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dental assisting mda > Periodontics Chapter 55 > Flashcards

Periodontics Chapter 55 Flashcards

1
Q

What is periodontics

A

the prevention, diagnosis and treatment of diseases that effect supporting and surround tissues

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2
Q

Periodontium are the supporting tissues of the tooth, what 3 things are included in it

A

cementum, alveolar bone and perio ligaments

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3
Q

What is the main cause of periodontal disease

A

dental plaque/biofilm

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4
Q

Supragingival surfaces are located where

A

above the gumline

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5
Q

subgingival surfaces are considered

A

root surfaces below the gum line and can extend into pockets

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6
Q

what is the earliest sign of periodontal disease

A

gingivitis

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7
Q

What is dental plaque induced gingivitis

A

plaque present at gingival margin

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8
Q

why do certain medications have an effect on gingivitis

A

it changes the body’s reaction with plaque

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9
Q

gingivitis that is effected by medications is called

A

plaque induced gingiva disease modified by systemic factors

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10
Q

Periodontitis effects the

A

bone and connective tissues

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11
Q

ANUG stands for and is a

A

acute necrotizing ulcerative gingivitis and is an overgrowth of bacteria

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12
Q

ANUP is found in patients with

A

HIV AND AIDS

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13
Q

when is periodontal treatment indicated

A

condition is irreversible, bone loss has occurred, patient will maintain after procedure, all other options have been exhausted

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14
Q

what are the 3 stages of periodontitis

A

chronic, aggressive, necrotic

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15
Q

Necrotic periodontitis causes

A

rapid destruction and interproximal bone loss

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16
Q

PSR exams are used to

A

quickly access state of periodontal health to determine if extensive exam is required

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17
Q

a sulcus is when the depth is within

A

1-3mm

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18
Q

when would a measurement be considered a pocket

A

when it exceeds 4mm

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19
Q

psr exams are completed by measuring ___ in each ___

A

each surface and recording deepest reading in each sextant

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20
Q

a * is used to indicate

A

mobility, furcation involvment, and recession greater than 3.5mm

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21
Q

What is the bleeding index

A

used to record extent of bleeding during probe on the basis that healthy gums don’t bleed

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22
Q

localized periodontal disease is when

A

less than 30% of tissues at effected

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23
Q

generalized periodontal disease is when

A

more than 30% of tissues are effected

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24
Q

type I pocket depth is early/slight and consists of

A

red swollen gums - gingivitis

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25
Q

Type II moderate pocket depth is when

A

some bone loss occurs and pocket depth increases due to swelling

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26
Q

Type III Pocketing is severe and consists of

A

gingival and infrabony pocketing

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27
Q

what in health history can contribute to periodontal disease

A

pathological migration, cleanching/grinding, defective restorations, mobility and occlusal interferences

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28
Q

What type of radiographs are used to depict bone height in perio

A

bite wings and panoramic

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29
Q

what is a gingival cleft

A

a fissure or elongated opening on the gingiva that extends toward the root crating a V

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30
Q

M3 would be ___ when recorded on a chart

A

severe mobility

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31
Q

how is mobility detected

A

by using two blunt ends of instruments to move tooth

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32
Q

A pseudo/false/relative pocket is AKA the

A

gingival pocket- no bone loss

33
Q

A suprabony periodontal pocket is when ___ bone loss occurs

A

horizontal bone loss inline with the crown

34
Q

Infrabony periodontal pockets occur when there is ___ bone loss

A

vertical bone loss inline with the adjacent tooth

35
Q

what is dental prophylaxis

A

complete removal or calculus, plaque and stains from tooth surface

36
Q

non surgical perio treatment consists of

A

scaling, root planing, curettage to remove bio burden from periodontal pockets

37
Q

Why is root planing preformed

A

to clear and smooth tooth surface for deposition of cementum

38
Q

curettage is to

A

remove necrotic tissue from pocket walls

39
Q

when would an ultrasonic scaler not be used

A

in patients with communicable diseases like TB, suscepTble to infection, respiratory problems, pacemakers, primary teeth and difficulty swallowing

