Tutorials

Question 1

What are the ideal treatment outcomes of periodontal disease? SDCEP

Answer 1

Signs of periodontal stability
-Plaque scores <15%
-Bleeding scores <10%
-Probing depths less than or equal to 4mm
Or patients with significantly improved OH, reduced BoP and considerably reduced pocket depths from baseline

Question 2

How would you define a ‘non-responding site’

Answer 2

No reduction in probing depths

Question 3

What are the treatment options for non-responding sites following step 2 of treatment?

Answer 3

Reinforce OH, risk factor and behaviour change
Repeated subgingival PMPR of pockets more than 4mm
Consider perio surgery

Question 4

What can you provide for gum recession?

Answer 4

Gingival veneer to mask the space but patient but have good OH
Mucogingival surgery- connective tissue grafting

Question 5

What are the 3 classifications of endo-periodontal lesions with root damage?

Answer 5

Root fracture or cracking
Root canal or pulp chamber perforation
External root resorption

Question 6

What symptoms might lead a patient to present to a dentist with a periodontal emergency?

Answer 6

Bad taste
No sensitivity to hot or cold
Bad breath
Pain when chewing
Swelling

Question 7

How do you differentiate a periodontal abscess from a periapical abscess?

Answer 7

Periapical abscess- originates in the dental pulp (abscess forms in tooth pulp-radiolucency on radiograph at the root)
Periodontal abscess- originates in the supporting structures of the teeth between tooth and gum (abscess forms in your gums)
Depth of pocket
Severe perio patients with minimal restorations
Trauma
Orthodontic treatment

Question 8

How would you treat a periodontal abscess?

Answer 8

Subgingival scaling of the affected tooth

Question 9

What does a patient with primary herpetic gingivostomatitis present with?

Answer 9

Erythematous gingiva with healthy papilla
Widespread oral ulceration
Fever
Malaise
Pain

Question 10

What is the treatment for primary herpetic gingivostomatitis?

Answer 10

Fluids
Analgesics
Anti-vital acyclovir

Question 11

What is the treatment for a patient presenting with secondary herpes?

Answer 11

Analgesics
Fluids
Benzydamine mouth wash

Question 12

What is included in Step 1 of periodontal treatment according to BSP guidelines?

Answer 12

Education of disease
OHI
Risk factor control
Supragingival PMPR
6PPC and MPBS
Removal of any plaque retentive factors

Question 13

What is included in Step 2 of periodontal treatment according to BSP guidelines?

Answer 13

Subgingival PMPR for pockets >4mm
Plus reinforce step 1
-OHI, risk factor control, education

Question 14

What is included in Step 3 of periodontal treatment according to BSP guidelines?

Answer 14

Step 1 & 2 plus repeated subgingival PMPR in any residual pockets (>4mm)
Consider periodontal surgery

Question 15

What is included in Step 4 of periodontal treatment according to BSP guidelines?

Answer 15

Supportive periodontal therapy
Risk adapted intervals 3-12 months
Continuous monitoring of local and systemic risk factors
PMPR

Question 16

What type of bone loss is faster and why?

Answer 16

Vertical bone defects
They are present when the line from the adjacent cemento-enamel junction and the line of the crest of the alveolar are not parallel which results in the speed of bone loss being faster