Perio

Question 1

why may RSD not successful in eliminating pocket bacteria

Answer 1

difficult access - especially furcation
patient not adhering to OHI requirements
lack of operator experience
immunocompromised patient

Question 2

how do you manage a patient with periodontal abscess and systemic involvement

Answer 2

drainage and incision
gentle subgingival PMPR
hot saline m/w
metronidazole

Question 3

what bacteria are involved in necrotising gingivitis

Answer 3

p. intermedia
fusobacterium

Question 4

clinical signs and symptoms of necrotising gingivitis

Answer 4

halitosis, punched out papilla, grey sloughing, crater like ulcers

Question 5

5 risk factors of necrotising gingivitis

Answer 5

stress, immunocompromised, smoking, lack of sleep, poor oral hygiene

Question 6

how is necrotising gingivitis managed

Answer 6

ultrasonic debridement
chlorhexidine mouthwash
antibiotics if systemic involvement (metronidazole 400mg, TID for 3 days)

Question 7

what information is given to a patient going under periodontal surgery to achieve consent

Answer 7

gingival recession
infection
reduction in pocket depth
other tx options - repeat PMPR
increase in pocket depth and mobility if no treatment

Question 8

what is SIRS

Answer 8

temperature less than 36 or more than 38
decreased respiratory rate
WBC less than 4000 cells/ mm cued
heart rate more than 90bpm

Question 9

hat is the 2017 classification of periodontal disease

Answer 9

health
plaque induced gingivitis
non-plaque induced gingivitis
periodontal disease
necrotising periodontal conditions
perio-endo lesions
mugogingival lesions
periodontitis as manifestation of systemic disease
systemic disease affecting periodontal tissues periodontal abscess

Question 10

what is the radius of destruction of plaque

Answer 10

around 2mm

Question 11

what is chlorhexidine

Answer 11

bisbiguanide antiseptic

Question 12

how does chlorhexidine work

Answer 12

1 cation adheres to pellucle and 1 cation disrupts bacterial membrane
antibacterial and antiseptic
works against gram positive and negative bacteria

Question 13

what is the substantivity of chlorhexidine

Answer 13

12 hours

Question 14

give 2 doses for chlorhexidine

Answer 14

10ml twice daily
15ml twice daily

Question 15

8 uses of chlorhexidine

Answer 15

surgical pre-op rinse
post intra oral surgery
OHI for patients with jaw fixation
necrotising gingivitis
recurrent oral ulceration
denture stomatitis
dry socket treatment
endo irrigant

Question 16

local factors for gingival recession

Answer 16

periodontal disease
habits
traumatic tooth brushing
high frenal attachment
crowding
traumatic incisor relationship

Question 17

how may vertical bone defects be classified

Answer 17

by number of walls affected
1, 2 or 3
2 or 3 walled involvments heal better

Question 18

why is diabetes a risk factor for perio

Answer 18

poor wound healing
pro inflammatory disease
impaired neutrophil function
advanced glycation end products cause increased tissue destruction

Question 19

what are two tests for diabetes

Answer 19

fasting plasma glucose
random plasma glucose

Question 20

what is the test for diabetic control evaluation

Answer 20

HbA1c

Question 21

how does smoking affect periodontal tissues

Answer 21

impaired chemotaxis and phagocytosis
affects cytokine production
affects enzymes
blood flow restricted

Question 22

what is the diagnosis for inflamed gingivae extending beyond mucogingival junction

Answer 22

desquamative gingivitis

Question 23

what 3 oral conditions are associated with desquamative gingivitis

Answer 23

lichen planus
pemphigoid
pemphigus

Question 24

what are topical treatments for desquamative gingivitis

Answer 24

betamethasone
beclomethasone
tacrolimus mouthwash

Question 25

what 3 drugs are associated with gingival hyperplasia

Answer 25

phenytoin
cyclosporine
nifedipine