Unit 7 Flashcards

1
Q

How should periodontal health be attained?

A

In the least invasive and most cost effective manner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is NSPT?

A

Nonsurgical periodontal therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How is the absence of inflammation assessed?

A

By the lack of erythema, supportation, or bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

One of the rationales of periodontal instrumentation is to arrest the progession of periodontal disease by

A

Removing bacterial plaque biofilms and plaque retentive calculus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

One of the rationales of periodontal instrumentation is to induce positive changes in the

A

Subgingival bacterial flora (content and count)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

One of the rationales of periodontal instrumentation is to create an envirnonment that assists in maintaining tissue health or

A

Permits gingival tissues to heal, therefore eliminating inflammation of the periodontium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

One of the rationales of periodontal instrumentation if increasing the effectiveness of the

A

Client’s self-care by eliminating areas of plaque retention that are difficult or impossible for the client to clean

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

On of the rationales of periodontal instrumentation is to prevent the recoccurance of

A

Disease during the periodontal maintenance phase- continuous care appointment to help the periodontial client maintain periodontal health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is instrumentation of the crowns and roots to completely remove all calculus deposits, extrinsic stains and bacterial plaque-biofilm?

A

Scaling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the definitive removal of contaminated cementum and dentin surfaces impregnanted with residual calculus deposits, and/or microorganisms and their toxins?

A

Root planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define periodontal debridement

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When should the evaluation of healing following debridement occur?

A

4-6 after debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why is post op eval after 4-6 weeks critical?

A

Because oral biofilm is a primary causative factor for inflammatory forms of periodontal disease, gingivitis, and periodontitis, subgingival plaque removal is essential.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is conservation of cementum?

A

A goal of periodontal debridement to remove as little as possible of the root structure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Darby and Wlash describes the Therapeutic Endpoint of periodontal debridement as

A

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When a deposit removal is begun, the dental hygienist would start with

A

The most posterior tooth in the dentition advancing forward towards the anterior teeth of either the maxilla or mandible.

17
Q

Dividing posterior from anterior within a quadrant is necessary as

A

Different instruments are often required for anterior and posterior teeth.

18
Q

When deposit removal is begun on a tooth, the tooth undergoes complete or partial instrumentation at that time?

A

Complete

19
Q

True or False: Complete removal of each teeth includes both facial and lingual surfaces?

A

True

20
Q

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?

A

False. She must only undertake the teeth, sextants, or quadrants that she can finish in each appointment.

21
Q

What must the hygienist consider when planning a sequence for instrument selection and usage?

A

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

22
Q

Which types of deposits are removed first?

A

Supra-gingival

23
Q

How do you evaluate your removal during instrumentation?

A

Explorer

24
Q

How are subgingival deposits removed?

A

Curette

25
Q

Post care instructions for perio debridement

A

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