Past paper questions

Question 1

3 Reasons to do non-surgical before surgical intervention?

Answer 1

• Deep pocket may heal following non-surgical therapy
• Improve soft tissue consistency for easier surgical management
• Allow evaluation of pts motivation and plaque control

Question 2

Indications for surgical re-evaluation of therapy?

Answer 2

• Pockets of 5mm or greater persist
• Furcation
• Presence of excellent oral hygiene

Question 3

What is the aim of surgical therapy?

Answer 3

• Arrest the disease by gaining access to complete root surface debridement
• Regenerate periodontal tissue

Question 4

What can dentists do afterward surgical therapy to support?

Answer 4

• Review OH and OH TIPPS
• Remove sub and supra gingival plaque and calculus deposits
• Carry out root surface debridements
• Re-appraise mechanical plaque control
• Periodontal pocket chart annually and carry out oral exam including plaque and bleeding levels

Question 5

When do you re evaluate non surgical?

Answer 5

• 6-8weeks after non-surgical therapy

Question 6

Give two anatomical features that may be responsible for location of discharging pocket (lesion of endodontic origin with periodontal involvement?

Answer 6

• Sinus tract
• Lateral and accessory canals

Question 7

What treatment would you perform for lesion of endodontic origin with periodontal involvement?

Answer 7

• Primary endodontic therapy
• Periodontal therapy
• Surgical intervention and treatment

Question 8

How would you manage a patients occlusal trauma?

Answer 8

• Hygiene phase therapy to control plaque retentive factors and plaque induced inflammation
• Address cause i.e. parafunctional habit
• Provide nightguard to prevent habitual clenching/grinding
• Splinting of teeth only when
  - There advanced LOA
  - Discomfort or difficulty when eating
  - When teeth need to be stabilised for debridement