Final Exam 1A Flashcards

1
Q

Name the 2 phases of periodontal treatment and their sub categories

A

Phase 1 - Initial soft tissue therapy then re-evaluation

Phase 2 - hard tissue surgical therapy then maintenance phase

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2
Q

Phase 1 of periodontal treatment involves what?

A

SRP, and OHI

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3
Q

Phase 1 re-evaluation takes place how long after phase I?

A

4-6 weeks

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4
Q

What do you do at re-evaluation of phase 1?

A

re-collect data and analyze it

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5
Q

Phase 2 of periodontal treatment involves what?

A

bony defects and grow back bone

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6
Q

Where does PD begin in the mouth?

A

Most coronal part of interproximal tissue

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7
Q

Where does PD migrate after it begins in the mouth?

A

apically

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8
Q

How do you test sulcular fluid?

A

filter paper at gingival sulcus

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9
Q

How do you analyze sulcular fluid?

A

with Periotron

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10
Q

How does sulcular fluid increase?

A
  • during gingivitis making tissue look wet
  • during circadian 6 AM - 10 PM
  • with female sex hormones
  • vigorous chewing
  • smoking
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11
Q

What is in sulcular fluid?

A
proteins
antibodies - IgG
antigens
enzymes
cells (epithelial, leukocytes)
electrolytes (K, Ca, Na)
organic compounds (metabolic & bacterial)
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12
Q

What about sulcular fluid and tetracycline?

A

concentration higher than in serum

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13
Q

What about sulcular fluid and inflammation?

A

removes products

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14
Q

Drug-induced enlargement begins where?

A

interdental papilla

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15
Q

Drug-induced enlargement extends where?

A

facial/lingual margins

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16
Q

What happens to tissues in drug-induced enlargement?

A

tissue folds unite

17
Q

True/False Drug-Induced enlargement is plaque associated?

A

may or may not be

18
Q

Name the new anticonvulsant?

A

Phenytoin

19
Q

Anticonvulsant pathogenesis?

A
  • stimulates fibroblast proliferation
  • inactivation of collagenase
  • plaque-induced inflammation
20
Q

Anticonvulsant dose response?

A

questionable; may consider changing drugs

21
Q

New immunosuppressant?

A

Tacrolimus

22
Q

What’s different about immunosuppressants?

A

more vascular enlargement than phenytoin enlargement?

23
Q

Gingival enlargement occurs in how many immunosuppressant patients?

A

20%-70% (dose related)

24
Q

What immunosuppressant drug has less overgrowth?

A

Tacrolimus

25
Q

Besides Nifedipine, what are the 2 new calcium channel blockers?

A

Diltiazem

Verapamil

26
Q

What combination of calcium channel blocker drugs increases overgrowth in kidney transplant patients?

A

Verapamil + Cyclosporine