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Finals > Perio > Flashcards

Perio Flashcards

1
Q

An implant contains:

A

Both a Junctional Epithelium and Connective Tissue Attachment

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2
Q

Surface modifications of implants are primarily aimed at

A

Increasing Surface Area

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3
Q

Titanium plasma sprays increases the surface area of an implant

A

6 times

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4
Q

Stage 2 surface remodeling is known as lamellar compaction and occurs at

A

18 weeks

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5
Q

Which of the following is seen with machined implants

A

Distance osteogenesis

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6
Q

Which implant diameter includes the thread diameter

A

Endosteal diameter

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7
Q

A 4.0 mm diameter implant has ______ greater surface area than a 3.0 mm implant

A

25%

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8
Q

Immediate loading (placement?) is primarily used

A

Among anterior teeth to replace esthetics

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9
Q

Which type of bone is ideal for implants

A

D3

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10
Q

What is the minimum amount of space that can be used for a 3.5 mm implant

A

6 mm

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11
Q

Two implants are being placed next to each other and between natural teeth. With a 4 mm implant. How much space is required

A

15 mm

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12
Q

Three implants are being placed next to each other and between natural teeth. With a 4 mm implant, how much space is required

A

22mm

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13
Q

. A direct sinus lift requires less than or equal to ______ mm of bone

A

5mm

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14
Q

Regarding an antibiotic prophylaxis, amoxicillin should be prescribed 30-60 min before surgery. This
dose that should be prescribed is

A

2g

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15
Q

Metranidazole has what adverse effects

A

Antibuse effect

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16
Q

Which of the following is concentrated in the gingival crevicular fluid

A

Doxycycline

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17
Q

How many mgs should be prescribed with a low dose doxycycline therapy

A

20 mg

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18
Q

Which of the following is not requirement of an antimicrobial system

a. Inhibits or kills the putative pathogens
b. Adequate concentration
c. Sufficient duration
d. Not very expensive

A

d. Not very expensive

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19
Q

Systemic antimicrobials have all of the following except

a. Inhibits or kills the pathogen
b. Reaches the site
c. Adequate concentration
d. Does no harm

A

c. Adequate concentration

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20
Q

Perdix is primarily composed of

A

Chlorhexidine

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21
Q

The amount of alcohol in chlorhexidine is

A

12%

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22
Q

Which of the following has the highest plaque and gingivitis reduction

A

Chlorhexidine

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23
Q

The main component of betadine

A

Iodine

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24
Q

The 1st generation antimicrobial that is non-resorbable is

A

Actisite

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25
Q

. Arestin is primarily composed of

A

Minocycline

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26
Q

Arestin can be used

a. As an initial therapy
b. At re-evaluation
c. During periodontal maintenance

A

c. During periodontal maintenance

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27
Q

Doxycycline is another name for

A

Atridox

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28
Q

Which of the following is not a prognostic category

a. Good
b. Fair
c. Poor
d. Guarded

A

Guarded

29
Q

Which prognostic category usually does not change

A

Good

30
Q

What is the most important determinant of prognosis

a. Attachment loss
b. Pocket depth
c. Bony topography

A

a. Attachment loss

31
Q

Which of the following is not a determinant in assessing periodontal disease

a. Age
b. Gender
c. Systemic Diseases

A

b. Gender

32
Q

A patient presents with a 7-8 mm attachment loss and bleeding on provocation. There is also severe
bone loss. This is associated with case type
a. 1
b. 2
c. 3
d. 4
e. 5

A

4

33
Q

A patient has undergone a scaling and root planning. After 4-6 weeks, the patient presents with 4 mm pockets and the disease is stable. How should you procede

A

Maintenance phase

34
Q

A patient has undergone scaling and root planning and has 10% plaque but a few pockets that are 6 mm. How should you proceed

A

Personalized maintenance

35
Q

A patient has undergone scaling and root planning and presents with 6 mm pockets and has 40% plaque. How should you proceed

A

Compromised Periodontal Maintenance

36
Q

What is the most important phase of periodontal therapy

A

Maintenance

37
Q

Pregnancy gingivitis is associated with

A

Pi

38
Q

A patient has a platelet count of 40,000

A

No tx

39
Q

A patient has a HbA1c of 13

A

Postpone treatment until the patient’s HbA1c level is <9

40
Q

A patient presents with an ANC of 350 (KNOW HOW TO CALCULATE)

A

Premed and continue with the treatment

41
Q

The PDL contains all of the following types of collagen except

A

2

42
Q

The periodontal ligament contains all of the following cells except

a. Undifferentiated mesenchymal cells b. Fibroblasts
c. Epithelial rests of Malassez
d. Langerhans Cells

A

d. Langerhans Cells

43
Q

Local delivery of antimicrobials can interrupt

A

Unattached plaque

44
Q

The most common bacteria associated with diabetes is

A

Pg

45
Q

The pro-inflammatory cytokine that stimulates osteoclasts, fibroblasts, and macrophages are

A

IL-1

46
Q

Bone loss occurs in what stage of a periodontal infection

A

Advanced

47
Q

Micro-ulcerations occurs in what stage of periodontal infection

A

Established

48
Q

Which of the following can be used for NUP

a. Doxycycline
b. Tetrocycline
c. Penicillin
d. Metronidazole
e. All of the above

A

Metronidazole

49
Q

The superficial histological zone present in NUG is

A

Bacterial Zone

50
Q

The deepest histological zone near the lamina propia in NUG is

A

Zone of spirochete infiltration

51
Q

NUG is associated with

A

Treponema species

52
Q

NUP

A

Occurs when the CD4 count is <200

53
Q

The most well studied pro-inflammatory cytokine

A

IL-1

54
Q

What are the most important bacteria involved in abscess formation?

A

Pg Pi

55
Q

What is the most prevalent type of bacteria in a periodontal abscess?

A

Spirochetes

56
Q

A diabetic patient comes into your office with 6.5% HbA1c and their glucose tolerance test is 146 mg/dL. You submit a medical consult and expect that the doctor will say you are to

A

Proceed with treatment

57
Q

AGE stands for

A

Advanced glycation endproducts

58
Q

The destruction of pancreatic B cells occurs in

A

Type 1 DM

59
Q

What microbe is associated with most types of periodontitis?

A

Gram – anaerobic

60
Q

A patient has diffuse palmar-plantar keratosis and loss of enzyme activity. What is the disease?

A

Papillon lefevre syndrome

61
Q

Which of the following is not associated with deciduous teeth?

A

Deciduous only: hypophosphatasia

62
Q

Steroid inhibition occurs

A

Pre-arachidonic

63
Q

T/F A periodontal abscess can form in a 4 mm pocket.

A

T

64
Q

An acute periodontal abscess has all of the following except:

A

a. Osteoblastic activity
b. Does have: pain, swelling/edema, lymphadenopathy, low-grade fever, BOP, vital pulp,
osteoclastic activity

65
Q

All of the following are a treatment for abscess except

A

a. SRP

b. Can do: non-surgical drainage and debridement, surgical drainage, surgical therapy and antibiotics (when necessary)

66
Q

You do SRP on a patient and two days later they are complaining of pain. What is the most likely cause?

A

a. Periodontal pocket blockage

67
Q

Stress causes what effect on the body

A

a. Increased neurotransmitters (CORTISOL

68
Q

What does MMP stand for?

A

Matrix metalloproteases

Finals (3 decks)

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