Chapter 27 Exam 2

Question 1

All are indications for perio surgery except?

Answer 1

To remove epithelial tissue from inner wall of perio pocket

Question 2

Indications for perio surgery

Answer 2

Provide access for improved perio instrumentation of root surfaces
Reduce pocket depths
Provide access to perio osseous defects
Respect or remove tissue
Regenerate the periodontium lost due to disease
Graft bone or bone stimulating materials into osseous defects
Improve the appearance of the periodontium
Enhance prosthetic dental care
Allow placement of a dental implant

Question 3

Common contraindications for perio surgery

Answer 3

Pts who have certain systemic diseases or conditions
Pts who are totally noncompliant with self care
Pts who have a high risk for dental caries
Pts who have totally unrealistic expectations for surgical outcomes

Question 4

Can you do surgery on a pt who is on dialysis?

Answer 4

NO

Question 5

Can you do surgery on a pt with seizures?

Answer 5

YES

Question 6

What is the goal of perio surgery?

Answer 6

For long junctional epithelium to form

Question 7

Should all pts receive non surgical therapy along with surgical therapy?

Answer 7

YES

Question 8

Bone take from pts own body

Answer 8

Autograft

Question 9

Bone taken from another human

Answer 9

Allograft

Question 10

Bone taken from another species

Answer 10

Xenograft

Question 11

Synthetic bone like material

Answer 11

Alloplast

Question 12

How soon should you probe a bone graft site?

Answer 12

When dr says

Question 13

How long do you leave a bone graft undisturbed?

Answer 13

Months or until dr says

Question 14

Before surgery you should always..

Answer 14

Inform pt of changes that they may not like

Question 15

Postsurgically you should…

Answer 15

Expect Swelling 
Take medications as prescribed 
Take it easy for several days
Eat soft foods 
No hot beverages
Don’t chew on surgical site
Rinse with recommended mouth rinse

Question 16

Healing of a wound by formation of tissues that do not precisely restore the original architecture or original function of the body part

Answer 16

Repair

Question 17

What is an example of healing by repair?

Answer 17

The formation of a scar during the healing of an accidental cut finger

Question 18

Healing of a periodontal wound by the reunion of the connective tissue and roots where these two tissues have been separated by incision or injury but not by disease

Answer 18

Reattachment

Question 19

The union of a pathologically exposed root with connective tissue or epithelium

Answer 19

New attachment

Question 20

Biological process by which the architecture and function of lost tissue is completely restored

Answer 20

Regeneration

Question 21

For healing of the periodontium to be described as ________ the healing would have to result in the formation of lost cementum, lost periodontal ligament, and lost alveolar bone

Answer 21

Regeneration

Question 22

A procedure in which incisions are made in the gingiva or mucosa to allow for separation of the surface tissues (epithelium and connective tissue) from the underlying tooth roots and underlying alveolar bone

Answer 22

Periodontal flap

Question 23

A full thickness flap is elevated with what is generally referred to as a

Answer 23

Blunt dissection

Question 24

What is a full thickness flap also called?

Answer 24

Mucoperiosteal flap

Question 25

Involves elevation of entire thickness of the soft tissue

Answer 25

Full thickness flap

Question 26

What is a partial thickness flap also called?

Answer 26

Split thickness flap

Question 27

Includes elevation of only the epithelium and a thin layer of the underlying connective tissue

Answer 27

Partial thickness flap

Question 28

A partial thickness flap is elevated with

Answer 28

Sharp dissection

Question 29

A flap that is sutured with the margin of the flap at its original position in relationship to the CEJ on the tooth

Answer 29

Nondisplaced flap

Question 30

A flap that is sutured with the margin of the flap placed at a position other than its original position in relationship to the CEJ of the tooth

Answer 30

Displaced flap

Question 31

Which type of healing is expected from flap for access surgery?

Answer 31

Healing by repair and usually involved formation of a long junctional epithelium

Question 32

Removal of some tooth supporting bone

Answer 32

Osectomy

Question 33

Reshaping of the surface bone contours

Answer 33

Osteoplasty

Question 34

During surgery to minimize periodontal pockets, it is common for the gingival margin to be positioned..

Answer 34

At a more apical level to the CEJ than originally occupied

Question 35

What does the more apical positioning of the gingival margin result in?

Answer 35

Exposure of a portion of the root to the oral cavity

Question 36

New bone cells and new bone that forms following bone grafting

Answer 36

Osteogenesis

Question 37

A periodontal surgical procedure employed to encourage regeneration of lost periodontal structures (to regrow lost cementum, lost PDL, lost alveolar bone)

Answer 37

Guided tissue regeneration

Question 38

What might be placed under a periodontal flap at the time of surgery to delay the ingrowth of unwanted types of cells into the healing of the wound?

Answer 38

A barrier membrane

Question 39

A type of periodontal plastic surgery that was one of the first procedures to augment the width of attached gingiva

Answer 39

Free gingival graft

Question 40

What does the donor tissue for a free gingival graft include?

Answer 40

Surface epithelium and some of the underlying connective tissue

Question 41

Results in excellent esthetics since the color of the healed tissue often mimics the natural pre existing tissue color precisely what

Answer 41

Subepithelial connective tissue graft

Question 42

Plastic surgery designed to create a longer clinical crown for a tooth by removing some of the gingiva and usually by removing some alveolar bone from the necks of the teeth

Answer 42

Crown lengthening surgery

Question 43

A surgical procedure designed to excise and remove some of the gingival tissue

Answer 43

Gingivectomy

Question 44

Are dental implants surrounded by cementum and periodontal ligament?

Answer 44

No

Question 45

Are implants subject to periodontal disease that can result in the loss of supporting bone just like a natural tooth?

Answer 45

YES

Question 46

How long should you wait to remove sutures?

Answer 46

After 1 week of healing

Question 47

How long can most absorbable sutured be left in place?

Answer 47

1-3 weeks

Question 48

Dressing should be what?

Answer 48

Minimal!