week 9

Question 1

What are the 6 steps in the periodontal treatment planning sequence

Answer 1

relief of acute symptoms
patient examinations
diagnosis statement
prognosis (patient and tooth level)
treatment plan
applicable referrals

Question 2

define short term treatment

Answer 2

up to 12 months - eliminate infection and inflammation

Question 3

define medium term treatment

Answer 3

1-5 years
restore function and aesthetics

Question 4

define long term treatment

Answer 4

more than 5 years
maintain stability through prevention

Question 5

what are the prognosis levels

Answer 5

good - little has to be done
fair - treatment will control disease
poor - ideal treatment may control disease
questionable - chance of controlling is uncertain - consider patient preference
hopeless - extract tooth disease will progress

Question 6

what is the treatment sequence

Answer 6

• systemic phase (manage systemic conditions)
• acute infection (treat pain, swelling, fever)
• disease control (treat all sources of infections)
  re-evaluation
• definitive phase (corrective phase) (reconstruct dentition
• Maintenance phase (SPT Supportive periodontal therapy)

Question 7

If a patient wants orthodontic treatment which phase to they go back to

Answer 7

corrective phase

Question 8

what are 6 reasons you should refer a pateint

Answer 8

• anything you feel is beyond your ability
• cases not responding to treatment
• cases with complex medical histories impacting treatment
• anything u cant diagnose
• early onset/severe periodontitis
• mucogingival problems

Question 9

what can oral health therapists do in periodontal therapy

Answer 9

professional liasons
patient education
initial debridement
implant reviews
periodontal and implant maintenance
post-operative wound care
oral health in aged care

Question 10

what can dentists do in periodontal therapy

Answer 10

perio assessment and screening
initial phase therapy
re-evaluation
manage systemic phase

Question 11

what can periodontists do in periodontal therapy

Answer 11

manage stage 3 and 4 cases
manage refractory cases
give advice to oht and gdp
coordination of active treatment and ongoing maintenance

Question 12

why is it important to recontour overhanging restorative margins

Answer 12

to achieve biocompatible restorations
minimise trauma

Question 13

why do subgingival margins frequently result in adverse periodontal outcomes

Answer 13

cause a lot of inflammation and attachment loss if designed incorrectly
difficult to detect open margins and finish properly
solution = crown lengthening

Question 14

what are two reasons for referring to an endodontist when treating a periodontal patient

Answer 14

a tooth planned for crown lengthening surgery
assessment of cracks and resorption defects

Question 15

why is orthadontic treatment contraindicated in untreated periodontal patients

Answer 15

trap plaque
increases gingival inflammation
white spot lesions

Question 16

when can a successfully treated healthy stage 3 oeriodontitis patient start orthodontic treatment

Answer 16

12+ months

Question 17

what advantages does orthadontic alignment have for successfully treated perio patients

Answer 17

corrects crowding - easy access to clean
improves aesthetics - reduces spacing
improves function

Question 18

why is it advised for pead patients not to have dental implants immediatly after trauma

Answer 18

they become intruded in the jaw need to wait 5-10 years

Question 19

what are advantages for wisdom tooth removal that have caused periodontal affects

Answer 19

easy to clean second molars

Question 20

what are the risks associated with wisdom teeth removal

Answer 20

damage to adjacent molars
risk of nerve damage

Question 21

what are the two main indications for refering a perio patient to a special needs dentistry specialist

Answer 21

interlectual or physically imparied patient may be unsuited of conventional layout
medically compromised