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PERIO II > Final Exam > Flashcards

Final Exam Flashcards

1
Q

For many patients with moderate chronic periodontitis, the suggested frequency of periodontal maintenance visits is every ____ ___________.

A

3 months

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2
Q

All of the following statements about periodontal maintenance therapy are true EXCEPT:

patients placed on maintenance every 2-3 months can actually gain attachment over the years
most patients are able to retain their teeth throughout their lives with good periodontal maintenance
periodontal maintenance is not successful in preventing tooth loss

A

periodontal maintenance is not successful in preventing tooth loss

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3
Q

Clinical data collected at the periodontal maintenance appointment should be measured against what?

average patient data
initial baseline data
expected readings
standard guidelines

A

initial baseline data

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4
Q

conservation of root substance is an important goal of periodontal debridement

patients with little or no plaque do not require firm stroke pressure during instrumentation

A

both statements are true

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5
Q

Which of the following should receive periodontal maintenance care only at the periodontal office and an annual or semiannual visit to the general dentist for exam and restorative care?

mild chronic perio
moderate chronic perio
severe chronic perio
aggressive perio
more than one of the above

A

more than one of the above

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6
Q

Reasons for disease recurrence following periodontal debridement include all but one of the following. Choose the EXCEPTION:

improper non-surgical technique
failure to control systemic behaviors
inadequate plaque control by the patient
inadequate control of occlusal factors
all of the above are correct

A

all of the above are correct

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7
Q

Which of the following periodontal diagnoses can receive total dental and periodontal maintenance in a general dental practice?

Stage I and II
Stage III
Stage IV
aggressive periodontitis

A

Stage I and II

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8
Q

“Periodontal maintenance” includes the professional treatment provided to patients who have been previously treated for gingivitis and periodontitis.

Periodontal maintenance can begin before completion of nonsurgical periodontal therapy.

A

Both are false

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8
Q

While most systemic antibiotics have a warning to limit alcohol intake when taken, what systemic antibiotics have a warning label to not take with alcohol because the patient can get very sick - even with a small amount?

A

Metronidazole

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9
Q

What antibiotic was noted in the textbook as being effective against the bacteria Aggregatibacter Actinomycetemcomitans?

A

tetracycline

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10
Q

What is the active ingredient in Arestin?

A

Minocycline

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11
Q

What is significant about gingivitis and preganancy?

A

You have to have gingivitis before pregnancy for it to be really bad during pregnancy

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12
Q

What is a disadvantage of a gingivectomy?

A

post operative pain

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13
Q

More ___________ ________________ will be showing after a gingivectomy.

A

tooth surface

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14
Q

A patient will have an open wound at the donor site after having a _______ _______ _________ _____________

A

free soft tissue autograft

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15
Q

A ________________ _______________ tissue graft typically has better root coverage than a free soft tissue autograft.

A

subepithelial connective

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16
Q

Use of ________________ results in regeneration of cementum, PDL, and alveolar bone.

A

Emdogain

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17
Q

What type of surgery repairs soft tissue defects when there is inadequate attached gingiva?

A

free gingival graft

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18
Q

Which of the following is placed during guided tissue regeneration to control the rapid growth of epithelium into the wound?

A

barrier material

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19
Q

The term “relative contraindication” for periodontal surgery is used to convey the idea of conditions that what?

A

might make periodontal surgery inadvisable for some patients

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20
Q

For many patients with Stage III periodontitis, the suggested frequency of periodontal maintenance visits is every ___ months.

A

3

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21
Q

What type of surgery repairs soft tissue defects when there is inadequate attached gingiva?

A

free soft tissue graft

22
Q

How long after Emdogain is placed must you wait to probe or scale sub gingivally?

A

6 months or when the treating dentist approves it

23
Q

What procedure would be recommended for a patient with a gummy smile?

A

gingivectomy

24
Q

What are some examples of pro inflammatory mediators?

A

IL-1 and IL-6

25
Q

What are some examples of anti inflammatory mediators?

A

interleukin-4 (IL-4) interleukin-10 (IL-10)

26
Q

What is the use for Doxycycline?

A

treating patients with periodontitis to reduce probing depths and gain in CAL and prevention of disease progression

27
Q

What is a periodontal abscess?

A

an acute infection involving a localized collection of pus within the gingival wall of the periodontal pocket

28
Q

What is a pericoronal abscess?

A

involves tissues around the crown or partially unerupted tooth

29
Q

What is the treatment for a pericoronal abscess?

A

administer local
drain pus
thorough instrumentation at infection site
irrigate
prescribe antibiotics
warm saline rinses
evaluate extraction of thirds
follow-up appointment

30
Q

What is necrosis?

A

death of the cells comprising the gingival epithelium

31
Q

What is ulceration?

A

loss of the gingival epithelium normally covering the underlying gingival connective tissue

32
Q

What is a pseudomembrane?

A

a gray-white layer covering the necrotic areas of the gingiva

33
Q

What is sequestrum?

A

fragments of necrotic (dead) alveolar bone

34
Q

What are the benefits of at home irrigation?

A

same benefits as regular floss - it just does the work for you

35
Q

What is the impact zone?

A

initial fluid contact near the gingival margin

36
Q

What is the flushing zone?

A

depth of fluid penetration within a subgingival sulcus or periodontal pocket

37
Q

What is the maximum strength of Chlorhexidine mouthrinse in the US?

A

0.12%

38
Q

What is an example of an essential oil irrigating solution?

A

Listerine

39
Q

What is the goal of professional irrigation?

A

enhance the outcome of periodontal instrumentation by disrupting and diluting plaque biofilm from within periodontal pockets

40
Q

What is one side effect with prolonged use of bisphosphonates?

A

osteonecrosis of the jaw

41
Q

What is the only FDA approved modulating agent that is used as an adjunct in periodontal surgery?

A

Emdogain - enamel matrix protein

42
Q

What are relative contraindications?

A

conditions that may make surgery inadvisable for some patients

43
Q

What are examples of relative contraindications for perio surgery?

A

unrealistic expectations, high risk for dental caries, systemic disease

44
Q

What is healing by repair?

A

healing of a wound by the formation of tissues that do not precisely restore the original architecture or original function of the body part

45
Q

What is the difference between healing by reattachment and healing by new attachment?

A

there is no disease involved in reattachment

46
Q

What is reattachment?

A

healing by the reunion of the periodontal CT and the tooth root where the two tissues have been separated by incision or injury

47
Q

What is new attachment?

A

healing that occurs when epithelium and CT are newly attached to a tooth root where perio had previously destroyed this attachment

48
Q

What is regeneration?

A

regrowth of the precise tissues that were present before the disease or damage to the tissues occurred

49
Q

What is the most common type of wound closure?

A

secondary intention - margins or edges of the wound are not in close contact with each other

50
Q

What is an autograft?

A

bone taken from the patient’s own body

51
Q

What is an allograft

A

bone taken from another human

52
Q

What is a xenograft?

A

bone taken from another species

53
Q

What in an alloplast?

A

synthetic bone

PERIO II (1 decks)

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