Perio Nbde

Question 1

Finishing mine and gingival margin will be less than 2mm to bony crest

Answer 1

Inverse bevel incision with Osseous resection with apically positioned flap

Question 2

Grade 3 and grade 4 furcation

Answer 2

1. apically positioned flap for access
2. Tunnel procedure (mostly obsolete)
3. Root resection

Question 3

MCG defect like lack of keratinized gingiva tx

Answer 3

1. Free gingival graft
2. CT graft
3. Pedicure graft (if suitable donor tissue)

Question 4

What medication to prescribe for refractory periodontitis?

Answer 4

Combination therapy: metronidazole/amoxicillin or tetracycline

Question 5

Treatment for shallow edematous pocket

Answer 5

SRP

Question 6

What antibiotics needed for chronic periodontitis

Answer 6

None

Question 7

Tx for deep pockets maxillary anterior like for esthetics

Answer 7

1. SRP than maintain
2. Modified widman flap
3. Regeneration

Question 8

Management of ANUG/NUP (including NUP) found in HIV positive patients with fever, pain, and lymphadenopathy

Answer 8

Metronidazole-effective against anaerobes

Question 9

Grade 2 furcation involvement <3 mm horizontal penetration

Answer 9

Osseous resection and apically positioned flap

Question 10

What medications to prescribe for patient with aggressive periodontitis. Pt is allergic to amoxicillin.

Answer 10

Ciprofloxacin and metronidazole

Question 11

Unphysiologic/unesthetic gingival contours

Answer 11

Gingivoplasty

Question 12

What medication to prescribe for acute periodontal disease (periodontal abscess)- very important!!! Include option if pt has allergy

Answer 12

Amoxicillin and clindamycin

Question 13

Deep 1 walled defect ex: hemiseptum tx

Answer 13

Regeneration (not predictable) GTR with bone graft to maintain space

Question 14

Tx for gingival recession especially in esthetic zone

Answer 14

1. CT
2. Pedicle graft
3. Coronally positioned flap (if adequate keratinized gingiva, must be greater than or equal to 2 bc flap will not increase keratinized gingiva

Question 15

Tx for shallow Osseous defect equal to it greater than 2mm

Answer 15

Osseous resection with Apically positioned flap

Question 16

Tx for moderately deep 2 and 3 walled bony defects greater or equal to 3mm

Answer 16

Regeneration: Osseous graft and or GTR

Question 17

Crown lengthening with adequate biological width finish line >2 mm to bony crest

Answer 17

1. Gingivectomy

2. Inverse bevel excision without Osseous resection (internal gingivectomy)

Question 18

Grade 2 defect greater than 3mm tx

Answer 18

GTR

Question 19

What anatomical concern is with the mandibular buccal first/second premolar for perio surgery or flaps?

Answer 19

Mental artery and nerve-important!!!

Question 20

What anatomical concern is with a mandibular lingual flaps or wedge distal to second molars?

Answer 20

Lingual nerve

Lateral pharyngeal space

Question 21

Tx for fibrotic suprabony pocket like gingival enlargement

Answer 21

Gingivectomy

Internal beveled flap excision

Question 22

What antibiotics are recommended for aggressive periodontitis? Pt has Nkda

Answer 22

Metronidazole and amoxicillin

Question 23

Management of ANUG/NUP (including NUP found in HIV positive patients)

Answer 23

Ultrasonic debridement

Chlorhexidine rinse

Question 24

Furcation incipient grade 1/shallow 2 involvement

Answer 24

SRP then maintain

Question 25

What concerns for perio surgery are with maxillary palatial flaps?

Answer 25

Second molars-greater palatine artery