Management of gingivitis and periodontitis

Question 1

What is hygiene phase therapy?

Answer 1

Removal of plaque and prevention of plaque/bio-film re-growth
Mechanical and chemical

Question 2

Describe bass method

Answer 2

Bristles along gemlike at 45 degrees. contact tooth and gum
Back forth and rolling motion
Move onto next teeth

Question 3

Describe modified stillman

Answer 3

Rolling stroke after back and forth motion

Question 4

How can mechanical plaque removal occur other than toothbrushes?

Answer 4

Interproximal cleaning - floss, single tufted brush, interdental brush

Question 5

When are single tufted brushes used?

Answer 5

Missing adjacent teeth
Lingual surfaces of lower molars
Orthodontics
Localised gingival recession
Crowding
Furcation

Question 6

When are interdental brushes used?

Answer 6

Interproximal spaces with loss of papillae
Furcation
Implants and bridges
Orthodontic

Question 7

When should chemical plaque control be used?

Answer 7

After periodontal surgery
Special needs
Gingival enlargment
Fixed appliances

Question 8

Name a well known chemical plaque control?

Answer 8

Chlorhexidine

Question 9

Positives of chlorhexidine?

Answer 9

Bactericidal

Question 10

Negatives of chlorhexidadine

Answer 10

Taste and brown staining

Question 11

What is scaling?

Answer 11

Instrumentation perfumed to remove calculus deposits, sub and supra-gingivally. No damage to tooth surface

Question 12

What is root planning?

Answer 12

Instrumentation performed to remove sub gingival calculus and cementum (endotoxins) from tooth surface)

Question 13

What is curettage?

Answer 13

Removing soft tissue lining of periodontal pocket

Question 14

What is root surface debridement?

Answer 14

Disrupt and remove sub gingival biofilm and remove calculus without intentional removal of cementum

Question 15

Objects of RSI

Answer 15

Disrupt, remove sub gingival biofilm

Conservation of tooth structure