Midterm Flashcards
Routine components of the periodontal maintenance appointment evaluation of the effectiveness of daily oral self-care include…… (2 things)
reinstruction in self-care techniques and comprehensive periodontal assessment.
What the primary pattern of healing after periodontal instrumentation.
The formation of a long junctional epithelium
What is one of the major roadblocks to patients making a behavior change relating to periodontal health
A patient’s ambivalence about making a change
A patient with Grade A periodontitis exhibits few risk factors and is ___________
more responsive to standard periodontal therapy.
Goals of nonsurgical therapy are to …. ( 3 things)
-eliminate or control local risk factors for periodontal disease -minimize the impact of systemic risk factors for periodontal disease,
-stabilize attachment levels.
Steps in the reevaluation appointment include….
-Updating medical history
-Periodontal clinical assessment
-Comparing initial assessment data with reevaluation data
What can be used by a patient to clean areas between roots where there are exposed furcations that permit insertion?
Pipe cleaners
Where is tufted dental floss effective at removing plaque? ?
Type II embrasures
Under the pontic of a fixed bridge
The distal surface of the last tooth in the arch
What is the task of the clinician?
evoke
facilitate
strengthen the patient’s own desire for change.
Fundamental in guiding the dental team during the diagnosis process is…
-determining if the disease is gingivitis or periodontitis
-what type of periodontitis or gingivitis
-if the clinical assessment indicates disease or health.
Statements made by patients in the direction of change are not referred to as….
Sustained talk
Osseointegration is regarded as successful when….
there is an absence of gingival inflammation of the peri-implant tissues.
What is the presence of inflammation around an implant?
Perio-implantits
Fear of dental treatment, the expense of treatment, and denial are reasons for a patient to be….
Non-compliant
What are some risk factors associated with periodontal disease?
Heredity
Personal behaviors
Gender
How can self care around an implant be done?
Plastic coated wire proxy brush or end tufted brush
How often should we check a dental implant with x-rays?
1x/year
What is a clinical sign of inflammation?
Red swollen gingival tissue?
What is a hidden sign of inflammation?
Alveolar bone loss
A tongue scraper is recommended to help decrease periodontal pathogens that produce ____________ ____________ accumulate within the filiform papillae on the back of the tongue.
Methyl Mercaptan
What are the phases of periodontal treatment?
Nonsurgical
Surgical
Restorative
Maintenance
What is the barrier between the implant and the oral cavity?
The biological seal
A sulcus lined by ________ _________ surrounds the implant abutment post
Sulcular epithelium
The 4 components of the process of structuring a question for research include…(PICO)
Problem
Intervention
Comparison
Outcome
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.
True
Reasons for recurrence of moderate chronic periodontitis include the ….. (3 things)
-inability of the patient to establish adequate plaque control
- improper periodontal surgical technique
- attempting to treat teeth with a poor prognosis.
Tobacco smoking may have many effects on the periodontium such as….
a decrease in bleeding as the result of vasoconstriction of the blood vessel, and changes in the pocket environment resulting in different bacterial pathogens
What are the 5 As of smoking cessation?
Ask, advise, assess, assist, arrange
How is a wooden wedge used?
Flat side against the gums
Asking a patient how he/she would feel about learning a new method to clean their teeth is most likely to bring about the
desired behavior change in a patient
T/F Both clinical findings and radiographic findings are important during the clinical assessment process.
True
T/F The dental team must make every effort to detect periodontitis before there is obvious radiographic evidence of alveolar bone loss.
True
The implant body is anchored in the ____
Bone
What are the tissues that surround the implant?
Peri-implant tissues
What phase is periodontal instrumentation part of?
Non-surgical periodontal phase
Which phase includes all measures used to keep periodontitis from recurring once the inflammatory disease is brought under control.?
The maintenance phase
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 tongue scaper
Dental floss is effective in which type of embrasure space?
Type 1
What is most effective in removing plaque biofilm from an interproximal root concavity.
Interdental brush
Periodontal patients have been shown to have a significantly higher prevalence of
Tongue coating
Best practice for dental hygiene involves
Research
expert opinion
Personal experience
Best practice encompasses…
Measurable outcomes, consistent outcomes, reproducible outcomes
What is associated with exposed dentin?
Dental hypersensitivity
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:?
The hydrodynamic theory
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?
The hydrodynamic theory for the origin of dentinal hypersensitivity
What is the most frequently used aide for biofilm removal?
A toothbrush
What releases an elevated production of inflammatory cytokines?
Adipose tissue
What has more rapid tissue destruction? Peri-implant tissues or periodontal tissues?
Peri-implant tissues
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.
True
T/FMost patients are able to retain their teeth throughout their lives with good periodontal maintenance therapy.
True
