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Periodontology > Quiz 6 > Flashcards

Quiz 6 Flashcards

1
Q

Resective surgery

A

Procedures that simply cut away and remove some of the periodontal tissues

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2
Q

Osseous defect

A

A deformity in the tooth-supporting alveolar bone usually resulting from periodontitis

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3
Q

Relative contraindication

A

Condition that MAY make periodontal surgery inadvisable

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4
Q

Repair

A

Healing of a wound by formation of tissues that do not fully restore the original architecture or original function of the body part

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5
Q

Reattachment

A

To “attach again”

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6
Q

New attachment

A

The union of a pathologically exposed root with connective tissue or epithelium

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7
Q

Regeneration

A

The biological process by which the architecture and function of lost tissue is completely restored

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8
Q

Primary intention

A

Occurs when the wound margins or edges are closely adapted to each other

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9
Q

Secondary intention

A

Takes place when the margins or edges of the wound are not closely adapted

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10
Q

Tertiary intention

A

Healing of a wound from a dog bite

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11
Q

Periodontal flap

A

A surgical procedure in which incisions are made in the gingiva or mucosa to allow for separation of the surface tissues (epithelium and connective tissue) from the underlying tooth roots and alveolar bone

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12
Q

Flap elevation or reflection

A

Separating the surface tissues from the underlying tooth root and alveolar bone

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13
Q

Full-thickness flap

A

Provides complete access to the underlying bone when bone replacement grafting or periodontal regeneration procedures are anticipated

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14
Q

Blunt dissection

A

The full-thickness flap is elevated

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15
Q

Partial thickness flap

A

Describes elevation of only the epithelium and a thin layer of the underlying connective tissue rather than the entire thickness of the underlying soft tissues

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16
Q

Sharp dissection

A

Requires incising the underlying connective tissue in such a manner as to separate the epithelial surface plus a small portion of the connective tissue from the periosteum

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17
Q

Non displaced flap

A

A flap that is sutured with the margin of the flap at its original position in relationship to the CEJ on the tooth

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18
Q

Displaced flap

A

A flap that is sutured with the margin of the flap placed at a position other than its original position in relationship to the CEJ of the tooth

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19
Q

Horizontal incisions

A

Are directed along the gingival margins in a mesiodistal direction

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20
Q

Crevicular incision

A

A type of horizontal incision commonly employed during flap surgery, surgical scalpel blade is carefully placed into the gingival crevice and directed apically to the bone

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21
Q

Internal bevel incision

A

Surgical scalpel blade enters the marginal gingiva, but is not placed directly into the crevice. Enters gingiva approximately 0.5 to 1.0 mm away from the margin and follows general contour of the scalloped marginal gingiva

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22
Q

Vertical incisions

A

Run perpendicular or obliquely to the gingival margin in an apical-occlusal direction

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23
Q

Flap for access

A

Used to provide access to the tooth roots for improved root preparation

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24
Q

Open flap debridement

A

Periodontal surgical procedure quite similar in concept and execution to flap for access surgery

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25
Q

Osseous resective surgery

A

Describes periodontal surgery employed to correct many of the irregular deformities of the alveolar bone that often result from periodontitis

26
Q

Ostectomy

A

Removal of tooth supporting bone (alveolar bone proper)

27
Q

Osteoplasty

A

Refers to reshaping the surface of alveolar bone without actually removing any of the tooth supporting bone

28
Q

Apically positioned flap with osseous resective surgery

A

A periodontal surgical procedure involving a combination of a displaced flap plus resective osseous surgery

29
Q

Bone replacement graft

A

A broad class of implantable materials that are used in medicine and dentistry to induce the body to augment and/or regenerate tissue that has been lost as a result of disease, trauma or injury

30
Q

Osteogenesis

A

Describes the formation of new bone by viable, living cells that are contained in the graft material

31
Q

Osteoinduction

A

Refers to a chemical process whereby molecules contained in the graft material- known as bone morphogenetic proteins (BMPs)- have the ability to recruit and attract host bone- forming cells called osteoblasts to the site of implantation to form new bone

