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Perio (Mental dental) Flashcards

1
Q

_____: measurement from gingival margin to base of pocket

A

PD

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2
Q

____: measurement from CEJ to base of pocket

A

CAL

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3
Q

____ is the best measure of inflammation in perio tissues

A

BOP

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4
Q

_____; measurement from CEJ to ging margin, exposure of root surface due to apical shift of ging margin

A

Gingival recession

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5
Q

What type of inlfammatory cell is seen in suppuration? (PUs

A

Neutrophils

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6
Q

Class ___ mobility
Slightly more mobile than normal

A

Class 1

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7
Q

Class ____ mobility
Moderately more than normal less than or 1 mm movement

A

Class 2

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8
Q

Class ____ mobility
Severely more than normal >1 mm movement can be vertically depressed in socket

A

Class 3 mobility

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9
Q

Are horizontal or vertical bone loss defects classified by walls?

A

Vertical

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10
Q

_____ wall defect
hemiseptum

A

1 wall

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11
Q

___ wall defect
Crater (most common)

A

2 wall

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12
Q

___ wall defect
Trough

A

3 wall

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13
Q

___ wall defect
Circumferential

A

4 wall

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14
Q

Class ____ recession
Marginal tissue recession is not extending to MGJ
No loss of interdenal bone or soft tissue

A

Class 1

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15
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
No loss of interdenal bone or soft tissue

A

Class 2

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16
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
With loss of interdenal bone or soft tissue, or both malpositioning prevents total root coverage

A

Class 3

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17
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
With loss of interdenal bone or soft tissue
Root coverage not anticipated

A

Class 4

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18
Q

_____ perio ds is characterized by:
Pseudomembrane
Fetid breath
Blunted papillae
Fever

A

Necrotizing (NUG and NUP)

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19
Q

Supragingival plaque components derive from ____

A

Saliva

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20
Q

Subgingival plaque components derive from ____

A

GCF

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21
Q

___ bacteria
Can bind primary and secondary colonizers
Binds other bacteria

A

Fusobacterium nucleatum

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22
Q

What are the 3 red complex bacteria: BOp and deeper pockets

A

Pg
Td
Tf

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23
Q

What are the 3 orange complex bacteria that precedes presence of red complex supporting sequential nature of plaque maturation

A

Fusobacterium
Prevotella intermedia
Campylobacter rectus

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24
Q

What bacteria causes aggressive periodontitis?

A

A. Actinomycetemcomitans

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25
Q

WHat bacteria causes chronic periodontitis?

A

P gingivials

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26
Q

What bacteria causes ANUG and ANUP?

A

T denticola

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27
Q

What bacteria causes pregnancy gingivitis?

A

P intermedia

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28
Q

___ stains are usually on anterior teeth due to poor OH

A

Orange

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29
Q

___ stains:
Drinking dark colored beverages, poor OH

A

Brown

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30
Q

____ stains:
Tobacco

A

Dark brown and black

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31
Q

___ stains: CHX and stannous fluoride

A

Yellow brown

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32
Q

___ stains: thin lines on cervical third found in healthy mouths due to consumption of iron

A

Black

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33
Q

_____ stains: usually on anterior teeth; poor OH and chromogenic bacteria

A

Green and yellow

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34
Q

_____ stains: occupational exposure of metallic dust

A

Bluish green

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35
Q

Are under or overcontoured restoration worse for gingival health?

A

Over contoured

36
Q

___ are the immune cells that are involved in first line of defense
MOst important cells involved in controlling bacterial challenge and destroying perio tissue via release of destructive molecules
Chemotaxos, phagocytosis, MMP-8

A

Neutrophils

37
Q

-__ are antigen presenting cells
Regulate immune response via cytokine release like IL-8

A

Macrophages

38
Q

____
Vascular permeability and dilation
IgE

39
Q

What proinflammatory mediators destroy collagen?

40
Q

When is the perio reeval done?

A

4-6 or 8 weeks

41
Q

Risk ____:
casually associated with ds
(smoking leads to perio ds)
Smoking, diabetes, pathogenic bacteria, microbial tooth deposits

A

Risk factor

42
Q

Risk ____:
Unchangeable background characteristics, increases likelihood of ds
(Gender, genetics)

A

Risk determinant

43
Q

Risk ____:
Not causally assc with ds
(stress, osteoporosis may influence perio ds)
HIV, OSteoporosis, infrequent dental visits, stress

A

Risk indicator

44
Q

Risk ____:
quantitative assc with ds
(Previous history, attachment level)
Previous history of perio ds
BOP
CAL

A

Risk. marker or predictor

45
Q

Which vertical defect is most likely to be treated with regenerative therapy?

