OEQ Flashcards
If a patient needs Cetacean, how much can you apply?
0.4ml
What defect has the BEST prognosis for regeneration?
3 wall
What defect is most common?
2 wall
What is another name for two wall defect?
crater
T/F: The number of walls is determined by the amount of walls lost
false- by the number of wall REMAINING
What are the FUNCTIONAL indications of crown lengthening
- restoration with subG gingival margin
- fractured tooth
- endo perforation
- internal root resorption
T/F: 85% chance of leaving residual calculus and biofilm in pockets of greater than 5mm
true
Where is most calculus left?
CEJ & line angles
What is the final goal of SRP?
functional, comfortable, healthy dentition with stable probing attachment levels
What does GTR stand for?
guided tissue regeneration
Non-surgical treated areas have a ____ percentage of defects that convert from non-diseased to diseased sites in surgically treated areas.
greater
The union of connective tissue with a root surface that has been deprived of its original attachment apparatus
New attachment
The reunion of connective tissue with a root surface on which viable PDL is present:
Reattachment
The healing of a wound that does not fully restore:
repair
What is the most common flap done? Also called:
full thickness flap (mucoperiosteal flap)
A partial thickness flap leaves:
periosteum
T/F: Success is determined by the patients ability to keep good home care:
true
What is the MAIN GOAL of flap surgery:
access!!!
What is the angle of external bevel for gingivectomy?
45 degrees
What is the most common indicator of a gingivetomy?
gingival enlargement
Gingivectomy can be done on ____ defects
suprabony
Where does the source of healing come from?
PDL
(flap margin + underlying bone as well)
What is the second stage of healing?
revascularization
Order of healing=
1. incorporation (clot formation)
2. revascularization
3. resorption of graft material with release of BMP to induce bone formation
4. bone formation
5. bone remodeling and maturation
An ideal bone graft releases:
BMP
75% hydroxyapatite + 25% bovine bone =
composite graft
Placement of flap margin is done at the alveolar crest, what occurs?
elimination of pocket
Placement of flap making is coronal to alveolar crest, what occurs?
pocket reduction
What is an advantage to resection?
Easier and quicker
Which of the following is indicated as a hemiseptum?
one wall
List the determinants of gingival contour:
- interdental space
- position of tooth in the arch (facial or lingual position in the alveolus)
- root shape
- crown shape
NOT NECESSARILY UNDERLYING BONE
Windowing of bone=
fenestration
What is a true intrafony defect?
three wall
List percentages of SRP and Surgical therapy for the following probing depths:
1-3mm:
4-6mm:
6+ mm:
1-3mm:
SRP= 86%
OFD= 86%
4-6 mm:
SRP= 43%
OFD= 76%
6+ mm:
SRP: 32%
OFD: 50%
T/F: Guided tissue regeneration excludes epithelial cells and connective tissue:
true
Tissue transferred from one site to another site in the SAME individual:
autograft
(intraoral, iliac crest, ribs)
Tissue transferred from individuals of DIFFERING species:
xenograft
(bovine, swine)
Tissue transferred between individuals of the SAME species:
allograft
Variable affecting grafting success include all of the following except:
antibiotics
Opening facial to get interproximal defects:
anterior curtain
What should be done prior to crown lengthening surgery:
bone sounding under LA
If you have 3mm of gingival recession on a tooth with a 3mm probing depth, what is the overall attachment loss?
6mm
Despite the skill of the clinician, how much residual calculus or biofilm is left in periodontal pockets of great than 5mm?
85%
Reisdual calculus or biofilm is left at:
CEJ AND line angles
What is the final goal of periodontal therapy?
functional, comfortable, healthy dentition with stable probing depths and attachment levels
Epithelial exclusion is achieved with which technique?
guided tissue REGENERATION
Single rooted teeth compared to molar (multi) rooted teeth have been shown to respond to which modality of periodontal treatment?
Both - (single responds better all around)
A mucoperiosteal flap is also known as:
full thickness flap
Which of the following does NOT increase the width of keratinized gingiva?
modified widman
A mucoperiosteal flap is also known as:
full thickness
What is the purpose of creating a flap that extends past the MG junction?
to allow epithelial attachment to the root
Reshaping of bone to achieve a more physiologic form without removal of alveolar bone is called:
osteoplasty
REMOVAL of alveolar bone proper:
ostectomy
What is it called when interdental crestal bone is APICAL to the level of radicular bone?
negative architecture
Regeneration techniques have the best prognosis with ___ wall defects
3
Large round burs are used for:
osteoplasty
Which of the following reason is NOT a reason for excessive gingival display:
Clenching
The gingival margin of the lateral incisors should be ____ to be considered esthetic
0.5-1.0mm coronal to the central and canine
According to Dr. Tao’s lecture, what is the acceptable eerie maintenance recall interval in a patient with a history of periodontitis and ACCEPTABLE homecare:
3 months
According to Dr. Theins lecture, ____ % of Stage III/IV periodontitis patients are treated by general practicioners
66%
T/F you should always quite fees of a specialist the you are referring a patient in order to give the patient a better idea of the cost of treatment:
false
According to Dr. Theins lecture, what is the best way to make sure a patient goes through with a referral to a specialist?
help make the appointment for th patient with you staff while the patient is IN OFFICE
What is the MAIN REASON that you should refer you patients to a specialist?
standard of care
You should keep your lines of communication open with your patient sand the referral office:
true
According to the 2017 AAP classification, which of the following is correct?
Peri-implantitis is a pathologic plaque-induced condition associated with inflammation on supporting bone loss that is IRReversible
Which of the following is NOT defined by the 2017 AAP classification?
ailing, failing implant
What is the prevalence of peri-implant mucositis?
62%
What is the prevalence of peri-implantitis:
28-52%
Patient presents with windows of exposed bone. What is the condition called?
fenestration