Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Complex Adult Dentistry > Perio > Flashcards

Perio Flashcards

1
Q

What are the Indicators of occlusal trauma

A 
Wear facets 
Mobility
Root resorption
Occlusal discrepancies 
Discomfort 
Fremitus 
TMJ pain 
Hypertrophy 
Radio graphic signs 
Tooth migration 
Fractured tooth 
Thermal sensitivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is Fremitus

A

Tooth moves in occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the radio graphic signs of occlusal trauma

A

Widening of PDL

Crescent shaped bone loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is direct trauma

A

Trauma direct to periodontal tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is indirect trauma

A

Trauma through teeth applying trauma to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens if the pressure doesn’t occlude PDL blood flow

A 
Increased vascularisation 
Increased vascular permeability
Vascular thrombosis 
Disorganisation of cells and collagen 
Direct bone resorption
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What happens when forces occlude blood flow

A

Necrosis of PDL
Osteoclasts appears sub surface
Undermining or indirect resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens if the occlusion is adjusted in a tooth with PDL widening

A

PDL with restores as well as mobility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens in occlousive forces. Adaptive and excessive in a perio patient.

A

Adaptive forces cause no further advancement in resorption but excessive accelerate resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is abfraction

A

This is wedge like cervical lesion thought to result from excessive occlousal froces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the goals of perio treatment

A

Reduction of gingivitis to no more than 20-40% BOP
Reduction of PPD to 5 or less
Absence of pain
Satisfactory aesthetics and function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the stages of perio therapy

A

Initial - OHI PFS Remove plaque
Corrective - perio endo or restorative treatment
Supportive - indexes reinstrumentation etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is non surgical treatment

A

Sub gingival PMPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are predictors of further breakdown

A 
Pt level - sites above 6mm 
Treated without la 
%BOP
Tooth level - furcation involvement, mobility, limited residual support, overhanging restorations
Site Level - BOP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the aim of surgery.

A

Control of disease
Eliminate pockets of >5
Regeneration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Suitable candidate for surgery

A 
Highly motivated 
Compliance with OHI and apps 
PFS >70% on more than one occasion
Non smoker 
No medical conterindecations 
Non surgical therapy completed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Who would have perio surgery

A

Deep pockets not shallow ones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the classifications of furcation

A

Class 1 - 3mm horizontal loss
Class 2 - more than 3mm horizontal loss
Class 3 - through and through

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What furcation defects affect the prognosis of a tooth

A

Class 2&3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the aim of regenerative surgery for furcation involved teeth.

A

Turn only class 2 defect into class 1 defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What needs to be considered with root resection/hemisection

A

Support for roots to be kept

22
Q

What is a gingivectomy

A

Reduction in excessive gingival overgrowth

23
Q

What are the bands of tissue around the roots of the teeth called from gingival margin to apex

A

Free gingivae
Keratinised mucosa -attached gingivae
Mucogingival junction
Oral mucosa

24
Q

That’s is the function of the oral mucosa

A

Not keratinised not meant to be gingivae

25
Q

What is the role of keratinised mucosa

A

More robust

26
Q

What are bio types

A

You have thick and thin bio types responsible for the type of gingiva

27
Q

What are the bio type appearances

A

Thin and thick and recession is more common in thin bio type because it is harder to maintain

28
Q

What causes recession

A

Trauma
Tooth position
Poor OH
Ortho

29
Q

What is a frenal pull

A

This is where the frena are attacked to the gingivae causing tissue to blanch around teeth when pulled

30
Q

What is EMD

A

Enamel matrix derivative which is responsible for periodontal attachment to the cementum

31
Q

How can you promote regeneration

A

Polish root surfaces
EMD placed in dry root surface
Making the wound stable post op so no frenal lull

32
Q

What are the Miller classifications if recession

A

1 does not cross MG line
2 extends to it crosses MG line but ID papillae in tact
3 slight loss of interdental hard and soft tissues
4 significant loss of interdental hard and soft tissues and interdental bone

33
Q

What Miller class would you expect to see 100% recovery

A

Class 1&2

34
Q

Positives and negatives of FGG free gingival graft

A

Fast and predictable
Poor colour match
Palate sore

35
Q

What are pros and cons of a connective tissue graft.

A

CT harvested from palate but epithelium left and then graft placed under epithelium at donor site so looks more natural

36
Q

What are complications of mucogingival grafts

A 
Damage to GP artery 
Necrosis 
Pain and bleeding 
Swelling 
Bruising
37
Q

What is a pedicel flap

A

Flap moved from adjacent site

38
Q

What’s mucograft

A

Collagen matrix that’s used insisted but this is not as effective gold standard is CT grafting

39
Q

What is resection

A

Removing pocket shifting gingival pocket more apically

40
Q

Okay hat is a suprabony defect

A

This is where the base of the pocket is more coronal than the bone

41
Q

What is an lnfrabony pocket

A

This is where the pocket is more apical than the bone

42
Q

Autograft?

A

Graft from patient to another place on body

43
Q

Xenografts?

A

Graft from animal

44
Q

Allogenic?

A

Taken from another person

45
Q

Alloplastic?

A

Not human or animal may be plant or man made

46
Q

What are the benefits of EMD

A

Restricts epethelial growth and connective tissue growth

Increased bone growth PDL growth Cementum growth and it restricts bacterial growth

47
Q

What is important about flap design

A

Papilla must be kept to increase success and must be minimally invasive only exposing 1-2mm if cerestial bone

48
Q

What patients are unsuitable for periodontal therapy

A 
Haemophiliac 
Antiocoagulants 
Bisphosphonates 
Poorly controlled diabetics 
Poorly controlled hypertension 
Immunocompromised
49
Q

What defect types are suitable for surgery.

A

Only Infrabony defects

50
Q

What is an ninfrabony crater

A

This is where you have buccal and lingual bone but the part between the teeth is deficient/resorbed

Complex Adult Dentistry (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions