Secondary local factors in Periodontal Disease Flashcards
Which of the following describes a secondary local factor in periodontal disease?
a) Something that increases the accumulation of plaque biofilm
b) Something which makes it difficult for the patient to maintain effective oral hygiene
Both
What is the main aetiological factor in periodontal disease?
a) Calculus
b) Plaque bacteria
c) Sugar
b) plaque bacteria
What is the main aetiological factor in periodontal disease?
a) Calculus
b) Plaque bacteria
c) Sugar
b) plaque bacteria
Which of the following are developmental secondary local risk factors in
periodontal disease?
a) Porcelain veneer
b) Dens in dente
c) Furcation involvement
d) Orthodontic appliance
e) Root grooves
b and e
Which of the following are iatrogenic secondary local risk factors in periodontal
disease? (done by a clinician)
a) Amalgam overhang
b) Mesially drifted tooth
c) Gingival recession
d) Maryland bridge
e) Enamel pearl
a) and d)
Whilst conducting a BPE on Mr Sanchy, you detect a groove palatally of the 12
(UR2). You realise this is a root groove. The prognosis for this tooth should be
safe if the root groove extends to the apical portion of the root.
True or False
False
Calculus is identified as a secondary local factor for the following reasons:
a) It is porous
b) It has a smooth surface
c) It has an irregular surface
d) It repels bacteria
a) and c)
A traumatic overbite can cause plaque retention due to:
a) Rotation of teeth
b) Direct gingival trauma
c) Hardening of the gingivae
b)
Which of the following may cause trauma which can be a secondary local risk
factor for periodontal disease?
a) Tongue piercing
b) Lip piercing
c) Traumatic overbite
d) Occlusal caries
a) , b) and c)
Your patient Charlie attends for oral hygiene coaching. They have a fixed
orthodontic appliance, and it is your job to go over oral hygiene coaching with
them. Charlie’s plaque score is 80%.
Which areas would you highlight in Charlie’s mouth when you are giving oral
hygiene coaching?
a) Cleaning the insides and outsides of the teeth with a manual or electric toothbrush
b) Cleaning between the teeth with an interspace toothbrush or interdental brushes
c) Advise to stop brushing if the gums bleed to allow them to heal
d) Cleaning above and below the orthodontic brackets and focusing in the area
‘where the gum meets the tooth’
a) , b) and d)
