Nonsurgical Periodontal Therapy Quiz 2

Question 1

removal of dental biofilm, calculus, and stains from the tooth surface (crown and root surfaces)

Answer 1

scaling

Question 2

removes cementum and surface dentin that is rough, impregnated with calculus, or contaminated with toxins or microorganisms

Answer 2

root planing

Question 3

removal of calculus, debris, dental biofilms, and its by-products from the tooth surface and gingival crevice to treat gingival and periodontal inflammation

Answer 3

periodontal debridement

Question 4

ongoing loss of attachment and bone loss

Answer 4

disease activity

Question 5

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

Answer 5

oral prophylaxis

Question 6

inflammation of the gingival unit

Answer 6

gingivitis

Question 7

inflammation extends from the gingiva into the supporting structures, ultimately resulting in alveolar bone loss; there is clinical attachment loss

Answer 7

periodontitis

Question 8

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

Answer 8

attachment loss

Question 9

phase I treatment consists of oral hygiene instructions, mechanical ______________, _____________ cessation, and fluoride application

Answer 9

debridement
smoking

Question 10

what are the levels of prevention

Answer 10

primary: initiation
secondary: progression
tertiary: recurrence

Question 11

what is the foundation of nonsurgical periodontal therapy

Answer 11

periodontal debridement

Question 12

when performing periodontal debridement, what do you curettage

Answer 12

soft tissue

Question 13

what are the clinical benefits of scaling and root planing

Answer 13

removal of subgingival microbial flora

Question 14

subgingival microbial flora has ______________ origins

Answer 14

supragingival

Question 15

what is phase I of nonsurgical periodontal therapy

Answer 15

returning the gingival tissue to health

Question 16

what is the immediate goal of therapy

Answer 16

prevent, arrest, control, or eliminate periodontal disease

Question 17

what is the ideal goal of therapy

Answer 17

promote healing through regeneration of lost tissue

Question 18

what is the accepted goal of therapy

Answer 18

pair the damaged tissue

Question 19

what is the ultimate goal of therapy

Answer 19

sustain the masticatory system in healthy state

Question 20

the measurable endpoints of periodontal debridement are clinical ______________ levels, ___________ depths, visual signs of ____________, BOP, and reduction in _____________ microbiota

Answer 20

attachment
probing
inflammation
subgingival

Question 21

inflammatory infiltrate is gradually replaced by maturing ___________ fibers, which become functionally oriented bundles

Answer 21

collagen

Question 22

final healing after debridement occurs via a long ________________

Answer 22

junctional epithelium

Question 23

reduction in probing depths is due to a combination of gingival ____________ and increase in ________________

Answer 23

recession
clinical attachment

Question 24

factors that affect measuring clinical attachment loss include:

Answer 24

inflammation, probing technique, tooth anatomy, and presence of calculus

Question 25

what are the adverse effects of periodontal debridement

Answer 25

dentinal hypersensitivity and soft tissue recession

Question 26

scaling and root planing becomes less effective in probing depths > _______ mm

Answer 26

4 mm

Question 27

complete healing after srp normally occurs within _________ weeks

Answer 27

1-2

Question 28

when should you clinically reevaluate response to srp

Answer 28

4-8 weeks (ideally 6)

Question 29

when reevaluating the initial therapy, what should you consider

Answer 29

tissue response and inflammation

Question 30

what are the indications for use of lasers

Answer 30

sulcular debridement, reduction of subgingival bacteria, and srp

Question 31

does the fda approve dental lasers

Answer 31

yes, as a medical device