Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Periodontology > Nonsurgical Periodontal Therapy > Flashcards

Nonsurgical Periodontal Therapy Flashcards

1
Q

define NSPT

A

all nonsurgical treatment and education measures used to help control gingivitis and periodontitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

the goal is to plan a treatment that controls or eliminates what?

A
  1. primary etiologic factors-bacteria
  2. local risk factors-calculus
  3. systemic risk factors-diabetes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Periodontal surgery is ______ part of nonsurgical therapy

A

not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the objective of NSPT is to eliminate disease and what?

A
  1. return periodontium to health

2. maintain health with professional and patient self-care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

other names of NSPT

A

initial periodontal therapy, anti-infective phase, root debridement, or root planning and scaling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are removing with NSPT?

A

removing calculus and plaque with scalers and curetts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is root debridement

A

advanced instrumentation/therapy designated for patients with perio for AAP 2 and above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

indications for NSPT?

A
  1. all patients with plaque-associated gingivitis or chronic perio
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

even those patients with advanced perio go through NSPT first because NSPT may _____ the extent of surgery needed

A

minimize

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F: NSPT is the best therapy for aggressive perio?

A

false; it is not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

goals of NSPT

A
  1. minimize bacterial challenges to patient
  2. eliminate or control local risk factors for periodontal disease
  3. minimize impact of systemic risk factors for perio disease
  4. stabilize attachment level
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the ultimate number one goal of NSPT?

A

stabilize attachment level by controlling local and systemic factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

components of NSPT

A
  1. customized treatment plan
  2. patient takes charge of self care
  3. dental team provides routine professional care
  4. correction of local and systemic risk factors
  5. periodontal debridement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

____ removal of microorganisms and byproducts to prevent and treat periodontal infection

A

physical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

physical removal of bacteria plaque is the most _____ mechanism of control

A

effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pockets must be instrumented to _____ bacterial colonies

A

disrupted

17
Q

what are some rationals for instrumentation?

A
  1. arrest progress of perio disease
  2. eliminate bleeding
  3. increase effectiveness of patient self-care
  4. prevent recurrence of disease through periodic maintenance
  5. induce positive changes in subgingival bacterial flora
18
Q

define scaling

A

removes plaque calculus and stains

instrumentation of crown and root surfaces

19
Q

define root planning

A

removes cementum and rough dentin impregnated with calculus toxins

20
Q

what can root planning lead to?

A

endodontic lesions

21
Q

define periodontal debridement

A

removes or disrupts bacterial plaque byproducts and calculus from crown and root within pocket space
doesn’t include deliberate aggressive removal of cementum

22
Q

what system do insurance’s use for coding

A

ADA system

23
Q

advantages of ultrasonic instrumentation

A
  1. flushes debris, bacteria, and unattached plaque from pocket
  2. tip is thinner and smaller than a Gracey and can reach the furcas better
  3. optimum choice over hand instruments for perio debridement
  4. shorter instrumentation time
  5. low to medium power setting for less root surface damage
24
Q

endpoint for instrumentation is simply a return to what?

A

soft tissue health and free from inflammation

25
Q

what is the primary pattern of healing after instrumentation as far as the JE goes?

A

it is through formation of a long junctional epithelium which results in reduced probing depths

26
Q

what are we lacking when there is a long JE formation?

A

no formation of bone, cementum, or pdl fibers

27
Q

what time frame should we use to evaluate tissue healing?

A

4-6 weeks after completion of instrumentation

28
Q

what if healing doesn’t occur—what do we do?

A

consider host factors , surgery or re-explore and remove calculus if still present

29
Q

what factors cause sensitivity

A

mechanical, thermal, or chemical stimuli

30
Q

what layer prevents sensitivity

A

Smear layer

31
Q

how do we treat sensitivity?

A

keep surface plaque free, apply fluoride, calcium hydroxide, and use potassium nitrate toothpaste

32
Q

what must the patient do in order to prevent from getting sensitivity again?

A

keep the tooth surfaces free of plaque

33
Q

hypersensitivity pain is ____

A

sporadic

34
Q

what does MI paste do?

A

helps remineralize areas and helps with sensitivity

35
Q

thorough daily ____ removal prevents and controls sensitivity

A

plaque

36
Q

will treatment immediately stop sensitivity?

A

no

Periodontology (28 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions