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SDCEP > perio > Flashcards

perio Flashcards

1
Q

describe gingivitis

A

plaque induced inflammation of gingivae - red swollen tissues

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2
Q

describe chronic periodontitis

A

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

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3
Q

describe aggressive periodontitis

A

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

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4
Q

describe NUG and NUP

A

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

NUP in presence of connective tissue attachment loss and bone loss

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5
Q

what is a periodontal abscess

A

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

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6
Q

what may cause gingival enlargement

A

medication
hormone level fluctuation
irritation from plaque or calculus

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7
Q

perio risk factors

A

smoking
diabetes
CV disease
family history
pregnancy

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8
Q

medication associated with periodontitis

A

Ca channel blockers - hypertension
phenytoin - epilepsy

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9
Q

what probing force should you use to probe perio tissues

A

25g

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10
Q

how many teeth is the minimum for a BPE sextant

A

2

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11
Q

BPE codes used for 7-11 year olds

A

0 1 2

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12
Q

when can full range of codes be used for BPE

A

12 - 12-17 use specific teeth

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13
Q

treatment for BPE code 1

A

OHI
plaque and gingivitis chart

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14
Q

BPE code 2 treatment

A

OHI
plaque and gingivitis chart
remove plaque and calculus

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15
Q

BPE code 3 treatment

A

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

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16
Q

BPE CODE 4 TREATMENT

A

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

17
Q

what does a full perio examination record

A

recession
probing depth
BOP
mobility

clinical attachment loss can be calculated

18
Q

probe for full mouth perio examination

A

UNC probe
PCP 12 probe

19
Q

bleeidng from gingival margin indicates what

A

gingivitis

20
Q

bleeding from base of pocked indicates what

A

active disease is present

21
Q

furcation grade 1

A

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

22
Q

furcation grade 2

A

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

23
Q

furcation grade 3

A

through and through involvement - probe passes through entire furcation

24
Q

tooth mobility grade 0

A

physiological
0.1-0.2mm in horizontal direction

25
Q

grade 1 tooth mobility

A

increased mobility up to 1mm in horizontal direction

26
Q

grade 2 tooth mobility

A

exceeding 1mm in horizontal direction - visually increased mobility

27
Q

grade 3 mobility

A

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

28
Q

what does TIPPS stand for

A

talk
instruct
practice
plan
support

29
Q

what is TIPPS for and give an example when to use

A

behaviour change - oral hygiene
performing effective plaque removal

30
Q

smoking cessation conversation structure

A

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

30
Q

smoking cessation conversation structure

A

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

31
Q

alcohol recommended limit

A

21 units a week male
14 units a week female

32
Q

why is gingivitis common in pre-teens and pregnant women

A

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

33
Q

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

A

undiagnosed leukaemia

34
Q

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

A

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

35
Q

when do you prescribe antibiotics in general

A

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

36
Q

who is at risk of NUG

A

immunosuppressed
poor OH
smokers

37
Q

what BPE scores should you carry out full mouth perio exam

A

BPE 4 or BPE 3 in more than one sextant

SDCEP (8 decks)

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