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Oral Soft Tissues (PERIO) > Exam II-Review Cards > Flashcards

Exam II-Review Cards Flashcards

1
Q

Why is A1C a better indicator of a diabetics health?

A

It tests a longer time span

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2
Q

What is the preferred INR if a patient is on cumadin?

A

<2.5

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3
Q

Which treatment phase (NAME and #) involves surgery?

A

Surgical Therapy (hard tissue)/Phase II

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4
Q

Which treatment phase (NAME and #) involves surgery?

A

Surgical Therapy (hard tissue)/Phase II

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5
Q

How long after initial therapy/phase I do you wait for a Re-Evaluation?

A

4-6 weeks

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6
Q

Which phase do we do Scaling and Root Planing?

A

Initial Therapy(soft tissue management)/Phase I

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7
Q

Where is CEMENTUM THE THICKEST?(you got this wrong, idiot).

A

Apically

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8
Q

Where is CEMENTUM THE THICKEST?(you got this wrong, idiot).

A

Apically

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9
Q

What is the normal amount of GCF?

A

0.43 - 1.56 microLiters

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10
Q

What antibodies are found in GCF?

A

IgG

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11
Q

What happens to GCF @ the smoking event?

A

it increases!

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12
Q

What time of the day is GCF the highest?

A

6am to 10pm (circadian rhythm)

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13
Q

GCF is increased with ______ hormones.

A

Female Sex hormones

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14
Q

Who am I? Proteins, antibodies, antigens, enzymes….Antibodies – IgG….Cells – epithelial, leukocytes……Electrolytes – K, Ca, Na….Organic Compounds – metabolic and bacterial

A

GCF or SULCULAR fluid

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15
Q

Where am I going to find more tetracycline? GCF or Blood?

A

GCF yo!

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16
Q

What am I? Lubrication, Physical Protection, Cleansing, Buffering, AntibacterialAction

A

SALIVA

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17
Q

Are leukocytes in Saliva or GCF?

A

HAHA GOTCHA…its both.

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18
Q

What uses coating similar to gastric mucin?

A

Saliva!

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19
Q

Which fluid has Electrolytes – K, Ca, Na? Which one has bicarb/phosphate?

A

GCF=electrolytes….Saliva=bicarb/phosphate

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20
Q

What are the three antimicrobial actions of Saliva? _____– Control of bacterial colonization…________ – breaks bacterial cell walls….________ – oxidation of susceptible bacteria

A

IgA…..Lysozyme….Lactoperoxidase

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21
Q

What does GCF do with Gingival inflammation in the first 2-4 days?

A

INCREASES!

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22
Q

THE color of gingivitis: Which areas change color first?_____ before _____ before ______.

A

Papilla before GM before AG

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23
Q

Which Page & Shro. phase do you get an increase of GCF?

A

Initial! (NO GINGIVITIS THO!)

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24
Q

If your transplant Pt has too much gingival growth with Cyclosporin, what can I switch to that has less fibroblast activity?

A

Tac-Ro-Lim-Us

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25
Q

What is multiple abscesses attributed to?

A

PERIODONTAL abscesses due to SYSTEMIC Disorder (Diabetes, immunosuppression)

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26
Q

What are these conditions of gingivitis describing? Marginal & generalized, Single or multiple tumor-like lesions, Prevention – Plaque control

A

PREGNANCY gingivitis!

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27
Q

What is the numero uno bug assoc. with pregnancy ginvigivis? What is their FUEL for growth factor?

A

P.I.!!! Prevotalla Intermedia..STEROIDS!

28
Q

What are the 4 risk factors for PD? Give an example for each..

A

1.Microbial-A.A. 2.Systemic-Genetics 3.Behavioral-Smoking 4.Local-Restorations

29
Q

What am I talking’ bout? Rapid Onset • Severe Pain

• Gingival Bleeding

A

NUG

30
Q

Who am I? Interdental Crater “Punched-out” Papilla, Pseudomembrane, Fetid Breath

A

NUG

31
Q

What is the main BUG assoc. with NUG?

A

P.I.!!! Prevotella Intermedia!! (like Prego!) (also spirochetes)

32
Q

What am I? Severe, deep pain, Rapid onset, Soft tissue and attachment loss, Exposed bone, Low CD4 and high viral counts

A

NUP

33
Q

What is another term for Acute Herpetic GingivoStomatitis?Who has this? (2 grps)

A

Primary Herpes…Kids or ImmunoCompromised adults

34
Q

What are the two sites in the oral cavity you will see Primary Herpes?

A

Bound and Non-Bound tissues

35
Q

Where is recurrent Herpes found (2)? What fruit formation should you think for Recurrent herpes?

A

BOUND tissues (palate!!!) &&& Labialis (extra-oral)….Grape clusters

36
Q

What are the 2 ways to Tx Primary Herpetic Gingivostomatitis? (WITH 1 example of each)

A

1.Supportive Tx-Bland Mouthwash 2.Systemic-A-Cyc-Lo-Vir

37
Q

Is Abreva an anti-viral?

