Perio Voice Threads Flashcards
2017 Periodontal Classification we use determines:
Peri-implant health Peri-mucositis Peri-implantitis Peri-implant Hard/Soft tissue deficiencies
Healthy Gingival Conditions color, consistency, amount of bleeding, margins/papilla and probe depths
uniformly pink or pale pink Firm, stippled Less than 10% bleeding sites Margins are knife edged, flat, papilla is peaked Probing depths are within 1-3mm, with no apical migration of the JE, no CAL.
When is someone classified as health on a reduced peridoontium?
After completion of successful treatment of a patient with periodontitis
Someone classified as health on a periodontium can be ______ or un______ based on bleeding sites
stable or unstable
True or False: You still stage and grade a patient who is classified as health on a periodontium
True
True or False: A patient with gingivitis can revert back to health, but a
periodontitis patient remains a periodontitis patient for life– even after successful therapy.
TRUE
Dental biofilm induced Gingivitis from:
○ Associated with biofilm alone
○ Systemic or local risk factors can mediate
○ Drug-influenced gingival enlargement
Non-dental biofilm induced Gingivitis from:
○ genetic/developmental ○ Specific infections ○ Inflammatory, immune conditions ○ Reactive processes ○ Neoplasms ○ Endocrine, nutritional, metabolic diseases ○ Traumatic lesions ○ Gingival pigmentation
when there is generalized moderate or severe gingival inflammation in the absence of periodontitis, perform a:
D4346
Indications a patient needs a D4346
swollen, inflamed gingiva, generalized
suprabony pockets, and moderate to severe bleeding on
probing
True or False: You base your classification of a D4346 patient on their bleeding on probing, as well as bleeding when doing the prophylaxis, scaling and root planing, or debridement procedures.
FALSE - Only base it on moderate to severe bleeding on probing. Should not be reported in conjunction with prophylaxis, scaling and root planing, or debridement procedures.
Staging of a Perio patient is based on
•Severity
- Complexity
- PD & furcation involvement
- Extent & distribution
- Generalized or localized
- Molar/incisor
Severity of Periodontitis based on
•Interdental CAL, % bone loss, & tooth loss
Complexity of Periodontitis based on
•PD & furcation involvement
Extent and Distribution of Periodontitis based on
- Generalized or localized
* Molar/incisor
True or False: Complexity factors may shift patients to a higher stage.
TRUE ex: Furcations
Stages do/do not change but grades can/cannot.
Stages DO NOT change, but grades can.
The original complexity factors should
always be considered in disease maintenance and management. Grading CAN be modified based on the presence of risk factors
If bone levels in the coronal 3rd of the tooth when looking at RBL - what % RBL?
between 0-30%
If bone levels in the middle third of the tooth root - what % RBL?
30-60%
If bone levels in the apical third of the tooth root - what % RBL?
60-100%
Periodontitis grade CAN or CANNOT be modified based on the presence of risk factors
Grading CAN be modified based on the presence of risk factors
Considerations when grading a patient:
•Progression •Responsiveness •Impact on systemic health •Stable or unstable •Grade Modifiers (Risk Factors) -Smoking -Diabetes
Ex of calculating % bone loss to age - Bone loss % is 40% and age is 50
take 40/50 = .80 –> Grade B moderate
Instrument used for moderate to heavy calc, specific to anterior or posterios, supra or subging
Sickle Scalers
Instrument that allows for easy adaptation on all teeth surfaces, rounded toe, two cutting edges and blade tilt toward 70-85%
Universal curettes
Gracey curettes used for removal of ___ to ____ deposits
light to moderate
Instrument that used for:
Crowns and root surfaces
Long complex shanks
Ideal for root instrumentation
Gracey Curettes
Gracey Curettes angling:
Lower cutting edge 70º angle
Lower shank parallel to the tooth
CALC REMOVAL VS ROOT PLANING STROKES
powerful biting strokes
calc removal
CALC REMOVAL VS ROOT PLANING STROKES
short strokes
calc removal
CALC REMOVAL VS ROOT PLANING STROKES
light, medium length strokes
root planing strokes
ANGULATION %
- Probe/Explorer ASSESSMENT stroke
- Scaler, Curette CALC REMOVAL stroke
- Curette ROOT PLANING stroke
- 50-70%
- 70-80% (insert 0-40%)
- 60-70%
Cross Hatching Stroke is a combination of which stroke types
vertical, horizontal and oblique strokes
Four Most Common Extra Oral Fulcrum Types
- palm up
- chin cupping
- finger assisted
- finger on finger
Weak or Strong Fulcrum:
Fingers split
Finger flex to compensate
Wrist bends
Weak
Weak or Strong Fulcrum:
Palm up
Fingers together and stationary
Activation by shoulder
Strong
Benefits of and Extra-Oral Fulcrum
- Allows your whole hand to activate a powerful stroke
- Wrist kept in a neutral position
- Gain improved ergonomics
- Elements of an Extra Oral Fulcrum (3)
Broad Surface Area of Contact between the hand and the patient’s face
Adequate Pressure of the extraoral fulcrum
Use of an Extended Grasp
Anatomical Considerations: MX 1st Premolar has ____ (#) roots most of the time
2 roots - one facial, one lingual
Anatomical Considerations: MX 1st Molars have furcations on the:
mesial, facial and distal
Anatomical Considerations: MN centrals and laterals are likely to have proximal root ____-
proximal root concavities
Anatomical Considerations: MN 1st molars have furcations on the ___ and ___ surfaces
facial and lingual
