Final Exam Flashcards
For many patients with moderate chronic periodontitis, the suggested frequency of periodontal maintenance visits is every ____ ___________.
3 months
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
periodontal maintenance is not successful in preventing tooth loss
Clinical data collected at the periodontal maintenance appointment should be measured against what?
average patient data
initial baseline data
expected readings
standard guidelines
initial baseline data
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
both statements are true
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
more than one of the above
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
all of the above are correct
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
Stage I and II
“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.
Both are false
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?
Metronidazole
What antibiotic was noted in the textbook as being effective against the bacteria Aggregatibacter Actinomycetemcomitans?
tetracycline
What is the active ingredient in Arestin?
Minocycline
What is significant about gingivitis and preganancy?
You have to have gingivitis before pregnancy for it to be really bad during pregnancy
What is a disadvantage of a gingivectomy?
post operative pain
More ___________ ________________ will be showing after a gingivectomy.
tooth surface
A patient will have an open wound at the donor site after having a _______ _______ _________ _____________
free soft tissue autograft
A ________________ _______________ tissue graft typically has better root coverage than a free soft tissue autograft.
subepithelial connective
Use of ________________ results in regeneration of cementum, PDL, and alveolar bone.
Emdogain
What type of surgery repairs soft tissue defects when there is inadequate attached gingiva?
free gingival graft
Which of the following is placed during guided tissue regeneration to control the rapid growth of epithelium into the wound?
barrier material
The term “relative contraindication” for periodontal surgery is used to convey the idea of conditions that what?
might make periodontal surgery inadvisable for some patients
For many patients with Stage III periodontitis, the suggested frequency of periodontal maintenance visits is every ___ months.
3
What type of surgery repairs soft tissue defects when there is inadequate attached gingiva?
free soft tissue graft
How long after Emdogain is placed must you wait to probe or scale sub gingivally?
6 months or when the treating dentist approves it
What procedure would be recommended for a patient with a gummy smile?
gingivectomy
What are some examples of pro inflammatory mediators?
IL-1 and IL-6
What are some examples of anti inflammatory mediators?
interleukin-4 (IL-4) interleukin-10 (IL-10)
What is the use for Doxycycline?
treating patients with periodontitis to reduce probing depths and gain in CAL and prevention of disease progression
What is a periodontal abscess?
an acute infection involving a localized collection of pus within the gingival wall of the periodontal pocket
What is a pericoronal abscess?
involves tissues around the crown or partially unerupted tooth
What is the treatment for a pericoronal abscess?
administer local
drain pus
thorough instrumentation at infection site
irrigate
prescribe antibiotics
warm saline rinses
evaluate extraction of thirds
follow-up appointment
What is necrosis?
death of the cells comprising the gingival epithelium
What is ulceration?
loss of the gingival epithelium normally covering the underlying gingival connective tissue
What is a pseudomembrane?
a gray-white layer covering the necrotic areas of the gingiva
What is sequestrum?
fragments of necrotic (dead) alveolar bone
What are the benefits of at home irrigation?
same benefits as regular floss - it just does the work for you
What is the impact zone?
initial fluid contact near the gingival margin
What is the flushing zone?
depth of fluid penetration within a subgingival sulcus or periodontal pocket
What is the maximum strength of Chlorhexidine mouthrinse in the US?
0.12%
What is an example of an essential oil irrigating solution?
Listerine
What is the goal of professional irrigation?
enhance the outcome of periodontal instrumentation by disrupting and diluting plaque biofilm from within periodontal pockets
What is one side effect with prolonged use of bisphosphonates?
osteonecrosis of the jaw
What is the only FDA approved modulating agent that is used as an adjunct in periodontal surgery?
Emdogain - enamel matrix protein
What are relative contraindications?
conditions that may make surgery inadvisable for some patients
What are examples of relative contraindications for perio surgery?
unrealistic expectations, high risk for dental caries, systemic disease
What is healing by repair?
healing of a wound by the formation of tissues that do not precisely restore the original architecture or original function of the body part
What is the difference between healing by reattachment and healing by new attachment?
there is no disease involved in reattachment
What is reattachment?
healing by the reunion of the periodontal CT and the tooth root where the two tissues have been separated by incision or injury
What is new attachment?
healing that occurs when epithelium and CT are newly attached to a tooth root where perio had previously destroyed this attachment
What is regeneration?
regrowth of the precise tissues that were present before the disease or damage to the tissues occurred
What is the most common type of wound closure?
secondary intention - margins or edges of the wound are not in close contact with each other
What is an autograft?
bone taken from the patient’s own body
What is an allograft
bone taken from another human
What is a xenograft?
bone taken from another species
What in an alloplast?
synthetic bone