40
Q

Perio probes are used to

A

measure depth of pocket

41
Q

Fucartion probes are shaped like a pig tail and used to

A

measure horizontal and vertical pocket depth in furfaction areas

42
Q

Periodontal explores are use to

A

located calculus and provide tactile information on texture of root surface

43
Q

sickle scalers have a straight shank and are used to remove supragingival calculus on the

A

anterior teeth

44
Q

Jacquette scalers have 3 angles on the shank and remove calculus on the

A

posterior teeth

45
Q

chisel scalers have a curved blade and are used for removing calculus in the

A

interproximal areas of anterior teeth

46
Q

How scalers have a right angle at shank and are for removing calculus of the ___ and ___ surfaces of posterior teeth

A

buccal and lingual

47
Q

what is used to crush extremely heavy calculus

A

files

48
Q

What is the difference between curettes and scalers

A

curettes are used below the gum line and have a rounded tip

Scalers are used above the gum line and have a pointed end

49
Q

the universal curette is used for ___ removal on __ teeth

A

subgivgival calculus removal on all teeth

50
Q

The gracey curette is ___ specific and is for the _ and _ surfaces

A

area specific, mesial and distal

51
Q

The kirkland knife has triangular ends and is for

A

creating incisions and removing soft tissues

52
Q

which knife is used for removing tissue in interdental areaS

A

the orban knife, shaped like a spear

53
Q

Periotomes have a straight and and are used to

A

cut periodontal ligaments

54
Q

what are pocket markers used for

A

sharp ended cotton pliers used to make bleeding points to prep for incision

55
Q

what can curettes be used for besides subgingival calculus

A

root planing and removing diseased tissues in pockets

56
Q

what material are implant scalers, curettes and probes made of

A

plastic to prevent scratching

57
Q

what antibiotic is preferred for perio treatments

A

tetracycline

58
Q

The most effective agent in deciding the development of plaque and gingivitis is

A

chlorahexadine

59
Q

what do fluorides for for perio wounds

A

reduce blessing and provide a bacteriocidal effect

60
Q

locally devliverex antibiotics can be placed as ___ directly in the wound

A

a fibre, syringe, or dissolvable chip

61
Q

festooning is

A

creating grooves in the teeth / restoring natural shape

62
Q

Gingival hyperplasia is the

A

overgrowth of gingival tissues. Common in gingival disease but can also be caused by dilantin and cyclosporine

63
Q

what are the two types of excisional surgery

A

gingivectomy and gingivoplasty

64
Q

periocoronitis is the

A

inflammation of tissue around partially erupted teeth. resolved with gingivectomy

65
Q

excisional surgery is the

A

removal of gingival tissue

66
Q

what is a gingivectomy

A

the removal of diseased tissue

67
Q

gingivoplasty is ___ where no tissue is lost

A

reshaping and contouring of tissues

68
Q

Incisional surgery is when a flap or gingiva is ___

A

separated from underlaying tissue and pushed away from working area to expose root surfaces

69
Q

the removal and relocation of tissue is known as

A

soft tissue grafting

70
Q

Dehiscence is aka the Zipper of bone loss and occurs when

A

exposure of the tooth root due to bone loss, extends toward apex

71
Q

Finest ration is a window of bone loss that occurs when

A

the area where roots join on a multi tooth are denuded

72
Q

Osteplasty is a ___ bone surgery

A

additive, bone is added contoured and reshaped

73
Q

ostectomy is the removal of bone, preformed on

A

defects to restore natural function and appearance

74
Q

GTR

A

guided tissue regeneration - placement of a membrane to allow for selective regeneration

75
Q

what are the 4 types of surgical dressings

A

zoe dressing, non eugenol, light cured and gelatin based dressings

76
Q

how long are perio packs left on a site

A

one week

77
Q

why are splints used

A

to stabilize and support mobile teeth

78
Q

allergy to eugenol would create what kind of reaction when applied

A

redness and a burning sensation

79
Q

which dressing dissolved within 24-48 hours

A

gelatin based dressings

dental assisting mda (35 decks)

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