A

3 wall trough

46
Q

What is the most important facor in determining prognosis?

47
Q

____ are used for removal of penacious calculus

A

Ultrasonic scalers

48
Q

Do magnetosctrictive or piezoelectic ultrasonic vibrate in a linear pattern?

A

Piezoelectric

49
Q

Do magnetosctrictive or piezoelectic ultrasonic vibrate in an elliptical pattern?

A

Maagnetostrictive

50
Q

What angulation should the curette be at when insertion of curette into pocket?

51
Q

What angulation should the curette be at when scaling?

A

45-90 degrees

52
Q

Should base or top of flap be wider?

A

Base wider

53
Q

Where should vertical releasess be placed in relation to a tooth?

A

LIne angle

54
Q

Whenever alveloar bone is exposed like in full thickness flaps, expect about ___ mm of bone resorption and remodeling

55
Q

Do periodontal packs enhance healing?

A

Do not enhance healing

56
Q

What type of insicisoin is made on maxillary arch for distal wedge?

A

Full thickness flap with parallel incision

57
Q

What type of insicisoin is made on mand arch for distal wedge?

A

Full thickness with v-shaped incision

58
Q

_____ mucogingival surgery is used to widen band of keratinized tissue
-Below gingival margin

A

Free gingival graft

59
Q

______ mucoginigval surgery is used to cover roots
ABove gingival margin

A

Connective tissue graft

60
Q

Where is the most common site used for free gingival graft and connective tissue graft?

61
Q

__ synthetic or inorgainic graft mateirals

62
Q

_____ bone graft material provides a scaffold

A

Osteoconductive

63
Q

___ bone graft mateiral converts neighboring porgenitor cells into osteoblasts

A

Osteoinductive

64
Q

____ bone graft material makes bone

A

Osteogenic

65
Q

What furcation class has best prognosis for regeneration?

A

Hamp Class 2

66
Q

What vertical defects are treated with resection?

A

1 and 2 wall defects

67
Q

What vertical defects are treated with regeneration?

A

3 and 4 wall defects

68
Q

What recession class has best prognosis for regeneration with CTG?

69
Q

What is the most effective abx regimen?

A

Amox and MZD for 14 days

70
Q

Arrestin is what abx?

A

Minocycline (in)

71
Q

Atridox is what local abx?

A

Doxycycline (dox)

72
Q

PerioChip is what local abx?

A

Chlorohexidine gluconate (Ch)

73
Q

_____ is occlusal trauma caused by excessive forces on a normal periodontium

A

Primary occlusal trauma

74
Q

______ is occlusal trauma caused by excessive forces on a reduced periodontium

A

Secondary occlusal trauma

75
Q

__ method of toothbrushing
Most effective
45 degree angle

A

Bass method

76
Q

Does waterpik reduce bacterial load on gingival or tooth?

77
Q

What is the most common group of people that get periodontitis?

A

Males of African descent

78
Q

____ of perio ds is determined by severity and extend of disease at presenation

79
Q

___ flaps slplit the papilla
Needed when interdental space is too narrow
Can lead to formation of black triangles

A

Conventional

80
Q

____ flap
Internal bevel, sulcular, interdental incision
Facilitates surgical debridement
Doesn not directly reduce PD
Open gingival curretage eliminates pocket lining

A

Modificed widman

81
Q

_____ is most common flap in periodonal surg
Improves access for instrumentation
reduces PDs by removing pocket wall
More aggressive

A

Undisplaced

82
Q

____ flap
Used for apicoectomy

A

Semilunar flap

83
Q

___ flap
Most common flap in OS
No vertical release

84
Q

A pt has a deep pocket depth. Which procedure would reduce the PD while preserving gingiva?
Undisplaced flap
Apical positioned flap
Lateral positioned flap
Coronoally posiitoned flap
Gingivectomy

A

Apical positioned flap

85
Q

Is the distal wedge incision a full or partial thickness flap?

A

Full thickness

86
Q

What is the predominant inflammatory cells in the perio pocket?

A

Neutrophils

Boards Prep (21 decks)

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