periodontics Flashcards

1
Q

what type of bacteria causes decay and contributes to periodontal disease

A

mutans streptococci and lactobacilli

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2
Q

does plaque contain this bacteria

A

yes it does

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3
Q

what is gingivitis

A

inflammation of the gingival tissues

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4
Q

what is periodontitis

A

inflammatory disease of the supporting tissues of teeth

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5
Q

what are structures of the periodontium

A
  • alveolar bone
  • periodontal ligament
  • cementum
  • gingival unit
  • enamel
  • dentin
  • gingival sulcus
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6
Q

which condition is reversible, gingivitis or periodontitis

A

gingivitis

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7
Q

what is gingival inflammation caused by

A

bacterial plaque (acquired pellicle, materia alba, food debris)

calculus (supragingival and subgingival)

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8
Q

what are three types of periodontal pockets and what is the difference among them

A

gingival pockets
- caused by destruction of periodontal ligaments

suprabony pockets
- horizontal bone loss; crestal alveolar loss

infrabony pockets
- vertical bone loss

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9
Q

what is a prophylaxis

A

complete removal of calculus, soft deposit, plaque, stain

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10
Q

who can legally perform a prophylaxis

A

dentists or hygienists

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11
Q

can food stain be seen on a radiograph

A

no

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12
Q

why is chlorehexidine so beneficial to periodontal patients

A

it provides antimicrobial therapy to reduce plaque and gingivitis

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13
Q

what does PSR stand for

A

periodontal screening and recording

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14
Q

who is PSR targeted towards

A

grown adults

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15
Q

who is not to have PSR

A

children

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16
Q

what is the best antibiotic treatment for periodontitis

A

tetracycline

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17
Q

what is a healthy sulcus depth

A

3mm or less

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18
Q

what are periodontal probes and what is meant by the term calibrated

A

it is an instrument that measures how much epihtelial attachment has been lost
- calibrated means it is measured in mm

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19
Q

what is a bleeding index

A

a method of scoring the amount of gingival bleeding present
0 - no inflammation
1- mild inflammation
2 - moderate inflammation
3 - severe inflammation

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20
Q

does healthy gingiva bleed

A

no

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21
Q

if probing depth of less than 4 mm is noted with bleeding, this is a sign of periodontitis or gingivitis

A

it is a sign of gingivitis

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22
Q

what does occlusal trauma contribute to

A

tooth mobility
destruction of bone
migration of teeth
tmj pain

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23
Q

how many areas are measured around a tooth during probing

A

6
- DB, B, MB, DL, L, ML

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24
Q

what is a pocket marker used for

A

used to make a perforation to make bleeding points as incision marks on gingiva

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25
Q

what is the difference between a scaler and a curette

A

scalers remove supragingival calculus while curettes remove subgingival calculus

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26
Q

can a scaler be used subgingivally? why?

A

scalers have pointed ends which can damage the gingiva

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27
Q

what is the difference between subgingival anf supragingival

A

subgingival is below gingiva

supragingival is above the gingiva

28
Q

what is a periodontal flap procedure

A

a surgery that pushes tissues away from underlying tooth root and and bone to allow for scaling, root planing

29
Q

what is a guided tissue regeneration

A

can be done to stimulate growth of new bone to increase height of bone around tooth

30
Q

what is the periosteal elevator used for

A

to retract the periosteum from the surface of the bone, and detach the gingival tissues from around the cervix of tooth

31
Q

which type of periodontal dressing dissolves after 24-48 hours

A

gelatin based dressings

32
Q

what is an osteoplasty

A

surgery where bone is added, contoured and reshapedfur

33
Q

furcation involvement is what type of condition

A

a condition of bone loss where roots join on a multy rooted tooth and are exposedw

34
Q

which type of medication causes gingival hyperplasia

A

dilantin (anti-epileptic, anti-seizure medication)

35
Q

what is a gingival cleft

A

an elongated opening that extends towards the root of the tooth

36
Q

what is ANUG/NUG

A

acute necrotizing ulcerative gingivitis

it is a perio condition characterized by inflamed gums, metallic taste, bad breath and pain
- due to stress, smoking, inadequate diet, poor oral hygiene

37
Q

what type of infection is an ANUG

A

it is a progressive bacterial infection

38
Q

what is used to treat ANUG

A

tetracycline

39
Q

what is dehiscence

A

it is a fissural defect that results in incomplete coverage of the root by bonew

40
Q

what is the kirkland knife used for

A

double ended kidney shaped knuife used in perio surgery

41
Q

what is the orban knife

A

a knife with cutting edges on both sides of blade used to remove tissue from interdental spaces

42
Q

which type of curettes can be used anywhere in the mouth

A

universal curettes

43
Q

which type of curettes are area specific

A

gracey curettes

44
Q

which area specific curettes are used for the anterior segment only

A

1/2, 3/4, 5/6

45
Q

which area specific curettes are used for posterior segment only

A

7/8, 9/10, 11/12, 13/14

46
Q

what are the different classes of mobility

A

0 - normal
1 - slight mobility
2 - moderate mobility
3 - extreme mobility

47
Q

why are vertical bitewings preferred in periodontics

A

excellent for determining the extent of crestal bone loss

48
Q

which type of instrument is used to provide the dentist with tactile information

A

periodontal explorers

49
Q

which type of periodontal dressings can cause redness and burning

A

zinc oxide eugenol dressing

50
Q

what is the ultrasonic scaler

A

an instrument that provides rapid calculus removal from rapid vibrations

51
Q

what must be used to minimize aerosols that are generated by the ultrasonic scaler

A

HVE

52
Q

what is the sugarman file used for

A

used to crush or fracture extremely heavy calculus

53
Q

what is the back action chisel used for

A

removes and recontours the bone

54
Q

what is the ochsesenbein chisel used for

A

used to reshape the bone

55
Q

what is crown lengthening

A

a surgical procedure designed to expose more tooth structure for placement of a restoration

56
Q

what is root planning

A

procedure that smooths the surface of a root by removing cementum or dentin

57
Q

which instruments can be used for root plannin

A

curettes (universal or gracey)

58
Q

what is the sickle scaler used for

A

used to remove tenacious supragingival deposits of calculus

59
Q

does occlusal trauma cause periodontal pocket formation

A

no

60
Q

what are the types of probes

A

periodontal probes
furcation probes

61
Q

what are the types of periodontal explorers

A

furcation and perio

62
Q

what are the types of scalers and files

A

sickle scaler
contra-angle sickle scaler
chisel scaler
hoe scaler
sugarman file

63
Q

indications for used of ultrasonic scaler

A

-removal of supragingival calculus and stains
- subgingival calculus, plaque, endotoxins in root surface
- cleaning furcation areas
- removal of deposits before perio surgery
- removal of cements or debonding
- removal of overhanging in restorations

64
Q

contraindications for use of ultrasonic scaler

A
  • communicable disease
  • patients susceptible infections
  • respiratory problems
  • swallowing difficulty
  • cardiac pacemaker
  • demineralized areas
  • exposed dentinal surfaces
  • restorative materials
  • titanium implant abutmants
  • narrow perio pockets
65
Q
A