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Periodontology > Quiz 4 Study Guide > Flashcards

Quiz 4 Study Guide Flashcards

1
Q

indications for air polisher

A
  • heavy stain

- difficult to clean areas/orthodontics

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2
Q

contraindications for air polisher (dental)

A
  • dentinal hypersensitivity
  • newly erupted teeth
  • titanium implants
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3
Q

contraindications for air polisher (medical)

A
  • sodium restricted diets
  • renal disease
  • respiratory disease
  • diuretics
  • compromised immune system
  • communicable disease
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4
Q 
sodium bicarbonate powder
\_\_\_ taste
particle size = \_\_\_\_\_
Mohs hardness = \_\_\_\_\_
safe to use = \_\_\_\_\_\_\_
A
  • salty
  • 65-74 microns
  • 2.5
  • safe on ortho, stain, supragingival
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5
Q

sodium bicarbonate powder contraindications

A

composite, root surfaces, sodium restricted diet, subgingival use

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6
Q

aluminum trihydroxide powder
larger ____ and _____ (Mohs = __) compared to sodium bicarbonate
____ taste
safe to use on _____

A
  • larger particle size, Mohs hardness (Mohs = 4)
  • no salty
  • sodium restricted diets, heavily stained enamel
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7
Q

contraindications for aluminum trihydroxide

A

cast restorations, luting cements, resins, glass ionomers, dentin, cementum

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8
Q 
calcium sodium phosphosilicate
\_\_\_\_ glass
occludes \_\_\_\_\_, reduces \_\_\_\_\_
Mechanism similar to \_\_\_\_\_
Mohs hardness = \_\_\_\_
A

bioactive
dentinal tubules, dentinal hypersensitivity
sodum bicarbonate
6

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9
Q

calcium carbonate needs more research to determine _____ and _____ potential

A

effectiveness, abrasive

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10
Q

two powders approved for subgingival use

A

glycine, erythritol

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11
Q

glycine is ___% less abrasive than sodium bicarbonate powders

A

80% less

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12
Q

angulation of air polisher/flow on posterior teeth

A

80 degrees

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13
Q

angulation of air polisher/flow on occlusal surfaces

A

90 degrees

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14
Q

angulation of air polisher/flow on anterior teeth

A

60 degrees

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15
Q

can you point a polisher gingivally with sodium bicarbonate? why?

A

No, because it will damage tissue and sodium bicarbonate is not indicated for subgingival use

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16
Q

can you point a polisher gingivally with glycine/erythritol? why?

A

Yes, because it is not as abrasive and will not damage tissue. These are approved for subgingival use

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17
Q

Hu Friedy Air Flow advantages
_______ and _____ uses
specialty uses: _____

A
  • subgingival, supragingival

- implants, ortho brackets, safe on restorative materials

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18
Q

HF Air-Flow Classic Powder is ____ based and can/cannot be used subgingivally/on restorations

A

sodium bicarbonate based; cannot

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19
Q

HF Air-Flow Perio Powder is ____ based, __ microns in size, and designed for ________; can/cannot be used subgingivally/on restorations

A

glycine based, 24 microns, subgingival biofilm and light stain removal, can

20
Q

HF Air-Flow Plus Powder is _____ based, ___ in size, designed for _______; can/cannot be used subgingivally/restorations

A

erythritol based, 14 microns, sub and supragingival use, can be used

21
Q

which powders are safe for patients on sodium restricted diets?

A

HF air-flow plus powder, HF air-flow perio powder,

22
Q

advantages over a rubber cup

  • more/less abrasive
  • ____ operator fatigue
  • up to ___% of endotoxins/bacteria
  • 3x faster/slower
  • patients __ find it more comfortable
A
  • less abrasive
  • reduced
  • up to 100%
  • 3x faster
  • may
23
Q

Stage I (____) of gingivitis
clinical signs =
pathological events =

A

(Initial)
clinical = none
pathological = migration of PMNs into CT, plasma leaks, gingival fluid flows in pocket, T lymphocytes predominate

24
Q

Stage II (____) of gingivitis
clinical signs =
pathological events =

A

(early)
clinical = redness, loss of stippling, BOP, exudate
pathological = increase in T lymphocytes, crevicular fluid incr, collagen destroyed, fibroblasts destroyed, length of JE disrupted

25
Q

Stage III (____) of gingivitis
clinical signs =
pathological events =

A

(established)
clinical = redness, increased PD, exudate formation, tissue swelling
pathological = capillaries proliferate, T and B lymphocytes in equal numbers, edema incr

26
Q

Stage IV (____) of gingivitis
clinical signs =
pathological events =

A

(Advanced)
clinical = similar to Stage III
pathological = destructive changes into bone and periodontal tissues

27
Q

necrotizing gingivitis (NG) is associated with…

A
  • smokers
  • debilitated individuals under stress
  • poor OH
  • nutritional deficiencies
  • immunodeficiency
  • AKA trench mouth
28
Q

NG symptoms, clinical signs, Tx

A 
symptoms = pain, bleeding gingiva, foul breath
clinical = punched out papilla, profuse bleeding, fever, fatigue, swollen lymph nodes
Tx = gentle debridement over a few days, antibiotics
29
Q

Necrotizing stomatitis signs/symptoms

A
  • severe tissue necrosis
  • extends tongue, cheek, palate
  • most severe and rarest form of NP
30
Q

necrotizing periodontitis symptoms, clinical signs, Tx

A

symptoms = fetid odor, metallic taste, fever
clinical signs = pseudomembrane (grayish tissue slough), easily wiped away, swollen lymph nodes
Tx = control of acute condition with antibiotics, CHS, frequent recall, debridement (w/ anesthesia), possible surgery

31
Q

NP results in _______ and _____

A

loss of attachment and alveolar bone loss

32
Q

NP without treatment =

NP with treatment =

A 
without = chronic phase; recurs; possible periodontal disease over time
with = tissue may return to normal, require surgery if papilla not recovered
33
Q

dyscrasias/leukemia-associated gingivitis features and Tx

A 
features = associated w abnormal function/# of blood cells, exaggerated inflammatory response to plaque, palatal petechia & ecchymosis
Tx = NSPT, systemic antibiotics, CHX, OHI
34
Q

acute myelocytic leukemia (AML) is associated with _______

A

blood dyscrasias

35
Q

puberty gingivitis is most common in females/males

A

females

36
Q

contributing factors to puberty gingivitis

A

mouth breathing, malocclusion, poor OH

37
Q

puberty gingivitis

______ + hormones = ______

A

local irritants, accentuated tissue

38
Q

pregnancy gingivitis occurs in ____% of pregnant women; starts at month ____ and most severe at _____

A

30-75%, 2-3, 7-8 months

39
Q

Vitamin A impacts on periodontal health

A

salivary glands, epithelial tissue, immune response

40
Q

Vitamin C impacts on periodontal health

A

collagen, connective tissue, immune response

41
Q

Vitamin B complex impacts on periodontal health

A

epithelial, CT

42
Q

amino acids, calcium, phosphorus, Vitamin D, magnesium

A

calcification of alveolus and cementum

43
Q

proteins impact on periodontal health

A

immune response

44
Q

chronic
mouthbreathing through oral
cavity which may result in
gingival changes

A

mouthbreathing gingivitis

45
Q

desquamative characteristics

A

chronic, female, diffuse, no papillary necrosis, patchy, epithelial cells with few bacteria, no odor

Periodontology (9 decks)

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