Periodontal Disease in Ortho Pt

Question 1

How often should ortho pt be seen by GDP?

Answer 1

Every 6 months

Question 2

Following periodontal tx, how long should be waited before commencing ortho tx?

Answer 2

Periodontal disease must be stabilised
hx of perio does not CI ortho - must be stable and monitored through tx
Following non-surgical wait 6-9 months and 9-12 month following surgical tx

Question 3

What features of malocclusion may be due to periodontal disease?

Answer 3

Spacing, drifting teeth, rotation and tipping, OE, proclamation incisors

Question 4

What MH factors may dispose pt to perio?

Answer 4

Drug induced - calcium channel blockers, nifedipine, amlodipine, phenyton, cyclosporin
Poorly controlled diabetes
Pregnancy

Question 5

What drugs can cause gingival overgrowth?

Answer 5

Phenytoin, cyclosporin, calcium channel blockers
Nifedipine, amlodipine

Question 6

What BPE codes are using in children 7-11>

Answer 6

0-2

Question 7

When is full BPE range used?

Answer 7

12 +

Question 8

What is recession?

Answer 8

Displacement of gingival soft tissue margin apical to cementoenamel junction which exposed root surface

Question 9

What is RF for recession?

Answer 9

Trauma from excessive toothbrushing
Periodontal inflammation
Smoking
Orthodontics

Question 10

Why is ortho RF for recession?

Answer 10

Teeth can be moved buccal through the cortical bone

Question 11

What are tx options for recession

Answer 11

Monitor and prevention by monitor RFs
Application dentine bonding agent
Composite restoration
Surgical option

Question 12

What is gingival biotype?

Answer 12

Thicness of gingival in bucco-palatal dimension