perio

Question 1

describe gingivitis

Answer 1

plaque induced inflammation of gingivae - red swollen tissues

Question 2

describe chronic periodontitis

Answer 2

destruction of junctional epithelium and connective tissue attachment of tooth and bone destruction

Question 3

describe aggressive periodontitis

Answer 3

usually younger cohort
rapid disease
severe destruction of connective tissue attachment and bone

Question 4

describe NUG and NUP

Answer 4

painful ulceration of tips of interdental papilla
grey necrotic tissue - halitosis also

NUP in presence of connective tissue attachment loss and bone loss

Question 5

what is a periodontal abscess

Answer 5

infection in perio pocket - acute or chronic and can be asymptomatic if free draining

Question 6

what may cause gingival enlargement

Answer 6

medication
hormone level fluctuation
irritation from plaque or calculus

Question 7

perio risk factors

Answer 7

smoking
diabetes
CV disease
family history
pregnancy

Question 8

medication associated with periodontitis

Answer 8

Ca channel blockers - hypertension
phenytoin - epilepsy

Question 9

what probing force should you use to probe perio tissues

Answer 9

25g

Question 10

how many teeth is the minimum for a BPE sextant

Answer 10

2

Question 11

BPE codes used for 7-11 year olds

Answer 11

0 1 2

Question 12

when can full range of codes be used for BPE

Answer 12

12 - 12-17 use specific teeth

Question 13

treatment for BPE code 1

Answer 13

OHI
plaque and gingivitis chart

Question 14

BPE code 2 treatment

Answer 14

OHI
plaque and gingivitis chart
remove plaque and calculus

Question 15

BPE code 3 treatment

Answer 15

OHI
plaque and gingivitis chart
remove plaque and calculus
full perio exam and root surface instrumentation in code 3 sextant only

Question 16

BPE CODE 4 TREATMENT

Answer 16

OHI
plaque and gingivitis chart
remove plaque and calculus
full perio exam and root surface instrumentation in code 3 sextant only all teeth

Question 17

what does a full perio examination record

Answer 17

recession
probing depth
BOP
mobility

clinical attachment loss can be calculated

Question 18

probe for full mouth perio examination

Answer 18

UNC probe
PCP 12 probe

Question 19

bleeidng from gingival margin indicates what

Answer 19

gingivitis

Question 20

bleeding from base of pocked indicates what

Answer 20

active disease is present

Question 21

furcation grade 1

Answer 21

initial furcation involvement - can feel opening on probing but less that a third of the tooth width

Question 22

furcation grade 2

Answer 22

partial involvement - exceeds one third of the tooth width but not the total width

Question 23

furcation grade 3

Answer 23

through and through involvement - probe passes through entire furcation

Question 24

tooth mobility grade 0

Answer 24

physiological
0.1-0.2mm in horizontal direction

Question 25

grade 1 tooth mobility

Answer 25

increased mobility up to 1mm in horizontal direction

Question 26

grade 2 tooth mobility

Answer 26

exceeding 1mm in horizontal direction - visually increased mobility

Question 27

grade 3 mobility

Answer 27

severe mobility of tooth in horizontal and vertical direction impinging on function of tooth

Question 28

what does TIPPS stand for

Answer 28

talk instruct practice plan support

Question 29

what is TIPPS for and give an example when to use

Answer 29

behaviour change - oral hygiene performing effective plaque removal

Question 30

smoking cessation conversation structure

Answer 30

do u smoke have you considered effect smoking has on health - single best thing u can do to improve oral and general interested in stopping? - no, leave offer for future or yes, give further cessation advice

Question 30

smoking cessation conversation structure

Answer 30

do u smoke have you considered effect smoking has on health - single best thing u can do to improve oral and general interested in stopping? - no, leave offer for future or yes, give further cessation advice

Question 31

alcohol recommended limit

Answer 31

21 units a week male 14 units a week female

Question 32

why is gingivitis common in pre-teens and pregnant women

Answer 32

hormonal changes associated with puberty/pregnancy aggravates inflammatory response to plaque

Question 33

what may unexplained gingivitis and gingival enlargement that does not respond to treatment as expected indicate?

Answer 33

undiagnosed leukaemia

Question 34

what should you prescribe when toothbrushing is painful and limits mechanical plaque removal

Answer 34

10 ml 0.2% chlorhexadine gluconate can dilute 1:1 with water

Question 35

when do you prescribe antibiotics in general

Answer 35

signs of spreading infection e.g. lymph node involvements, cellulitis

Question 36

who is at risk of NUG

Answer 36

immunosuppressed poor OH smokers

Question 37

what BPE scores should you carry out full mouth perio exam

Answer 37

BPE 4 or BPE 3 in more than one sextant