32
Q

Osteoconduction

A

A physical, passive process whereby the graft material itself acts as a scaffold for host bone-forming cells (existing outside the graft) to migrate, attach and grow on

33
Q

Autografts

A

Bone replacement grafts taken from the patient that is receiving the graft

34
Q

Allografts

A

Bone replacement grafts taken from individuals that are genetically dissimilar to the donor (ex: another human)

35
Q

Xenografts

A

Bone replacement grafts taken from another species, such as bovine (cow) bone replacement graft material which can be placed in a human

36
Q

Alloplasts

A

Bone replacement grafts that are synthetic materials or inert foreign materials

37
Q

Guided tissue regeneration (GTR)

A

A periodontal surgical procedure employed to encourage regeneration of loss periodontal structures by guiding the movement of progenitor cells toward the treated root surface while excluding the migration or the gingival epithelial cells and fibroblasts

38
Q

Periodontal plastic surgery

A

Periodontal surgical procedures directed toward correcting or eliminating deformities associated with the gingiva or alveolar mucosa

39
Q

Mucogingival surgery

A

Periodontal surgical procedures that correct any deformity associated with the gingiva and mucosa

40
Q

Free soft tissue autograft

A

A type of periodontal plastic surgery that was one of the first procedures used to augment the width of attached gingiva

41
Q

Subepithelial connective tissue graft

A

Periodontal plastic surgical procedure that can also be used to augment the width of attached gingiva and to cover areas of gingival recession

42
Q

Laterally positioned flap

A

A periodontal plastic surgery technique that can be used to cover root surfaces with gingiva in isolated sites of gingival recession

43
Q

Coronally positioned flap

A

Periodontal plastic surgical procedure that can be used to repair gingival recession if the recession is not severe

44
Q

Semilunar coronally repositioned flap

A

A procedure that covers gingival recession where the recession is not far advanced and where the keratinized tissues have an adequate thickness

45
Q

Frenectomy

A

Periodontal plastic surgical procedure that results in removal of a frenum, including removal of the attachment of the frenum to bone

46
Q

Crown lengthening surgery

A

Periodontal plastic surgery designed to create a longer clinical crown for a tooth by removing some of the gingiva and usually by removing some alveolar bone from the necks of the teeth

47
Q

Functional crown lengthening

A

Crown lengthening performed on a tooth where the remaining tooth structure is inadequate to support a needed restoration

48
Q

Esthetic crown lengthening

A

Crown lengthening performed on teeth to improve the appearance of the teeth where there is excessive gingiva or a gummy smile

49
Q

Gingivectomy

A

Surgical procedure designed to excise and to remove some of the gingival tissue

50
Q

Gingivoplasty

A

Describes surgical procedures that simply reshapes the surface of the gingiva to create a natural form and contour to the gingiva

51
Q

Immediate implant placement

A

Implants placed immediately at the time of tooth extraction

52
Q

Delayed implant placement

A

Implants placed several months after tooth extraction

53
Q

One stage (non submerged) approach

A

The implant or abutment emerges from the soft tissue at the time of implant placement

54
Q

Two stage (submerged) approach

A

The implant and cover screw are completely covered by the flap

55
Q

Periodontal microsurgery

A

Describes periodontal surgery performed with the aid of a surgical microscope

56
Q

Suture

A

Material placed by a surgeon to hold tissues together during healing (stitch)

57
Q

Multifilament suture

A

Composed of smaller strands that are braided or twisted together (black silk)

58
Q

Monofilament suture

A

Composed of a single strand (polypropylene or nylon)

59
Q

Nonabsorbable suture

A

Suture made from a material that does not dissolve in body fluids

60
Q

Absorbable suture

A

Suture made from material designed to dissolve harmlessly in body fluids over time

61
Q

Periodontal dressing (periodontal pack)

A

Protective material applied over a periodontal surgical wound

Periodontology (6 decks)

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