Unit 7 Flashcards
How should periodontal health be attained?
In the least invasive and most cost effective manner
What is NSPT?
Nonsurgical periodontal therapy
How is the absence of inflammation assessed?
By the lack of erythema, supportation, or bleeding
One of the rationales of periodontal instrumentation is to arrest the progession of periodontal disease by
Removing bacterial plaque biofilms and plaque retentive calculus
One of the rationales of periodontal instrumentation is to induce positive changes in the
Subgingival bacterial flora (content and count)
One of the rationales of periodontal instrumentation is to create an envirnonment that assists in maintaining tissue health or
Permits gingival tissues to heal, therefore eliminating inflammation of the periodontium
One of the rationales of periodontal instrumentation if increasing the effectiveness of the
Client’s self-care by eliminating areas of plaque retention that are difficult or impossible for the client to clean
On of the rationales of periodontal instrumentation is to prevent the recoccurance of
Disease during the periodontal maintenance phase- continuous care appointment to help the periodontial client maintain periodontal health
What is instrumentation of the crowns and roots to completely remove all calculus deposits, extrinsic stains and bacterial plaque-biofilm?
Scaling
What is the definitive removal of contaminated cementum and dentin surfaces impregnanted with residual calculus deposits, and/or microorganisms and their toxins?
Root planning
Define periodontal debridement
The mechanical removal and/or distruption of bacterial plaque-biofilm, its byproducts, and plaque-retentive calculus deposits from crown and root surfaces, and within the sulcus or pocket space, as indicated, for periodontal healing
When should the evaluation of healing following debridement occur?
4-6 after debridement
Why is post op eval after 4-6 weeks critical?
Because oral biofilm is a primary causative factor for inflammatory forms of periodontal disease, gingivitis, and periodontitis, subgingival plaque removal is essential.
What is conservation of cementum?
A goal of periodontal debridement to remove as little as possible of the root structure.
Darby and Wlash describes the Therapeutic Endpoint of periodontal debridement as
The restoration of gingival health, reduction of pocket depth, a gain or maintenance of stable clinicl attachment level occuring during 4-6 weeks of healing post therapy.
When a deposit removal is begun, the dental hygienist would start with
The most posterior tooth in the dentition advancing forward towards the anterior teeth of either the maxilla or mandible.
Dividing posterior from anterior within a quadrant is necessary as
Different instruments are often required for anterior and posterior teeth.
When deposit removal is begun on a tooth, the tooth undergoes complete or partial instrumentation at that time?
Complete
True or False: Complete removal of each teeth includes both facial and lingual surfaces?
True
True or False: the dental hygienist will undertake as many teeth as she possibly can, individually, sextants, or quadrants, even if she can’t finish them all in that appointment?
False. She must only undertake the teeth, sextants, or quadrants that she can finish in each appointment.
What must the hygienist consider when planning a sequence for instrument selection and usage?
Size of deposits
Tissue condition/access
Mode of attachment of calculus - tenacious or not
Location of deposits
- near the epithelial attachment
- adjacent to the contact areas
- proximal surfaces
- less than 5mm sub-gingival
- 5mm or greater sub-gingival
- generalized in the anterior or posterior
- localized anterior or posteriors
New client, second appointment, or maintenance appointment
Previous note contain any info about debridement
Contrindications for ultrasonic
Does the tissue tone allow for selected instruments
Probing depths
Shank design, diameter, and flexibilty of instrument
Furcations and/or mobilities
Which types of deposits are removed first?
Supra-gingival
How do you evaluate your removal during instrumentation?
Explorer
How are subgingival deposits removed?
Curette
Post care instructions for perio debridement
Discomfort or sensitivity is to be expected
Follow OHI provided
Diet modifications if needed
Use a soft toothbrush to remove plaque daily
Use fluoride tooth pastes and/or fluoride mouth rinses to aid in remineralization areas
May need OTC pain meds and discomfort will pass quickly
Use warm salt water rinses 2-3x daily for 2-3 days as needed or baking soda and water rinses
They may need densensitizing tooth paste and/or professionally applied products applied
