Module 1 Perio Instrumentation Flashcards

1
Q

The focus of periodontal tx is on the ___ and ____of the pt.

A

education

motivation

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2
Q

Endotoxins are also called?

A

Lipopolysaccharides

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3
Q

Endotoxins come from?

A

cell walls of gram- germs

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4
Q

T/F Calculus is the cause of gingival inflammation?

A

F (biofilm)

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5
Q

In order to stop the progress of disease we need a change in?

A

behavioral/lifestyle habits

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6
Q

The needs of the individual pt. are identified through _____

A

pt. assessment

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7
Q

The course of tx is defined by the dental hygiene ______

A

diagnosis and care plan

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8
Q

What is the initial step in any periodontal appointment?

A

instruction

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9
Q

When would you be able to plan for only one appt?

A

little teeth remaining

pt. has gingivitis/early perio w/little deposits

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10
Q

_____measurements, extent of _____, and oral ______ are all major determinants in the number of appointments needed?

A

probe
calculus
cleanliness

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11
Q

A system of scaling in 2 long appts. completed in 24 hrs is termed?

A

full-mouth disinfection

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12
Q

Why would we do a full mouth disinfection?

A

get rid of all pathogens at one appt.

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13
Q

What are 2 limitations to full mouth disinfection?

A

person can’t handle the pain/time

no repeated instructions can be given

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14
Q

Preliminary partial scaling means?

A

“gross scaling” followed by deeper scaling

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15
Q

When irritants are removed around opening of pocket and tissue heals it can cause?

A

problems getting deeper when they come back

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16
Q

Patient ________is lessened and calculus is ______ with partial scaling?

A

instruction/motivation

roughened (holds more bacteria)

17
Q

What is the #1 problem with incomplete scaling?

A

Legal Issue (can come back and say incomplete tx was provided- which caused severe perio)

18
Q

Scaling is removal fo calculus and biofilm from ________

A

clinical crown

19
Q

Debridement is removal of calculus and biofilm from _______

A

root

20
Q

Careful control is accomplished by a balance of pressure between the ______, _____ and _______

A

grasp
pressure of finger rest
lateral pressure

21
Q

Why would you plane the root surface?

A

smooth surface to lessen bacterial attachment

22
Q

What kind of stroke direction do you use when root planning?

A

Multidirectional