper probing depths, continuing loss of attachment, or continuing clinical signs of inflammation in spite of though therapy.
Nonresponsive disease sites
The shared responsibility of the care of patient between two different providers. A common example of co-managment is a patient who alternates his/her periodontal maintenance visits between a periodontist and a general practitioner.
Co-management
Which of the following is NOT a goal of nonsurgical periodontal therapy?
A. Minimize the bacterial challenge to the patient
B. Eliminate the need for daily self-care
A. Stabilize the attachment level on the teeth
B. Eliminate the need for daily self-care
Successful periodontal debridement always results in the complete removal of all cementum from a root surface exposed due to clinical attachment loss.
A. True
B. False
B. False
The end point for periodontal debridement is which of the following?
A. Return of soft tissue health
B. Increased pigmentation of the gingiva
C. Decreased need for daily self-care
A. Return of soft tissue health
True or False: The type of healing that occurs following successful root instrumentation is a long junctional epithelium.
True
True or False: Pain caused by dentinal hypersensitivity can result from mechanical, thermal, or chemical stimuli.
True
Management of mild dentinal hypersensitivity following nonsurgical periodontal therapy can include all of the following EXCEPT:
A. Meticulous efforts at daily self-care
B. Using chemical agents in toothpastes to occlude (block) dentinal tubules
C. Applying acidic solutions to the exposed tooth roots
C. Applying acidic solutions to the exposed tooth roots
When considering a decision for referral to a specialist in periodontics which of the following type patients should normally be referred?
A. Patients with moderate plaque induced gingivitis
B. Patients with Stage I periodontitis
C. Patients with Stage III periodontitis
C. Patients with Stage III periodontitis
