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Periodontology > Perio Voice Threads > Flashcards

Perio Voice Threads Flashcards

1
Q

2017 Periodontal Classification we use determines:

A 
Peri-implant health
Peri-mucositis
Peri-implantitis
Peri-implant 
Hard/Soft tissue deficiencies
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2
Q

Healthy Gingival Conditions color, consistency, amount of bleeding, margins/papilla and probe depths

A 
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.
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3
Q

When is someone classified as health on a reduced peridoontium?

A

After completion of successful treatment of a patient with periodontitis

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4
Q

Someone classified as health on a periodontium can be ______ or un______ based on bleeding sites

A

stable or unstable

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5
Q

True or False: You still stage and grade a patient who is classified as health on a periodontium

A

True

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6
Q

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.

A

TRUE

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7
Q

Dental biofilm induced Gingivitis from:

A

○ Associated with biofilm alone
○ Systemic or local risk factors can mediate
○ Drug-influenced gingival enlargement

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8
Q

Non-dental biofilm induced Gingivitis from:

A 
○ genetic/developmental
○ Specific infections
○ Inflammatory, immune conditions
○ Reactive processes
○ Neoplasms
○ Endocrine, nutritional, metabolic diseases
○ Traumatic lesions
○ Gingival pigmentation
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9
Q

when there is generalized moderate or severe gingival inflammation in the absence of periodontitis, perform a:

A

D4346

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10
Q

Indications a patient needs a D4346

A

swollen, inflamed gingiva, generalized
suprabony pockets, and moderate to severe bleeding on
probing

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11
Q

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.

A

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.

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12
Q

Staging of a Perio patient is based on

A

•Severity

  • Complexity
  • PD & furcation involvement
  • Extent & distribution
  • Generalized or localized
  • Molar/incisor
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13
Q

Severity of Periodontitis based on

A

•Interdental CAL, % bone loss, & tooth loss

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14
Q

Complexity of Periodontitis based on

A

•PD & furcation involvement

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15
Q

Extent and Distribution of Periodontitis based on

A
  • Generalized or localized

* Molar/incisor

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16
Q

True or False: Complexity factors may shift patients to a higher stage.

A

TRUE ex: Furcations

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17
Q

Stages do/do not change but grades can/cannot.

A

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

18
Q

If bone levels in the coronal 3rd of the tooth when looking at RBL - what % RBL?

A

between 0-30%

19
Q

If bone levels in the middle third of the tooth root - what % RBL?

A

30-60%

20
Q

If bone levels in the apical third of the tooth root - what % RBL?

A

60-100%

21
Q

Periodontitis grade CAN or CANNOT be modified based on the presence of risk factors

A

Grading CAN be modified based on the presence of risk factors

22
Q

Considerations when grading a patient:

A 
•Progression
•Responsiveness
•Impact on systemic health
•Stable or unstable
•Grade Modifiers (Risk Factors)
-Smoking
-Diabetes
23
Q

Ex of calculating % bone loss to age - Bone loss % is 40% and age is 50

A

take 40/50 = .80 –> Grade B moderate

24
Q

Instrument used for moderate to heavy calc, specific to anterior or posterios, supra or subging

A

Sickle Scalers

25
Q

Instrument that allows for easy adaptation on all teeth surfaces, rounded toe, two cutting edges and blade tilt toward 70-85%

A

Universal curettes

26
Q

Gracey curettes used for removal of ___ to ____ deposits

A

light to moderate

27
Q

Instrument that used for:

Crowns and root surfaces
Long complex shanks
Ideal for root instrumentation

A

Gracey Curettes

28
Q

Gracey Curettes angling:

A

Lower cutting edge 70º angle

Lower shank parallel to the tooth

29
Q

CALC REMOVAL VS ROOT PLANING STROKES

powerful biting strokes

A

calc removal

30
Q

CALC REMOVAL VS ROOT PLANING STROKES

short strokes

A

calc removal

31
Q

CALC REMOVAL VS ROOT PLANING STROKES

light, medium length strokes

A

root planing strokes

32
Q

ANGULATION %

  1. Probe/Explorer ASSESSMENT stroke
  2. Scaler, Curette CALC REMOVAL stroke
  3. Curette ROOT PLANING stroke
A
  1. 50-70%
  2. 70-80% (insert 0-40%)
  3. 60-70%
33
Q

Cross Hatching Stroke is a combination of which stroke types

A

vertical, horizontal and oblique strokes

34
Q

Four Most Common Extra Oral Fulcrum Types

A
  • palm up
  • chin cupping
  • finger assisted
  • finger on finger
35
Q

Weak or Strong Fulcrum:

Fingers split
Finger flex to compensate
Wrist bends

A

Weak

36
Q

Weak or Strong Fulcrum:

Palm up
Fingers together and stationary
Activation by shoulder

A

Strong

37
Q

Benefits of and Extra-Oral Fulcrum

A
  • Allows your whole hand to activate a powerful stroke
  • Wrist kept in a neutral position
  • Gain improved ergonomics
38
Q
  • Elements of an Extra Oral Fulcrum (3)
A

Broad Surface Area of Contact between the hand and the patient’s face

Adequate Pressure of the extraoral fulcrum

Use of an Extended Grasp

39
Q

Anatomical Considerations: MX 1st Premolar has ____ (#) roots most of the time

A

2 roots - one facial, one lingual

40
Q

Anatomical Considerations: MX 1st Molars have furcations on the:

A

mesial, facial and distal

41
Q

Anatomical Considerations: MN centrals and laterals are likely to have proximal root ____-

A

proximal root concavities

42
Q

Anatomical Considerations: MN 1st molars have furcations on the ___ and ___ surfaces

A

facial and lingual

Periodontology (3 decks)

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