Unit 11 - Clinical Decision Making for Periodontal Care

Question 1

What are signs of disease?

Answer 1

Features of periodontal disease that can be observed or measured

Question 2

What are symptoms of disease?

Answer 2

Features of periodontal disease that are noticed by a client

Question 3

Examples of signs of periodontal disease?

Answer 3

Erythema
Edema
BOP
Attachment loss
Mobility

Question 4

What are examples of symptoms of periodontal disease?

Answer 4

Bleeding when brushing
Spontaneous bleeding
Bad taste
Bad breath
Difficulty chewing

Question 5

What are visible signs of inflammation in the periodontium?

Answer 5

Colour changes in the gingiva
Contour changes in the gingiva
Changes in consistency in the gingiva

Question 6

What are hidden signs of inflammation in the periodontium?

Answer 6

Bone loss
Exudate
BOP

Question 7

What are the three fundamental diagnostic questions for assessing periodontal diagnosis?

Answer 7

1. Does the clinical assessment indicate health or inflammatory disease in the periodontium?
2. If the clinical assessment indicates inflammatory disease, is the disease gingivitis or periodontitis?
3. If the client has gingivitis / periodontitis, what type?

Question 8

How do you answer the question does the clinical assessment indicate health or inflammatory disease in the periodontium?

Answer 8

Based on signs of inflammation: changes in colour, contour and consistency, bone loss, BOP, and exudate

Question 9

How to answer question 2, if the clinical assessment indicates inflammatory disease, is the disease gingivitis or periodontitis?

Answer 9

Gingivitis: no attachment loss
Periodontitis: attachement loss and bone loss seen on radiographs

Question 10

How to answer question 3, if the client has gingivitis / periodontitis, what type?

Answer 10

Based on the new periodontal classification system, determine what type

Question 11

How to properly document periodontal disease?

Answer 11

Adhere to a standard format for documentation
Use correct diagnostic terms
Include descriptive modifier to describe severity and extent of disease

Question 12

What is a peridontal master treatment plan?

Answer 12

A sequential outline of measures to be carried out by the dentist, dental hygeinist, and patient to eliminate disease and restore a healthy periodontal evironment

Question 13

What does a periodontal master treatment plan outline?

Answer 13

Coordinates and sequences all treatment and education
Estimated length of time required for cromprehensive treatment

Question 14

What are the phases of periodontal treatment plan?

Answer 14

Assessment and preliminary therapy phase (Phase 0)
Nonsurgical periodontal therapy (Phase I)
Surgical therapy (Phase II)
Restorative therapy (Phase III)
Periodontal maintenance (Phase IV)

Question 15

What happens during the assessment and prelimary therapy phase of a peridontal treatment plan?

Answer 15

Assessment and data collection
Care for immediate treatment needs
Comprehensive clinical periodontal assessment

Question 16

What is the assessment and preliminary therapy phase is also referred to as

Answer 16

Emergency therapy (extractions, emergency dental care)

Question 17

What happens during the nonsurgical periodontal therapy phase of a periodontal treatment plan?

Answer 17

All nonsurgical measures used to help control gingivitis and periodontitis including periodontal instrumentation
DH care and educational measures

Question 18

What is the nonsurgical periodontal therapy phase of a periodontal treatment plan also called?

Answer 18

Bacterial control and anti-infective therapy

Question 19

What happens during the surgical therapy phase of a periodontal treatment plan?

Answer 19

Periodontal surgery
Implant placement
RCT

Question 20

What happens during the restorative therapy phase of a peridontal treatment plan?

Answer 20

Splinting of teeth
Restorations
Replacement of missing teeth by fixed or removable protheses
Re-eval of overall response to treatment

Question 21

What happens during the peridontal maintenance stage of a periodontal treatment plan?

Answer 21

On-going care at specified intervals
All measures used to keep periodontitis under control
Maintain teeth functioning throughout life
Goal is to prevent recurrence of disease

Question 22

True or False: the five phases of a periodontal treatment plan are continuous and ongoing

Answer 22

True