Quiz 9 Flashcards
Which procedure contours and shapes bone?
Osteoplasty
Osteoplasty is also known as additive bone surgery.
Which statement is incorrect concerning ultrasonic scalers?
The ultrasonic scaler is used to remove only supragingival calculus and difficult stain.
The ultrasonic scaler can remove both supragingival and subgingival calculus.
What is the primary advantage of noneugenol periodontal surgical dressing over eugenol dressing?
Some patients are allergic to the eugenol and could experience redness and burning pain in the area of the dressing.
Both dressings protect newly forming tissues, but noneugenol can be stored in advance.
What preventive measure is most often performed during a recall appointment and is the primary treatment for gingivitis?
Dental prophylaxis
Dental prophylaxis is essential for preventing gingivitis.
Subgingival calculus is ______.
not site specific and is found throughout the mouth.
A woman with severe periodontal disease has a ___ times greater risk for a preterm infant with low birth weight.
7
This indicates a significant risk factor associated with periodontal disease.
Which form of periodontal disease is reversible?
Gingivitis
Improved daily oral hygiene may reverse gingivitis.
What should a periodontal examination include?
An examination of the teeth and oral tissues
A periodontal examination also requires a review of medical history and probing of periodontal pockets.
Which instruments are used primarily in periodontal procedures?
Scalers and curettes
These instruments are essential for effective periodontal treatment.
What are the two basic forms of periodontal disease?
Gingivitis and periodontitis
Each form has various subtypes and implications for treatment.
Normal mobility is recorded at ___, whereas moderate mobility is recorded at ____.
0; 2
Mobility scales range from 0 to 3.
Which of the following is an important adverse effect of tetracycline?
Interferes with the effectiveness of birth control pills.
Tetracycline does not cause staining; that effect is associated with chlorhexidine.
Bacteria in dental _____ cause inflammation by producing enzymes and toxins.
biofilm
Periodontal disease has proven a relationship with:
coronary artery disease
Periodontal disease can affect various systemic health conditions.
What soft material forms on the teeth and is the primary cause of gingival inflammation?
Plaque
Plaque is the precursor to calculus and is critical in periodontal disease development.
It is important to document home care and that the patient has been informed about the potential for future periodontal disease if home care does not improve.
True
Documentation helps protect against malpractice claims.
The presence of which condition indicates periodontitis rather than gingivitis?
Loss of attachment
This differentiates periodontitis from gingivitis.
The __________ provides rapid calculus removal by converting very high-frequency sound waves into mechanical energy.
ultrasonic scaler
Which instrument is designed to remove supragingival calculus from anterior teeth?
Sickle scaler
Other scalers are used for different types of calculus removal.
Gingivitis is:
inflammation of gingival tissue.
Which of the following is the primary factor causing periodontal disease?
Plaque
Other factors include the type of bacteria and patient response.
A patient who has a 6 mm. periodontal pocket would be categorized as having Stage __ periodontitis.
III
This stage includes specific clinical and radiographic criteria.
Periodontal disease is considered to be generalized if more than ___% of sites in the mouth are affected.
30
Which type of radiograph is best for determining the extent of crestal bone loss in a patient with periodontal disease?
Vertical bitewing
Vertical bitewings provide better detail for assessing bone loss.
Which type of radiograph is best for determining the extent of crestal bone loss in a patient with periodontal disease?
Vertical bitewing
Bitewing radiographs, especially vertical bitewings, are excellent for determining the extent of crestal bone loss.
What is the leading cause of tooth loss in adults?
Periodontal diseases
Almost 75% of American adults have some form of periodontal disease.
Which surgical procedure involves the surgical reshaping and contouring of the gingival tissue?
Gingivoplasty
A gingivectomy involves the surgical removal of diseased gingival tissue.
A _________ is an instrument calibrated in millimeters that is used to locate and measure the depth of periodontal pockets.
periodontal probe
Which periodontal surgery does not remove any of the affected tissue but pushes the tissues away from the underlying tooth roots and alveolar bone?
Incisional surgery
Also known as periodontal flap surgery.
What are signs and symptoms of periodontal disease?
- Bleeding gums
- Loose teeth
- Bad taste in mouth
- Dull pain after eating
- Burning sensation in gingival tissue
Presence of plaque or calculus is not an indicator of periodontal disease.
A normal sulcus measures __ mm or less.
3
What is the periodontal classification for a patient who smokes 10 cigarettes a day and has lost 5 teeth to periodontitis?
Stage IV Grade C
Smoking ≥ 10 cigarettes a day indicates Grade C.
Which statement is incorrect concerning occlusal adjustments?
Occlusal trauma does not cause periodontal pocket formation.
Which is not true of subgingival calculus?
It forms below the root surface.
Which of the following must be removed by the dentist or the dental hygienist with scaling instruments?
Calculus
Perioscopy uses:
a miniature dental endoscope, along with video, lighting, and magnification.
Periodontal disease may be triggered by all but which of the following factors?
Gingival stippling
Stippling is a normal component of gingiva that is associated with health.
What does the acronym LASER mean?
Light amplification by stimulated emission of radiation
Each of the following is an instruction a patient would receive following periodontal surgery except one. Which one is the EXCEPTION?
Rinse your mouth every 3 to 4 hours for the first day
The patient is instructed not to rinse his or her mouth for 24 hours.
Which part of the periodontium connects the cementum covering the root of the tooth with the alveolar bone of the socket wall?
Periodontal ligament
Which of the following is not a relationship between periodontal disease and cardiovascular disease?
Ventricular septal defect
It is a congenital heart defect and not directly related to periodontal disease.
