Exam 3 Flashcards

1
Q

An acute infection involving a circumscribed collection of pus in the periodontium

A

Abscess of the periodontium

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2
Q

Consists primarily of dead and dying neutrophils, bacteria, cellular debris, and fluid leaked from blood vessels

A

Pus

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3
Q

The process of forming pus

A

Suppuration

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4
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 preexisting gingivitis or periodontitis

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5
Q

What are the causes of abscesses of the periodontium?

A

Blockage of the orifice or pocket, accidentally forcing a foreign object into the tissues, and incomplete calculus removal in a pocket

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6
Q

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

A

Gingival abscess

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7
Q

An abscess of the periodontium that affects deeper structures of the periodontium as well as the gingival tissues

A

Periodontal abscess

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8
Q

Flap of gingival tissue that covers a portion of the crown of a partially erupted tooth that can become infected

A

Operculum

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9
Q

Where does pericoronitis most often occur?

A

The lower third molar

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10
Q

Fundamental treatment steps for a patient with pericoronitis

A

1 establish a path of drainage for the pus
2 irrigation of the undersurface of the operculum
3 thorough periodontal debridement if the tooth surfaces in the area of the abscess
4 relief of pain

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11
Q

An acute infection of the periodontium that is limited to the gingival tissues

A

Necrotizing ulcerative gingivitis

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12
Q

Other names for NUG

A

Vincent infection
Trench mouth
Ulceromembranous gingivitis
Acute NUG (ANUG)

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13
Q

Cell death

A

Necrosis

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14
Q

The loss of epithelium normally covering underlying connective tissue

A

Ulceration

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15
Q

Highest incidence of NUG is seen in patients between

A

20 and 30 years old

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16
Q

Clinical signs of NUG

A

Punched out papillae and pseudomembrane

17
Q

Conditions or behaviors frequently present in patients with NUG

A

History of smoking
History of poor nutrition
History of severe stress

18
Q

A fragment of necrotic bone

A

Sequestrum

19
Q

A sequestrum is an unusual finding in

A

NUP

20
Q

Clinical signs of primary herpetic gingivostomatitis

A
Servers oral pain
Gingival tissues appear swollen and red and bleed easily 
Painful oral ulcers 
Small clusters of blisters 
Elevated body temperature 
Feeling of discomfort (malaise) 
Headache 
Swollen lymph nodes 
Dehydration (children)
21
Q

Treatment of primary herpetic gingivostomatitis

A

Primarily supportive (designed to keep pt comfortable until the viral infection runs its course)

22
Q

Primary herpetic gingivostomatitis is _____ and lasts how many days?

A

Viral, 10-14

23
Q

“A patient centered counseling style for addressing the common problem of ambivalence about change”

A

Motivational interviewing

24
Q

The 4 key elements of motivational interviewing

A

Partnership
Acceptance
Compassion
Evocation

25
Q

Questions that are framed to avoid a simple yes/no response

A

Open ended questions

26
Q

The process in which the healthcare provider listens to the patients remarks and then paraphrased what the clinician heard the patient say

A

Reflective listening

27
Q

Acknowledged

A

Affirmed

28
Q

The process of clarifying in collaboration with the pt what direction the conversation should take

A

Focusing

29
Q

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

A

Baseline data

30
Q

Factors related to biofilm accumulation

A

Patients may lack manual dexterity
Discontinued self care that was recommended previously
Gingival recession or shrinkage

31
Q

Pt who does not follow recommendations for healthcare advice

A

Noncompliant pt

32
Q

Root caries is a significant problem for ___% adults aged 50-64 years

A

21.6%

33
Q

Root caries is a significant problem for ___% adults aged 65 to 74 years

A

31%

34
Q

Risk factors for the development of root caries

A
Attachment loss
Inadequate self care
Cariogenic diet
Infrequent dental visits
Past caries experience 
Inadequate salivary flow 
Lack of fluoride exposure 
Removable partial dentures