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BDS1 CDS > Treatment Plan For Managinment of gingival and periodontal diseases > Flashcards

Treatment Plan For Managinment of gingival and periodontal diseases Flashcards

1
Q

what is the definition of periodontal disease?

A

a group of diseases affecting the periodontal tissues, representing an immune reaction (innate and adaptive) to adjacent microbial plaque

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2
Q

what is periodontal health?

A

the outcome of the balance between bacteria of the dental plaque and the host immune system

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3
Q

what are the three categories of treatment strategies for periodontal disease?

A
  • mechanical disruption (reducing the bacterial challenge)
  • systemic antibiotics/ local antimicrobials
  • host modulation therapy
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4
Q

what is the main goal of periodontal disease treatment?

A
  • plaque control
  • removal of plaque retention factors
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5
Q

BPE scores

A
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6
Q

treatment plan

A
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7
Q

what is involved in the initial phase (step 1) of the treatment plan?

A
  • examination
  • assessment of risk factors
  • control of local (eg overhangs) and systemic (eg smoking) risk factors
  • PMPR
  • extractions
  • endodontics
  • initial occlusal correction
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8
Q

what are examples of oral hygiene instruction?

A
  • tooth-brushing technique
  • flossing
  • interdental brushes
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9
Q

what tool is used for gingival PMPR?

A

scalers

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10
Q

what are the two categories within PMPR?

A

supragingival and subgingival

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11
Q

what does re-evaluation of step1 involve?

A
  • adherence and PPD
  • > 3mm=step 2
  • lack of adherence= repeat step 1
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12
Q

what is involved in step 2?

A

step 1 + :
- subgingival instrumentation

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13
Q

what is involved in the re-evauation of step2?

A
  • no residual pockets= step4
  • residual pockets >4mm= step 3
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14
Q

what is involved in step3?

A

step 1&2 + :
- periodontal surgery
access-flap
resective
regenerative
- only in cases with suitable patients, tooth and defect factors

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15
Q

what is involved in the re-evaluation of step3?

A

PPD <4mm= step 5

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16
Q

what is involved in step5?

A
  • supportive periodontal therapy
  • risk-adapted intervals 3-12months
  • continuous monitoring of local and systemic risk factors
  • PMPR
17
Q

how is a scaler used?

A
  • working edge on lateral surfaces of 2-3 mm of the tip
  • 0-15* angle between work edge and tooth surface
  • slight pressure applied
  • tip zig-zags in overlapping motions
  • occlusal to gumline
  • contant movement
  • water spray
18
Q

what are contradictions of ultrasonic scaler use?

A
  • oral infectious diseases
  • dysphagia (difficulty swallowing) with high risk of aspiration of fluids during the procedure
  • acute leukemias and lymphomas
  • pregnancy/heart pacemakers
19
Q

what is the difference between sonic and ultrasonic scalers?

A

ultrasonic are much faster, more powerful

20
Q

what are examples of non-surgical periodontal therapy?

A
  • subgingival PMPR
  • teeth splinting
  • further correction of traumatic occlusion
  • dentine hypersensitivity prevention
  • reinforcement of OH
  • controlling modifiable risk factors
21
Q

what are examples of host modulation therapy?

A
  • anticytokine/biological therapies
  • lipid mediators of resolution of inflammation
  • small molecules compounds
  • bisphophonates
22
Q

what is the difference between engaging and non-engaging patients?

A

engaging patients show improvement

23
Q

what must be present to use systemic antibiotics or local antimicrobials?

A

mechanical disruption of biofilm

24
Q

what is RSD?

A

root surface debridement

25
Q

what is periochip?

A

an antibiotic used to treat periodontal disease

26
Q

what are indications for the use of periochip?

A
  • > 5mm pockets persisting
  • RSD
27
Q

what is periowave?

A

photodesinfection treatment for periodontitis

28
Q

What are the disadvantages of local antimicrobials over systemic antibiotics?

A

Local antimicrobials still require root surface debridement

29
Q

What are examples of local antimicrobials?

A
  • chlorohexidine (periochip)
  • antibiotics
30
Q

BPE scores

A
31
Q

What is PMPR?

A

Professional mechanical plaque removal

32
Q

What is the correct technique for tooth brushing?

A

Modified bass technique

33
Q

What should be discussed when delivering oral hygiene advice?

A
  • tooth brushing
  • flossing
  • interdental brushes
34
Q

What type of vibrations do sonic scalers deliver?

A

Circular

35
Q

What type of vibrations do ultrasonic scalers deliver?

A

Linear or ellipsoidal

BDS1 CDS (21 decks)

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