Office Safety/Perio (3) Flashcards
T/F: It is okay to leave children unattended in operatory.
False
What are some techniques to avoid operative hazards?
Rubber dam, throat drape, mouth prop
What are some toxicity risks in the office?
Local anesthesia, fluoride, topical anesthetic
What is the benefit of fluoride foam?
Lower fluoride concentration by volume
What is the PTD of fluoride?
5mg/kg
Fluoride varnish should not be applied to patients with what allergy?
Colophony allergy
How would you treat an allergic contact dermatitis from colophony?
Type IV rxn
Oral antihistamine
What are some common dental allergens?
Nickel, latex, food dyes, cinnamon
What is the best way to be sure the child is with their legal guardian?
Ask “Are you Jane’s legal guardian?”
T/F: Proper power of attorney must be in writing and notarized.
True
What is a good rule of thumb to know if something is a choking hazard?
Will it fit through TP tube
What is the CSPA definition of a choking hazard?
1.75” diameter
T/F: Gingivitis is much more common in teens than young children.
True
Teens (100%)
Children (50%)
What are the peak ages of puberty gingivitis?
Girls - 10 y.o.
Boys - 13 y.o.
T/F: Gingivectomy is often required for chronic inflammatory gingival enlargement.
True
Around ortho appliances
Which drugs can cause gingival overgrowth?
Phenytoin, cyclosporine, calcium channel blockers
What is the difference between drug-induced overgrowth and chronic inflammatory enlargement?
Drug - fibrous, firm, pink, little bleeding
CIE - erythema, soft, bleeds
What can cause a narrow band of attached gingiva around a tooth?
Ectopic eruption
Can lead to “stripping”, early recession
T/F: It is often best to wait to treat penetrating maxillary labial frenum until adult teeth are in.
True
T/F: Smoking is a major risk factor for chronic periodontitis.
True
Which form of aggressive periodontitis more often affects young adults?
Generalized - young adults
Localized - children
What is the best treatment for localized aggressive periodontitis?
SRP combined with systemic antibiotics and monitoring
What is the antibiotic of choice for LAP?
Tetracyclines
Metronidazole w/ amoxicillin
Azithromycin
What is localized prepubertal periodontitis?
Seen in primary dentition
T/F: Aa is the cause of LPP.
False
LPP - unknown
LJP - Aa
What is the treatment for LPP?
Antibiotics and debridement
**Tetracyclines contraindicated, will stain permanent teeth
T/F: Diabetes and Down Syndrome put patients at higher risk for periodontal disease.
True
Which enzyme is defective in patients with hypophosphatasia?
Bone alkaline phosphatase
T/F: Probing should be done on permanent teeth of children.
True
Esp incisors and 1st molars
