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BDS 2: Periodontology > Question Prep > Flashcards

Question Prep Flashcards

1
Q

What is the difference between bleeding indices and bleeding on probing

A

Bleeding indices

  • Swiping motion, detects inflammation on marginal tissues
  • BPE probe or Williams

Bleeding on Probing

  • Measures inflammatory lesions deeper, at base of sulcus
  • Williams probe
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2
Q

Differences between BPE and 6PPC

A

BPE

  • Simple and rapid screening tool of periodontal health
  • Scores of treatment plans refer to further treatment
  • CPITN probe
  • NOT A DIAGNOSTIC TOOL

6PPC

  • Detailed
  • DIAGNOSTIC TOOL
  • Measure parameters of disease
  • William’s probe
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3
Q

What is recorded on 6ppc? (5)

A
  • Pocket depth
  • Bleeding on probing
  • Mobility
  • Furcation
  • Recession
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4
Q

What is a periodontal probe used for? (5)

A
  • Recession, furcation, mobility, pocket depth, bleeding on probing
  • Determine size and extent of intraoral lesions
  • Calculus presence
  • Remove excess material
  • Determine caries lesions
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5
Q

Define plaque

A

Bacterial biofilm, highly organised, sticks to tooth via pellicle

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6
Q

Define calculus

A

Mineralised plaque

Layer of unmineralised plaque usually covers

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7
Q

Define material alba

A

Soft accumulations of bacteria & food debris

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8
Q

Describe the appearance of material alba

A
  • White

- Cheese-like

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9
Q

Suitable OH advice for patient with high plaque score?

A
  • Floss
  • Brush twice daily for 2 mins using fluoride toothpaste
  • Interdental brushes
  • Mouthwashes
  • Modified bass technique 45 degree angle, brush systematically each quadrant 30 seconds
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10
Q

List some drugs that can cause gingival hyperplasia (4)

A
  • Phenytoin
  • Cyclsoporin
  • Diltizame
  • Nifedepin
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11
Q

Why can puberty cause gingivitis?

A

The rise in hormones during puberty can heighten blood flow to the gums, making them red, swollen, and sensitive

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12
Q

When does menstrual gingivitis normally occur?

A

The gums become red, swollen, and more likely to bleed shortly before each menstrual period

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13
Q

When does pregnancy gingivitis normally occur?

A

Pregnancy gingivitis typically starts in the second or third month of pregnancy and continues through the eighth month, causing sore, swollen, and bleeding gums

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14
Q

How does smoking reduce gingival bleeding

A

Reduces bleeding as nicotine causes vasoconstriction

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15
Q

Name some ways the teeth can be stained (extrinsic)

A
  • Diet
  • Coffee/tea
  • Wine
  • Smoking
  • Chlorhexidine (brown)
  • Minocylcine (black)
  • Iron supplements (black)
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16
Q

Name 3 medications that can cause staining

A
  • Chlorhexidine (brown)
  • Minocylcine (black)
  • Iron supplements (black)
17
Q

Name some ways the teeth can be stained (intrinsic)

A
  • Fluorosis
  • Tetracyclines
  • Trauma
  • Dentinogenesis imperfecta
  • Amelogenesis imperfecta
18
Q

Name the 3 parts of an instrument used for scaling

A
  • Handle
  • Shank
  • Working end
19
Q

Describe what happens in the gingivae when there is CAL (4)

A
  • Destruction of gingival fibers
  • Destruction of PDL fibers
  • Migration of JE
  • Loss of alveolar bone
20
Q

What teeth are instruments with complex shanks used for?

Why is this?

A
  • Posterior teeth

- Greater angulation

21
Q

What is the difference in cross section between curette and sickle scaler?

A
  • Curette is semicircular

- Sickle scaler is triangular

22
Q

What type of instruments can you only use supragingivally?

A

Sickle scalers

23
Q

Furcations
I
II
III

What probe is used?

A

I - <3mm (tent)
II - >3mm (empty triangle)
III - through & through (triangle)

  • Naber’s probe
24
Q

What is the correct adaptation when using a curette?

A

Position of first 1-2mm working end lateral surface in contact with tooth

25
Q

What is the correct angulation when using a curette?

What occurs if angle is
too small
too big

A
  • 70-80 degrees
  • Burnished calculus
  • Damage to tissue

BDS 2: Periodontology (9 decks)

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