Lec 2 - Carmargo 1/14/15

Question 1

etiology and pathogensis of Periodontal Disease baterial biofilm [plaque] induces inflammation response clincally manifested as ___ and ___

Answer 1

gingivitis

PDitis

Question 2

waht is the def of PDitis

Answer 2

crhonic inflammatory condition of the teeth and the supportion structures includes:

Attachment loss and bone loss

Question 3

we must have _____ that caues the host response [inflammation] seen clinically attachment loss and some bone destruction

Answer 3

bioflim

Question 4

3 certain factors that affect PD?

Answer 4

1. cig smoking [behavioral factor bc it can be changed]
2. systemic factors [main one is diabetes, people with PD have a harder time controlling blood sugar]
3. occlusaion [debatable, if they are bruxers or prematrue contact will accelerate bone destruction]

Question 5

when you have swelling due to bioflim what direction does the gingival margin move

Answer 5

coronal

Question 6

why is gingivitis pocket a false pocket and reversible?

Answer 6

pocket is deeper is because the reference point [gingival margin] is coronal and so this is a pseudopocket or false pocket

Question 7

why dont we like deep pockets?

Answer 7

1. has to do with the pts ability to remove the bioflim and keep the bac level low so no clinical disease
2. able to scale and rid along the root and remove the bac in clinic as well

Question 8

how many more times do smokers vs. non smokers have the risk of PD?

Answer 8

4x more likely

Question 9

the reach of a manual tooth brush is ____ subginvially and power brush is ___ subgingivally

Answer 9

0. 5 - 0.9 mm subgingival
1. 3 - 1.7 mm subgingival

Question 10

can i mouth rinse instead of flossing ?

how much does it pentrate the subgingival

Answer 10

no

0.2 mm

Question 11

S/RP by dentist

if pockets are up to 3 mm deep can we be good at removing plaque ?

beyond 5 mm the ability to remove biofilm and calculus is what % by EVERYONE?

Answer 11

yes good if 3mm

11% [9/10 times leave bioflim will be leaving it behind from S and RPlaning]

Question 12

an important goal of periodntal therapy is to ___ bc its easier to maintain

Answer 12

reduce the pocket

elimination of pockets

Question 13

4 ways to reduce/eliminiate pockets?

Answer 13

repair

resection

regeneration

tooth extraction

Question 14

most deseriable way to reduce or eliminate pocket

Answer 14

regeneration, but has some limitations

Question 15

PD the disease is where?

Answer 15

ROOT SURFACE DiseasE

even though we are worried about tissue around the tooth, bone loss, and mobilty of the tooth

Question 16

PD treatment must involve compelte elimination of ALL rooth alacerations

true of false

Answer 16

true

Question 17

the most important for long term success for periodontal therapy and is the first step of treatment planning

Answer 17

OHI

Question 18

after OHI, phase I therapy [s/rp] how long do you wait before reeval

Answer 18

3 weeks

Question 19

what are the steps of peridontal treatment plan

Answer 19

1. OHI
2. Phase I therapy [s/rp]
3. re-eval
4. further therapy
   - non esthetic areas
   - esttheic areas [mostly upper anterior segment]

Question 20

repair of pocekt elmination is

Answer 20

adaptation of gingival tissue

to tooth surface

inovles the formation of hte long junctional epit

Question 21

pocket closes bc?

Answer 21

long junctional epi adheres to the tooth surface

Question 22

4 things to assess for re eval

Answer 22

1. at least 3 weeks after S/rp
2. OH, Pocket depth, assessment
3. bleeding upon probing

Question 23

true or false

pocket depth alone is a good indicator for surgery

Answer 23

false, needs a combo eval with bleeding upon probing

Question 24

when you have bleedin upon probing AND ___ mm of pocket depth for possible detection of PD

Answer 24

6 mm

Question 25

true or false

a furcation with 5 or greater mm BOP pocket dept we want to treat surgically

Answer 25

true want to treat it early bc furcations are the achilles heals for PD very difficult to treat

Question 26

what is the purpose of surgery for repair and where does it position

Answer 26

suture to the orignial positon in relation to the CEJ

do we repair surgery so that we can get access to the root surface [MAIN POINT]

Question 27

TF

after repair surgery and you repositioned the flaps do tissue recess and how much if so?

Answer 27

1 mm of recession

Question 28

waht is resection surgery?

repair is open and close surgery

Answer 28

want to bring the soft tissue level to the level of the bone

Question 29

which technique is less commonly used compared to the other technique for resection surgery?

Answer 29

gingivectomy