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Perio > Perio test #3 > Flashcards

Perio test #3 Flashcards

1
Q

Rub it and it bleeds…do what?

A

Biopsy

its an axe wound

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2
Q

Pemphigoid is separation @

A

Epithelial Basement membrane junction with the C.T. layer

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3
Q

Pemphigus is separation @

A

Within the Epithelial layer (cell to cell connection)

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4
Q

INR ONLY USED FOR what patients?

A

ONLY for patients with WARFARIN.

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5
Q

INR=

A

Patient/Control (reference)

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6
Q

INR of a patient that will NOT receive care

A

3.0 or higher

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7
Q

What info can GCF testing relay? (3)

A

Mediator content
Characterizes host response
Bacterial products

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8
Q

Bone loss mediators (3)

A

Osteocalcin
ICTP
NTX

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9
Q

What are the four types of Mediator content?

A
  1. Cytokines/inflammatory
  2. Biochemical markers of bone loss
  3. Enzymes
  4. Soft tissue breakdown
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10
Q

Why is GCF used in the mouth diagnostically?

A

To assess INDIVIDUAL sites.

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11
Q

What is salivary testing used in the mouth diagnostically?

A

Overview of entire mouth.

  • inflammatory mediators
  • Antibodies
  • Enzymes
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12
Q

What can one use to increase the sensitivity of bone loss seen on the radiograph from 30% (naked eye) and to what degree.

A

use of subtraction radiography to increase sensitivity to 5%.

-CADIA

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13
Q

Bacterial profile for LAP

A

A.A.

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14
Q

Bacterial profile for GAP

A

P. Ging

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15
Q

Which test has a high predictive value for disease progression which can be cost effective?

A

NOPE

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16
Q

Disease distribution

  • Localized =
  • Generalized =
A

Local - 1-2 in one or more symmetrical areas

Generalized - 2 or more teeth in EACH quadrant.

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17
Q

Gingival overgrowth caused by medication (3)

A
  1. Phenytoin (dilantin)
  2. Calcium channel blockers
  3. Cyclosporin
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18
Q

Response of Gingival diseases to prophy?

A

Good response with removal of local irritants

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19
Q

Gingival disorders caused by Medicine, plaque and ________

A

Hormonal disorders (puberty/pregnancy)

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20
Q

*****More inflammation is Good

A

indicates that less bone loss has occurred. just remove irritant :)

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21
Q

Phases of treatment planning overview (6)

A

1) Prelim
2) Phase 1
3) Evaluation
4-6) Phase 2 3 and 4

22
Q

Preliminary

A

Emergencies and REQUIRED Extraction

-So issues don’t spread

23
Q

***Phase I

A

Learn on own

24
Q

Phase II (3)

A
  1. PD surgery
  2. Implants
  3. (root canal ENDO)
25
Q

Phase III (2)

A
  1. Restorations FINALIZING

2. Fixed and removable pros

26
Q

Phase IV

A
  1. Periodic recalls with supportive therapy
27
Q

SRP requires what level of INR

A

3.0 or less

28
Q

Adjustments for Infective endocarditis (2)

A
  1. Extend antibiotic coverage during debridement
  2. 10-14 days between coverage or rotate antibiotics
  3. Pretreat with chlorhexidine
29
Q

Adjustments for Kidney failure (2) [what to monitor in them]

A
  1. Keep track of patients Urea level

2. Bleeding tests PTT PT etc.

30
Q

Best time to treat Kidney issue patients

A

BEFORE transplant/dialysis!

31
Q

Primary concerns for transplant patients (2)

A

Infections

Medications causing gingival growth

32
Q

Pulmonary diseases adjustment

A

NO bilateral blocks and no ultrasonic devices

33
Q

Three concerns with Radiation

A

Xerostomia
Osteoradionecrosis - stuff losses blood supply and dies
Stunted roots - radiation during tooth formation.

34
Q

Adjustments Uncontrolled diabetes normal treatment? spencer is a little bitch

A

Antibiotic prophylaxis during debridement

35
Q

Adjustments for controlled diabetes

A

No epinephrine ABOVE 1:100,000

36
Q

Lab levels A1C

A

4-6 Normal
7 good diabetic control
7-8 moderate diabetes
8 and above (YOU SUCK, YOU WILL DIE)

37
Q

Hyperthyroid limit what?

Hypothyroid limit what?

A

Hyper - no stress :)

Hypo - Limit any sedation

38
Q

Adjustment treatment with “Given exogenous glucocorticosteriods”

A

Give 2-4x normal

-if they have had 20mg or more per day for 2 weeks in last 1 year.

39
Q

Adjustments for hemmoragic disorders

-Warfarin (coumadin)

A

-INR 1.5 or below for surgery and 3.0 for other simple crap

40
Q

Adjustments for hemmoragic disorders

-NSAIDS

A

-Nsaids have a long half life and must wait 7-14 days for them to take (not much effect on Rootplaning)

41
Q

Adjustment for liver disease

A

concerns about excessive bleeding

42
Q

Adjustment for Hemophilia

A

Replace their low coagulation factor

43
Q

What adjustments must be made for thrombocytopenia and for what degree of cytopenia?

A

BELOW 30,000 platelets and careful root planing

44
Q

Adjustment for Leukemia?

A
  • THEY are immunocompromised so:
  • antibiotic (chlorhexidine and oral tablet)
  • Thrombocytopenia
45
Q

What treatments to do for acute vs chronic phase Leukemia patient?

A

ONLY emergencies vs chronic stage: normal dentistry

46
Q

purpose of root planing

A

remove toxified cementum

47
Q

when is ultrasonic better for effective cleaning not just a time saver?

A

class 2 and class 3 furcation involvement

48
Q

To what depth are closed procedures (no flap) efffective

A

5 mm or under

49
Q

Expected recession following SRP for 5mm (or less) is?

what if it is more than 5?

A

Less than 5 is 1mm

More than 5 is 2-3mm

50
Q

Goals of SRP (phase I)

A
  • Shrinkage–>Recession

- Less BOP

Perio (5 decks)

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