indications for surgery

Question 1

Goals of Non-Surgical Therapy
* Removal of?
* Microflora?
* Endotoxin?
* surface?
* Tissue?

Answer 1

• Removal of plaque and calculus
• Microflora alteration
• Endotoxin removal
• “Smooth” surface
• Tissue shrinkage

Question 2

Scaling and Root Planing Efficiency chart

Answer 2

Question 3

The CEJ: Biofilm and Calculus Trap
% chance of leaving residual calculus or
biofilm in pockets > 5 mm?

Answer 3

85% chance of leaving residual calculus or
biofilm in pockets > 5 mm

Question 4

Disadvantages of Non-Surgical Therapy
*determines efficiency?
* Loss of ?
* Tissue types?
* Instrumentation of ?
* Size of?
* Size of ?

Answer 4

• Depth of pockets-determines efficiency
• Loss of connective tissue by scaling and root planing in healthy sites
• Thin versus thick tissue
• Instrumentation of furcations
• Size of instruments > Size of furcation entrances

Question 5

Endpoint of Scaling and Root Planing

Answer 5

Eliminate inflammation, bleeding on probing, suppuration, disease progression

Final goal of a functional, comfortable, healthy dentition with stable probing attachment levels.

Question 6

Root and Defect Acces

Answer 6

Plaque and calculus removal (non- surgical more difficult to accomplish in deeper pockets)
* Difficulty for furcation instrumentation without surgical access
* Granulation tissue removal
* Access to osseous defects

Question 7

primary indication for surgery

Answer 7

access

Question 8

Regeneration

Answer 8

The ‘gold’ standard
Definition: Reconstitution of a lost or missing part

Question 9

regeneration in perio

Answer 9

new periodontal ligament
* new cementum
* new bone

Question 10

graft sources for regen

Answer 10

• Autografts
• Allografts
• Alloplasts/Xenografts
• Guided Tissue Regeneration
• Non-resorbable vs resorbable membranes

Question 11

GTR mem provides:

Answer 11

epithelial exclusion

Question 12

pocket elimination

Answer 12

• Osseous contouring with placement of the flap margin at the alveolar crest
• Creation of shallow sulci
• Ease of maintenance by therapist and patient

Question 13

• Removal of bacteria

Answer 13

• Bacterial penetration seen in
  Aggressive Periodontitis
• Formerly known as LJP/GJP
• 2017 classified as Periodontitis***
• Causative bacterial pathogen of A.a

Question 14

Mucogingival Surgery / Periodontal Plastic Surgery goals
* Regain?
* Remove?
* Root? or increase ?
* Restore ?
* Pre-?

Answer 14

• Regain periodontium
• Remove frena
• Root coverage or increase keratinized tissue
• Restore gingival topography
• Pre-prosthetics and pre-orthodontics

Question 15

• Retreatment of Case

Answer 15

• Non-surgical therapy has failed
• Surgical therapy has failed
• New techniques or materials are available

Question 16

• Pre-prosthetic Surgeries

Answer 16

• Crown lengthening
• Ridge augmentation
• Palatal recontouring
• Gingivectomy/Gingivoplasty
• Ridge or Tuberosity Reduction

Question 17

Drug-Induced Gingival Overgrowth Rx

Answer 17

• Dilantin®
• Cyclosporin
• Calcium Channel Blockers
  (Nifedipine

Question 18

• Abscess Debridement causes

Answer 18

• Undiagnosed periodontitis
• Maintenance patients
• Recurrent abscesses
• Undiagnosed diabetes

Question 19

multiple abcesses may indicate?

Answer 19

uncontrolled DM

Question 20

• Non-surgically treated areas have a ________
  percentage of defects that convert from
  non-diseased to diseased sites than
  surgically treated sites.

Answer 20

• Non-surgically treated areas have a greater
  percentage of defects that convert from
  non-diseased to diseased sites than
  surgically treated sites.

Question 21

• All studies show that results in single
  rooted teeth are _______ for both non-surgical
  and surgical modalities than molars.

Answer 21

• All studies show that results in single
  rooted teeth are better for both non-surgical
  and surgical modalities than molars.