initial therapy eval

Question 1

objectives in _ therapy

reduce/eliminate gingival inflammation by removing plaque retentive factors

reduce/eliminate periodontal pockets produced by _

Answer 1

initial therapy

produced by edematous enlargement of inflamed gingiva

achieve surgical manageability

Question 2

purposes of PR-E - Periodontal re-evaluation

vital stage in treatment plan

method of eval of the periodontal status after _ therapy

_ of therapy

nature of further therapy if needed is established

Answer 2

non-surgical initial therapy

effectiveness

Question 3

re-eval is optimal after _ and removal of _

Answer 3

after caries control and removal of overhangs

SRP alone will not remove all plaque retentive factors

Question 4

BOP as a _ of outcome and evaluation of treatment

if present?

Answer 4

predictor

if present - a moderate predictr of future attachement loss

if absent in a non-smoker- useful indicator of health (periodontal stability)

Question 5

comparisons of pre-tx and PR-E probing depths

short term
long term
sites greater than 6mm

Answer 5

short term - limited predictive value because lack of reproducibility of variable examiner probing force, angulation, and position

long term - deep residual pockets are indicative of further attachment loss particulary if comined with BOP

sites greater than 6mm are directly related to future periodontal breakdown

Question 6

initial therapy may reduce pocket depths through:
_ especially in the interproximal papillae

_ gain in attachment - probe penetrates into healthy tissue less than inflamed tissues
formation of a long JE

Answer 6

gingival recession

clinical gain in long JE attachment

not collagen fibers

Question 7

reduction in tooth mobility PR-E initial therapy may occur due to

_- connective tissue healing. more collagen, less cellularity
_therapy

Answer 7

reduction in inflammation

occlusal therapy

Question 8

timing for PR-E
OSU differs from text

gingivitis -
periodontitis
minimum and max

Answer 8

gingivitis - 2 weeks

periodontitis - 4 weeks min 3 months max

if less time is allowed, the tissues may not have sufficiently healed.
if too much time lapses, return of plaque and deposits may prevent eval at the time of optimal response

Question 9

Why do some sites gain attachment and some losss

_ causes inaccurate readings with probe
Accurary of probing
Angulationg of probing

Answer 9

Calculus