Mostly Killeens material

Question 1

Goal of Phase I Therapy

Answer 1

To Remove local irritants that induce gingival inflammation.

Question 2

SRP removes how much cementum?

Answer 2

40-50 microns of the toxic cementum is removed.

Question 3

When are overhangs removed? (What phase)

Answer 3

Phase I, because overhangs make plaque control impossible

Question 4

List of Phase I therapies? 7

Answer 4

• Plaque control
• calculus detection
• supragingivial scaling
• subgingival root treatment
• recontour restorations
• restore carious lesions
• Tissue reevaluation

Question 5

How do you remove a slight overhang?

Answer 5

Ultrasonic

Question 6

HOw do you remove a moderate overhang?

Answer 6

Ultrasonic

Question 7

How do you remove a large overhang?(2)

Answer 7

• Pull a flap and recontour

- Redo the prep

Question 8

What can be done to large, flat class V amalgam restorations to increase access to cleaning the furcation?

Answer 8

Flute the Amalgam (page 112 for pictures)

Question 9

Expected amount of recession following SRP for 5-6mm pockets?

Answer 9

1mm

Question 10

Expected amount of recession following SRP for 7+mm pockets?

Answer 10

2mm

Question 11

After SRP, is sensitivity expected?

Answer 11

Yes, transient hypersensitivity is expected. Just root planned cementum away…

Question 12

How to treat the transient hypersensitivity?

Answer 12

Fluoride varnish will help (covered in more detail later)

Question 13

What is host modulation?

Answer 13

It is the process of changing a patients behavior. For us specifically to increase oral hygiene habits.

Question 14

When are powered toothbrushes recommended? (3)

Answer 14

• Px’s who lack fine motor skills
• Handicapped and have a caregiver
• Ortho patients
• CON: expensive

Question 15

Toothpaste AKA?

Answer 15

dentifrices

Question 16

Location of the most hard tissue damage due to toothpaste?

Answer 16

Maxilla opposite of dominant hand.

Question 17

Name a chemotherapeutics that:

1. Inhibits Plaque
2. Inhibits Calculus
3. Inhibits Caries
4. Inhibits hypersensitivity (3)

Answer 17

1. Chlorhexidine (Rx only)
2. Pyrophosphate
3. Fluoride
4. Potassium Nitrate, Fluoride, Strontium Chloride

Question 18

Can a whitening and desensitizing toothpaste work together?

Answer 18

Not optimally they don’t. MARKETING TRAP! *Whitening increases sensitiivity

Question 19

Describe the BASS method?

Answer 19

45 degrees angled into the sulcus

Question 20

Can a patient themselves do subgingival rinses?

Answer 20

No, dental care providers do this. Really hard for patients to do.

Question 21

What is better at reducing plaque/gingivitis: Chlorhexidine vs Essential Oils (phenolic compounds)

Answer 21

Chlorhexidine
--60% plaque reduction
--65% gingivitis reduction
Essential Oils
--35% plaque
--35% gingivitis

Question 22

What is the goal for Bleeding Point Index?

Answer 22

10% or under