Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Periodontology BDS4 > Periodontal Treatment Step 3 (Surgery) > Flashcards

Periodontal Treatment Step 3 (Surgery) Flashcards

1
Q

what are the aims of step 3

A

treat areas of dentition not responding adequately to step 2 with purpose of gaining further access to subgingival instrumentation or aiming at regenerating or resecting those lesions that add complexity in management of periodontitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what can step 3 treatment include

A

repeated subgingival PMPR
access flap surgery
resective flap surgery
regenerative flap surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the treatment options for step 3

A

treatment adjuncts (antimicrobials)
access surgery
regenerative options
furcation treatment options

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when would local antimicrobials be indicated

A

in unresponsive sites where surgery is contraindicated or not desired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

give 2 examples of local antimicrobials

A

periochip
dentomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is periochip

A

chlorhexidine gel inserted into pocket during PMPR released slowly over 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is dentomycin

A

minocycline gel syringe delivered into pocket after subgingival PMPR but needs 3-4 applications every 14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the outcomes of using local antimicrobials

A

short term improvements in PPD but long term benefits not clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what does the guidance say about local antimicrobial usage

A

consider as an adjunct but not recommended routinely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the aim of systemic antimicrobials

A

suppressing bacterial species responsible for biofilm growth leading to less pathogenic oral environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what do we need to consider with systemic antimicrobials

A

antibiotic stewardship
bacterial resistance
numerous side effects with antibiotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does the guidance say about systemic antimicrobials

A

do not recommend routine use
refer to specialist if you think it could be needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

who might benefit from systemic antimicrobial usage

A

grade c in young patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is host modulation therapy

A

local or systemic drugs as adjunct to conventional perio treatment with aim to modify the destructive aspects of host inflammatory response to biofilm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is given for host modulation therapt

A

sub-antimicrobial dose of doxycycline

periostat is brand used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when would you consider periodontal surgery

A

persisting pockets 6mm+
where good quality non-surgical treatment has not resolved pocketing
suitable patient

17
Q

what defines a suitable patient, tooth and defect for surgery

A

no medical issues
teeth of reasonable prognosis
infra-bony defects, furcation disease

18
Q

what patient factors do we consider for periodontal surgery

A

oral hygiene
quality of maintenance accessible
ability to tolerate
compliance
cost
aesthetics of site
recession

19
Q

what tooth factors do we consider for periodontal surgery

A

access to non-responding site
shape of defect
prosthodontic/endodontic considerations
tooth position

20
Q

what systemic factors do we consider for periodontal surgery

A

smoking
unstable angina, uncontrolled hypertension, MI/stroke
poorly controlled diabetes
immunosuppressed patients
anticoagulants

21
Q

what is needed in the consent process for surgery

A

reason for surgery
alternatives
consequences of no surgery
nature of surgical procedure
post-op consequences
requirement for post-op maintenance

22
Q

what is the aim of access surgery

A

access to areas of continued inflammation or infection
for areas PPD >6mm
allow access for surgical debridement

23
Q

what are the stages of access surgery

A

examination
full thickness flap raised
remove granulation tissue and debride
place suture
follow up

24
Q

what are the indications for regenerative surgery

A

infrabony defects 3mm or deeper as assessed radiographically
class 2 or 3 furcation

25
Q

what materials can be used for regenerative surgery

A

guided tissue regeneration
enamel matrix derivative - emdogain

26
Q

why are furcations treated

A

reasonable survival rates of tooth
tooth retention more cost effective than implants placed
patient preference

27
Q

what are the options for furcation surgery

A

regenerative surgery
root resection
root separation
tunnelling

28
Q

what furcations would be suitable for regenerative surgery

A

mandibular class 2
maxillary class 2

29
Q

what furcations would be suitable for root resection

A

class 3 lesions or multiple class 2 on same tooth

30
Q

what furcation is suitable for tunnelling

A

mandibular class 3

31
Q

what is tunnelling

A

bone and soft tissue recontoured to allow insertion of ID brush

32
Q

what are the consequences of tunnelling

A

root hypersensitivity and root caries

Periodontology BDS4 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions