Periodontics Flashcards

1
Q

Systemic conditions linked to periodontal disease

A
Cardiovascular disease 
Preterm low birth weight 
Respiratory diseases
Diabetes
Stroke
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2
Q

What is cardiovascular disease?

A

When bacteria spread into the bloodstream, attached to fatty plaques in the arteries

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3
Q

What is preterm low birth weight and why is it a risk factor for women with periodontal disease?

A

A birthweight less than 5 1/2 pounds and under 37 weeks.

If the mother has periodontal disease the risk of preterm low birth weight is seven times. Bio chemicals of the disease may produce a hormone that causes early uterine contraction

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4
Q

What is the relation ship of Periodontal disease and respiratory diseases?

A

Bacteria that colonize the mouth may alter the respiratory epithelium, leaving it more susceptible to disease

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5
Q

Other risk factors for periodontal disease

A
 smoking
 diabetes
Poor oral health
HIV/AIDS
Stress
Medication
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6
Q

What are the two basic forms of Perio disease?

A

Gingivitis and periodontitis

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7
Q

What is gingivitis? Can it be treated?

A

Inflammation of the gingival tissue

Is reversible and easy to treat, no bone loss or recession associated can be caused by various factors including birth control, puberty and pregnancy

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8
Q

What is periodontitis?

A

Inflammation of the supporting tissues of the teeth

As it progresses there is a distraction of the connective tissue attachment at the base of the pocket. It is not reversible

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9
Q

What is necrotizing periodontal disease?

A

NUG and NUP- necrotizing ulcerative gingivitis and periodontitis

Sudden onset, necrosis of the tips of the papilla with a punched outlook, lots of pain and bleeding

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10
Q

What is juvenile periodontitis

A

Onset is that puberty and bone loss is seen around the permanent first molars and/or incisors

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11
Q

What is Noma?

A

Rapidly progressive infection that occurs during periods of compromised immune function. Able to spread through anatomic barriers such as muscle

Risk factors include malnutrition, dehydration, poor oral hygiene, poor sanitation, unsafe drinking water, proximity to unkempt livestock, HIV etc

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12
Q

What is noma also known as?

A

Cancrum Oris or gangrenous stomatitis

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13
Q

What is included in the periodontal examination?

A
Medical and dental history
Radiologic evaluation
Examination of the teeth
Examination of the oral tissues and supporting structures
Periodontal charting
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14
Q

What are the specialized instruments used in periodontal therapy used for?

A

Removing calculus, smoothing route surfaces, measuring periodontal pockets and performing surgery

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15
Q

What are some non-surgical treatments for periodontal disease?

A
Dental prophylaxis
Scaling and root planing
Gingival curettage
Locally delivered antibiotics
Anti-microbial and antibiotic agents
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16
Q

What are some surgical periodontal treatments?

A

Gingivectomy to reduce the pocket depth by removing diseased tissue

Gingiva plasty to reshape and contour the gingival tissues

Incisional surgery or flap surgery where the tissue is pushed away from the bone so we may access the area for scaling and root planing

Osseous surgeries including osteoplasty, additive bone surgery and ostectomy

17
Q

What are lasers used for in periodontics?

A

Removal of tumors and lesions
Vaporization of excess tissues
Removal of hyper plastic tissues
Controls bleeding

18
Q

Advantages of lasers

A
Faster healing
Controls bleeding
Surgical field is relatively dry
Reduce risk of blood-borne contamination
Less trauma to adjacent tissues
Reduced post surgical swelling, scarring and pain
19
Q

What may be prescribed for a patient after periodontal surgery?

A

Chlorhexidine mouthwash

20
Q

What is a Perio pac?

A

Serves as a bandage over the surgical site. Used to hold flaps in place, protector new tissues, minimize pain during eating and drinking and to support mobile teeth

21
Q

Types of pac

A

Zinc oxide eugenol- May irritate tissue and delay healing

Non-eugenol dressing

Light cured dressings