Scaling

Question 1

Curettage: 2 types

Answer 1

Incidental and intentional

Question 2

Periodontal debridement/root planning

Answer 2

Scaling above and below the gumline to remove plaque and calculus

Question 3

Preparation for instrumentation

Answer 3

Medical history, supra and sub exams, radiographs

Question 4

Sequence of scaling:

Answer 4

Treatment plan,
Based on individual needs,
Determine by assessment

Question 5

Multiple appointments cleaning:

Answer 5

Always complete all surfaces of tooth, never leave a tooth partly finished.

Question 6

Perio abscess

Answer 6

Margins tight and pocket closes, becomes rough and develops more build up

Question 7

Healing is normally______

Clinic reassess is in_____

Answer 7

4-6 weeks

2-3 weeks

Question 8

Control of pain:

Answer 8

Be honest with your patient,
Evaluate deposit removal and irrigate area with water,
Apply correct principles of instrumentation,
Do not avoid areas of bleeding,
Explain rationale,
Failure to scale sub is more harmful to patient,
Bleeding will be unavoidable when tissues inflame

Question 9

Instrument on ______ of tooth to remove _____,____,____

Answer 9

Crown

Plaque calculus and stain

Question 10

_____ ______ is the most important measure of success in periodontal debridement

Answer 10

Tissue response

Question 11

Postop patient instructions for:

Answer 11

Gingival soreness
Bleeding
Oral hygiene instruction
Mouth rinses
Diet
Tooth hypersensitivity

Question 12

Hypertonic salt solution

Answer 12

One tsp salt to 8 oz warm water

Question 13

Primary reason for recall of 3 months:

Answer 13

To disrupt, through subgingival instrumentation, the colonized microbiota in areas that the patient does not have access to during daily oral physiotherapy

Question 14

Subgingival instrumentation takes about ____ days without daily control for the plaque to recolonize
For that reason; patients with probe depths greater than ___ mm should be on a 3 month re call

Answer 14

42 days,

5 mm

Question 15

Sextant 1- moderate sub and supra calculus around 2 and 3. Tissues loose and bleed easily. Probe depths are 5-6mm

Answer 15

Rigid gracey, post scaler, flexible gracey

Question 16

Sextant 1: Light sub calculus around 4 and 5, tissues are loose with scattered areas of bleeding, probe depths are 3-4 mm

Answer 16

Posterior scaler

Question 17

Sextant 2: No sub or supra calculus found. Tissues are 2-3mm firm and pink

Answer 17

Anterior scaler

Question 18

Sextant 3: Light supra calculus 14,15. Tissues Red loose. Probe depth 3-4. No calc 12,13. Tissues firm and pink.

Answer 18

Gracey or univ and post scaler

Question 19

Sextant 5: heavy sub and supra. Tissues red blue loose and bleed. Probe depths 3-4.

Answer 19

Anterior scaler, rigid gracey, flexible gracey