Cooperative Dentistry Flashcards Preview

SP18: Perio FInal > Cooperative Dentistry > Flashcards

Flashcards in Cooperative Dentistry Deck (16)
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1
Q

T/F: Nearly all ortho patients have gingival enlargement.

A

True

Will develop pseudopockets

2
Q

T/F: Most of the time the post ortho gingival enlargement will resolve.

A

True

About 20% does not

3
Q

What is the evidence like connecting ortho and gingival recession?

A

Not very strong

4
Q

What can predispose a patient to recession via ortho?

A

Thin gingiva, poor oral hygiene, and aggressive brushing

5
Q

T/F: FIxed ortho treatment will create attachment loss.

A

False

6
Q

What are the major perio concerns that might indicate treatment prior to ortho?

A
  1. Impact of mechanical forces, in the presence of inflammation
  2. Movement of teeth into inflamed intrabony pockets
7
Q

Is ortho possible in patients with severe periodontitis?

A

Yes as long as they are stable

8
Q

What are the key perio considerations before ortho?

A

Eliminate or reduce plaque and gingival inflammation

9
Q

What is a fiberotomy?

A

Post ortho treatment to re-orient the gingival fibers after tooth rotation

10
Q

T/F: Perio health is a prerequisite for successful restorative treatment.

A

True

11
Q

What are some reasons for doing perio treatment prior to restorative?

A
  1. Stabel gingival margins
  2. Adequate tooth structure
  3. Resolution of inflammation may change things
  4. More long term stability
  5. Better esthetics
12
Q

What is the first sequence of treatment in a perio - restorative plan?

A
  1. Correct etiological problems (overhangs)

2. Pre-prosthetic surgery (crown lengthening, ridge augmentation, etc.)

13
Q

What is the second phase of treatment?

A

Restoration design and possible pre-implant surgery

14
Q

What types of procedures could be done post-prosthetic?

A

Correction of tissue deformities or smile correction

15
Q

T/F: Composite materials are more adherent to plaque than enamel.

A

True

16
Q

If you have a normal, 1.5 mm sulcus, how far bubgingivaly can you place your margin?

A

.5 mm