Nonsurgical Periodontal Therapy Quiz 2 Flashcards
removal of dental biofilm, calculus, and stains from the tooth surface (crown and root surfaces)
scaling
removes cementum and surface dentin that is rough, impregnated with calculus, or contaminated with toxins or microorganisms
root planing
removal of calculus, debris, dental biofilms, and its by-products from the tooth surface and gingival crevice to treat gingival and periodontal inflammation
periodontal debridement
ongoing loss of attachment and bone loss
disease activity
removal of biofilm, calculus, and stains from the exposed and unexposed surfaces of the teeth by scaling and polishing as a preventative measure for the control of local irritants
oral prophylaxis
inflammation of the gingival unit
gingivitis
inflammation extends from the gingiva into the supporting structures, ultimately resulting in alveolar bone loss; there is clinical attachment loss
periodontitis
pathological detachment of gingival collagen fibers from the cemental surfaces with the concomitant apical migration of the junctional epithelium, leading to the alveolar bone loss
attachment loss
phase I treatment consists of oral hygiene instructions, mechanical ______________, _____________ cessation, and fluoride application
debridement
smoking
what are the levels of prevention
primary: initiation
secondary: progression
tertiary: recurrence
what is the foundation of nonsurgical periodontal therapy
periodontal debridement
when performing periodontal debridement, what do you curettage
soft tissue
what are the clinical benefits of scaling and root planing
removal of subgingival microbial flora
subgingival microbial flora has ______________ origins
supragingival
what is phase I of nonsurgical periodontal therapy
returning the gingival tissue to health
what is the immediate goal of therapy
prevent, arrest, control, or eliminate periodontal disease
what is the ideal goal of therapy
promote healing through regeneration of lost tissue
what is the accepted goal of therapy
pair the damaged tissue
what is the ultimate goal of therapy
sustain the masticatory system in healthy state
the measurable endpoints of periodontal debridement are clinical ______________ levels, ___________ depths, visual signs of ____________, BOP, and reduction in _____________ microbiota
attachment
probing
inflammation
subgingival
inflammatory infiltrate is gradually replaced by maturing ___________ fibers, which become functionally oriented bundles
collagen
final healing after debridement occurs via a long ________________
junctional epithelium
reduction in probing depths is due to a combination of gingival ____________ and increase in ________________
recession
clinical attachment
factors that affect measuring clinical attachment loss include:
inflammation, probing technique, tooth anatomy, and presence of calculus
what are the adverse effects of periodontal debridement
dentinal hypersensitivity and soft tissue recession
scaling and root planing becomes less effective in probing depths > _______ mm
4 mm
complete healing after srp normally occurs within _________ weeks
1-2
when should you clinically reevaluate response to srp
4-8 weeks (ideally 6)
when reevaluating the initial therapy, what should you consider
tissue response and inflammation
what are the indications for use of lasers
sulcular debridement, reduction of subgingival bacteria, and srp
does the fda approve dental lasers
yes, as a medical device
