PERIO Flashcards
gingivectomy is indicated for the removal of
diseased gingival tissues
surgical procedure performed to reshape the bone, remove defects, and to restore normal contour
gingivoplasty
the nonsurgical procedure that removes calculus, soft deposits, and stain from all unattached tooth surfaces is known as
dental prophylaxis
how many periodontal probing measurements are taken per tooth
6
curettes that are designed with 2 cutting edges are
universal curette
procedure in which the gingival wall of the pocket is scraped is called
gingival curettage
the surgical procedure performed only when periodontal pockets are present is called
gingivectomy and gingivoplasty
in periodontics a laser may be used to
control bleeding and remove lesions
during an examination the bleeding index is based on the principle that
healthy gingiva don’t bleed
the accuracy of dental radiographs is not as important in peril as it is in detecting dental caries
false
periodontal disease is described in terms of
severity and how much the mouth is affected
severity is determined by the assessment of the
amount of lost attachment
type I periodontal disease characterized by
swollen and red gums. no destruction of supporting periodontal tissue
type ii periodontal disease characterized by
some bone loss, pocket depth has increased due to loss of bone
a gingival cleft is a
fissure or elongated opening that extends toward root of a tooth
what can unequal pressure upon biting cause
occlusal trauma
occlusal trauma can result in
mobility, migration, tmj pain, and destruction of bone
what are the 3 periodontal pockets
gingival, infra bony, suprabony
gingival pocket is formed by the gingiva enlargement without
destruction of underlying periodontal tissues
supra bony pockets are ___ pattern of bone destruction
horizontal
infra bony pockets are ____ patterns of bone loss
vertical
an ultrasonic scaler sprays water at the tip, therefore what is required
saliva ejector or HVE
what is a contraindication for ultrasonic scalers
respiratory problems
a furcation probe is used to measure what
horizontal and vertical pocket depths, areas of recession, bleeding or exudate
periodontal explorer provides tactile information about
roughness or smoothness of root surfaces
sickle scaler and jacquette scaler is designed primarily to
remove large deposits of supragingival calculus
chisel scalers remove deposits of supra gingival calculus in what areas of what teeth
proximal areas of anterior teeth
hoe scalers
used to remove heavy supra gingival calculus
files crush what
extremely heavy calculus
curettes are used to remove
diseased soft tissue lining of periodontal pocket
what are the 2 types of curettes used in perio
universal and gracey
the universal curette is designed to be used
on all tooth surfaces (2 cutting edges)
curette vs scaler
curette = rounded end scaler= pointed end
kirkland surgical knife is what shape and does what
kidney shaped; used to create incisions or remove/reshape soft tissue
orban surgical knife is what shape
spear
pocket markers are instruments that look like __ and creates what
cotton pliers and creates bleeding points in gingiva. used to mark area for an incision
a surgical scalpel is used to remove
gingival tissue
the electrosurgery unit uses tiny electrical currents to
incise the gingival tissue
what are the 3 non surgical periodontal treatments that can be used to eliminate perio pockets
scaling, root planing, curettage
root planing leaves the
radicular portion of the tooth and smooth for the deposition of cementum
curettage is the process of removing what kind of tissue from the pocket wall
necrotic
what is the best suited antibiotic for periodontal treatment
tetracycline
chlorohexidine is the most effe time agent available to reduce/ inhibit
the development of plaque and gingivitis
locally delivered antibiotics can be used to apply antibiotics
directly into the periodontal pockets
periodontal disease is an
infectious disease process
what is the main cause of gingival inflammation and most other forms of periodontal disease
plaque / biofilm
a sign of gingivitis may be
tissues bleeding easily
microbial plaque is
the direct cause of gingivitis
contraindications for periodontal treatment may include
poor general or mental health (HIV diabtes), poor prognosis for healing, bone loss is too extensive
periodontal screening is not meant to replace
a full mouth periodontal probing
what patients is PSR not recommended for
patients under 18
sulcus vs pocket
sulcus= 1-3mm pocket = 4mm or greater
during psr the patients mouth is divided into
sextants
a * in periodontal charting indicates
bleeding
a * in PSR indicates
furcation, mobility , recession greater than 3.5mm, mucoginvival issues
ANUG stands for
acute necrotizing ulcerative gingivitis
ANUG is caused by
abnormal overgrowth of bacteria
gingival hyperplasia is AKA
gingival overgrowth
pericoronitis is
inflammation of gingiva around the partially erupted tooth
gingivoplasty is
recontouring, reshaping of gingiva
in periodontal flap surgery the tissues are not removed but are
pushed away
condition where there is exposure of the root of a tooth as a result of bone loss extending the full length of the tooth root
dihiscence
fenestration is the area where
roots join on a multi rooted tooth are denuded
dehiscence is like a
zippier
fenestration is like a
window
osteoplasty
bone is added contorted and reshaped
osteoectomy
removal of bone
electrosurgery uses electrical correct to __ or ___ tissue
remove or desiccate
perio packs are placed over the surgical site and removed
1 week after surgery
a slight allergy to eugenol when using a ZOE dressing will make the patient feel a
burning sensation with redness in area
splinting is done primarily to
stabilize mobile teeth and improve support
post op instructions for perio surgeries
swelling, bleeding, diet, activity, dressing, homecare, post op check, no smoking, rinsing discomfort/pain management
post op instructions include no rinsing for 24 hours, after 24 hours you can rinse with
warm saltwater
