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Periodontology > Midterm > Flashcards

Midterm Flashcards

1
Q

Routine components of the periodontal maintenance appointment evaluation of the effectiveness of daily oral self-care include…… (2 things)

A

reinstruction in self-care techniques and comprehensive periodontal assessment.

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2
Q

What the primary pattern of healing after periodontal instrumentation.

A

The formation of a long junctional epithelium

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3
Q

What is one of the major roadblocks to patients making a behavior change relating to periodontal health

A

A patient’s ambivalence about making a change

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4
Q

A patient with Grade A periodontitis exhibits few risk factors and is ___________

A

more responsive to standard periodontal therapy.

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5
Q

Goals of nonsurgical therapy are to …. ( 3 things)

A

-eliminate or control local risk factors for periodontal disease -minimize the impact of systemic risk factors for periodontal disease,
-stabilize attachment levels.

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6
Q

Steps in the reevaluation appointment include….

A

-Updating medical history
-Periodontal clinical assessment
-Comparing initial assessment data with reevaluation data

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7
Q

What can be used by a patient to clean areas between roots where there are exposed furcations that permit insertion?

A

Pipe cleaners

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8
Q

Where is tufted dental floss effective at removing plaque? ?

A

Type II embrasures
Under the pontic of a fixed bridge
The distal surface of the last tooth in the arch

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9
Q

What is the task of the clinician?

A

evoke
facilitate
strengthen the patient’s own desire for change.

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10
Q

Fundamental in guiding the dental team during the diagnosis process is…

A

-determining if the disease is gingivitis or periodontitis
-what type of periodontitis or gingivitis
-if the clinical assessment indicates disease or health.

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11
Q

Statements made by patients in the direction of change are not referred to as….

A

Sustained talk

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12
Q

Osseointegration is regarded as successful when….

A

there is an absence of gingival inflammation of the peri-implant tissues.

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13
Q

What is the presence of inflammation around an implant?

A

Perio-implantits

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14
Q

Fear of dental treatment, the expense of treatment, and denial are reasons for a patient to be….

A

Non-compliant

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15
Q

What are some risk factors associated with periodontal disease?

A

Heredity
Personal behaviors
Gender

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16
Q

How can self care around an implant be done?

A

Plastic coated wire proxy brush or end tufted brush

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17
Q

How often should we check a dental implant with x-rays?

A

1x/year

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18
Q

What is a clinical sign of inflammation?

A

Red swollen gingival tissue?

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19
Q

What is a hidden sign of inflammation?

A

Alveolar bone loss

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20
Q

A tongue scraper is recommended to help decrease periodontal pathogens that produce ____________ ____________ accumulate within the filiform papillae on the back of the tongue.

A

Methyl Mercaptan

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21
Q

What are the phases of periodontal treatment?

A

Nonsurgical
Surgical
Restorative
Maintenance

22
Q

What is the barrier between the implant and the oral cavity?

A

The biological seal

23
Q

A sulcus lined by ________ _________ surrounds the implant abutment post

A

Sulcular epithelium

24
Q

The 4 components of the process of structuring a question for research include…(PICO)

A

Problem
Intervention
Comparison
Outcome

25
Q

T/F Case-controlled studies provide a lower level of evidence for evidence-based decision-making than randomized controlled trials, systematic reviews, and cohort studies.

A

True

26
Q

Reasons for recurrence of moderate chronic periodontitis include the ….. (3 things)

A

-inability of the patient to establish adequate plaque control
- improper periodontal surgical technique
- attempting to treat teeth with a poor prognosis.

27
Q

Tobacco smoking may have many effects on the periodontium such as….

A

a decrease in bleeding as the result of vasoconstriction of the blood vessel, and changes in the pocket environment resulting in different bacterial pathogens

28
Q

What are the 5 As of smoking cessation?

A

Ask, advise, assess, assist, arrange

29
Q

How is a wooden wedge used?

A

Flat side against the gums

30
Q

Asking a patient how he/she would feel about learning a new method to clean their teeth is most likely to bring about the

A

desired behavior change in a patient

31
Q

T/F Both clinical findings and radiographic findings are important during the clinical assessment process.

A

True

32
Q

T/F The dental team must make every effort to detect periodontitis before there is obvious radiographic evidence of alveolar bone loss.

A

True

33
Q

The implant body is anchored in the ____

A

Bone

34
Q

What are the tissues that surround the implant?

A

Peri-implant tissues

35
Q

What phase is periodontal instrumentation part of?

A

Non-surgical periodontal phase

36
Q

Which phase includes all measures used to keep periodontitis from recurring once the inflammatory disease is brought under control.?

A

The maintenance phase

37
Q

What is recommended for patients with a coated tongue that may contribute to periodontal disease, to reduce bacteria on the tongue and reduce the number of pathogens in the saliva?

A

A tongue scaper

38
Q

Dental floss is effective in which type of embrasure space?

A

Type 1

39
Q

What is most effective in removing plaque biofilm from an interproximal root concavity.

A

Interdental brush

40
Q

Periodontal patients have been shown to have a significantly higher prevalence of

A

Tongue coating

41
Q

Best practice for dental hygiene involves

A

Research
expert opinion
Personal experience

42
Q

Best practice encompasses…

A

Measurable outcomes, consistent outcomes, reproducible outcomes

43
Q

What is associated with exposed dentin?

A

Dental hypersensitivity

44
Q

Which theory is the origin of dentinal hypersensitivity proposes the cause of sensitivity in open dentinal tubules is a fluid movement within the tubules that stimulates nerve endings associated with the odontoblastic processes:?

A

The hydrodynamic theory

45
Q

What is the theory that is related to the cause of sensitivity in open dentinal tubules is a fluid movement within the tubules that stimulates nerve endings associated with the odontoblastic processes?

A

The hydrodynamic theory for the origin of dentinal hypersensitivity

46
Q

What is the most frequently used aide for biofilm removal?

A

A toothbrush

47
Q

What releases an elevated production of inflammatory cytokines?

A

Adipose tissue

48
Q

What has more rapid tissue destruction? Peri-implant tissues or periodontal tissues?

A

Peri-implant tissues

49
Q

T/F Patients placed on perio maintenance therapy every 2-3 months can actually gain attachment and are continued on periodontal maintenance for the life of the natural dentition.

A

True

50
Q

T/FMost patients are able to retain their teeth throughout their lives with good periodontal maintenance therapy.

A

True

Periodontology (8 decks)

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