PROCEDURAL

Question 1

a. What are the patient factors and clinical factors that affect the outcome of RSD?

Answer 1

Question 2

b. Goals of root surface debridement (2m)

Answer 2

 Decontamination by removing LPS/endotoxins from the root surface

 Disrupting and eliminating the biofilm from the root surface
 Removing the bulk of subgingival calculus from the root surface.

Question 3

c. Upper lateral incisor, what anatomical feature makes non-surgical periodontal therapy difficult? (2m)

Answer 3

 Palato-radicular Groove on the palatal aspects of the tooth

Question 4

d. The lateral incisor with severe bone loss is still hypermobile after satisfactory non-

surgical periodontal therapy, how to manage? (8m)

Answer 4

• Occlusal Adjustments
  
  • Selective grinding is the modification of the occluding surfaces of teeth through grinding to create harmonious contact relationships between the maxillary and mandibular teeth
  • The aim of occlusal adjustment is to establish and maintain stable occlusal relationships and to restore an optimal occlusal function.
• Splinting
  
  • Create an environment where the tooth movement can be contained within physiological limits, thereby improving patient comfort and the restoration of function
• Bone grafting
• Extraction