Module 1 Perio Instrumentation Flashcards
The focus of periodontal tx is on the ___ and ____of the pt.
education
motivation
Endotoxins are also called?
Lipopolysaccharides
Endotoxins come from?
cell walls of gram- germs
T/F Calculus is the cause of gingival inflammation?
F (biofilm)
In order to stop the progress of disease we need a change in?
behavioral/lifestyle habits
The needs of the individual pt. are identified through _____
pt. assessment
The course of tx is defined by the dental hygiene ______
diagnosis and care plan
What is the initial step in any periodontal appointment?
instruction
When would you be able to plan for only one appt?
little teeth remaining
pt. has gingivitis/early perio w/little deposits
_____measurements, extent of _____, and oral ______ are all major determinants in the number of appointments needed?
probe
calculus
cleanliness
A system of scaling in 2 long appts. completed in 24 hrs is termed?
full-mouth disinfection
Why would we do a full mouth disinfection?
get rid of all pathogens at one appt.
What are 2 limitations to full mouth disinfection?
person can’t handle the pain/time
no repeated instructions can be given
Preliminary partial scaling means?
“gross scaling” followed by deeper scaling
When irritants are removed around opening of pocket and tissue heals it can cause?
problems getting deeper when they come back
Patient ________is lessened and calculus is ______ with partial scaling?
instruction/motivation
roughened (holds more bacteria)
What is the #1 problem with incomplete scaling?
Legal Issue (can come back and say incomplete tx was provided- which caused severe perio)
Scaling is removal fo calculus and biofilm from ________
clinical crown
Debridement is removal of calculus and biofilm from _______
root
Careful control is accomplished by a balance of pressure between the ______, _____ and _______
grasp
pressure of finger rest
lateral pressure
Why would you plane the root surface?
smooth surface to lessen bacterial attachment
What kind of stroke direction do you use when root planning?
Multidirectional