A

NO! it prevents the virus from getting into the cell

38
Q

The normal PEDO periodontium…_____ pink…Firm or soft…..Either smooth or ______… Stippling found in ___% of children between ages of 5-13 years…..Interdental gingiva is ______ facio-lingually, and _______ mesiodistally…Mean gingival sulcus depth ave. ___ mm

A

pale…firm…stippled….35%…BROAD FL….NARROW MD…1 mm

39
Q

PEDO perio: PDL of deciduous teeth is ______ than that of permanent teeth… Radiographically, the trabeculae in the alveolar bone are fewer but _______ than in the adult…. The crests of interdental bony septa are ______.

A

wider….thicker….FLAT!

40
Q

Tooth Eruption: During mixed dentition, it is normal for the _________ around the permanent teeth to be very prominent, especially in the maxillary anterior region OR “_____” gingiva!!!

A

Marginal Gingiva…“ROLLED” gingiva!

41
Q

Malpositioned teeth accumulate more _______.

A

Accumulate more plaque!!

42
Q

What type of Pocket?? Base of pocket is coronal to level of underlying bone AND the alveolar bone has HORIZONTAL bone loss….

A

SUPRA-bony Pocket

43
Q

What type of pocket?? Base of pocket is APICAL to the level of the adjacent bone AND the alveolar bone has VERTICLE bone loss.

A

INFRA or INTRA-bony Pocket

44
Q

WHY do we perform POCKET REDUCTION THERAPY!!!???

A

Rationale for pocket reduction is based on the need to eliminate areas of PLAQUE ACCUMULATION

45
Q

What type of abscess am I? Discharge of pus with probe or pressure, Mobility, Rapid pocket formation, BONE LOSS.

A

Periodontal Abscess

46
Q

What abscess am I? Localized swelling - marginal or interdental…Red, smooth, shiny surface….May present purulent exudate?

A

Gingival Abscess

47
Q

What are these describing? Contours conform to roots, Crest follows CEJ—-OH big one…SCALLPED..

A

NORMAL Perio BONE characteristics

48
Q

What is the MOST COMMON destructive bone loss pattern??

A

HORIZONTAL bone loss!

49
Q

Which Vertical Bone loss category will have BEST regeneration??

A

a 3 Wall Defect

50
Q

Which Verticle bone category will have the worst regeneration?

A

a 1 wall defect

51
Q

What is the MOST COMMON osseous defect?

A

Osseus Craters

52
Q

Occurs when excessive occlusal forces are exerted on a tooth with a NORMAL periodontium.

A

Primary Occlusial Trauma

53
Q

Occurs when normal or excessive forces are placed on a tooth with a REDUCED periodontium.

A

Secondary Occlusial Trauma

54
Q

What happens if theres NO occlusion on the tooth? ______ of the periodontium…..________of the PDL space….Tendency towards _______…..Increase in _______ thickness….Thinning of _________

A

Atrophy….Narrowing…extrusion..CEMENTUM….alveolar bone

55
Q

Trauma from Occlusion: Radiographic signs…Widened ______…. Disruption / loss of ________…..Root ______…DO you see CAL?

A

PDL space….lamina dura…..resorption…HELL NAW, no CAL

56
Q

You get bone ______ on the side you are pulling toward (pressure).

A

Resorption

57
Q

You get bone ______ on the back side of the pulling force/tension.

A

Deposition

58
Q

Diagnose THAT! 26 y/o male—Very light plaque & calculus—-PD 5-9 mm—-CAL> 5 mm—–Almost all teeth involved—-Systemically healthy

A

Generalized, Aggressive, Periodontitis

59
Q

Diagnose THIS! 16 y/o female—–Very little plaque and calculus——PD 5-7 mm on incisors & 1st molars—–CAL> 5 mm—–Systemically healthy

A

Localized, Aggressive, Periodontitis

60
Q

Diagnose me plez… 39 y/o female—-Heavy plaque & calculus—-PD 3-5 mm—-CAL 1-2 mm—- > 30% sites involved—- Systemically healthy

A

Generalized, mild (slight), chronic, periodontitis

61
Q

What is this AIDS manifestation? Non-wipeable, Lateral border – tongue—Keratotic area, corrugated, which may appear “shaggy”

A

Oral Hairy Leukoplakia

62
Q

What is this AIDS oral manifestation? Diminished host resistance–Candida albicans–Often refractory, wipeable..

A

Oral Candadiasis

63
Q

What is this AIDS manifestation? Vascular neoplasm–HHV-8 associated–Localized, slow growing

A

Kaposi’s Sarcoma

64
Q

What is this AIDS manifestation? Infectious vascular proliferative disease, Similar to KS, Rickettsia-like
organism etiology, Red, purple, blue soft tissue lesion

A

Bacill-ary Angio-Mato-sis

65
Q

Which AIDS manifestation? “Freckles”, Buccal mucosa, palate, gingiva, tongue..HIV drug etiology

A

Oral Hyperpigmentation

66
Q

Which AIDS manifestation? Fiery red gingival band, Non-painful, Unpredictable response to therapy, NOTassociatedwith low CD4 count or high viral load

A

Linear Gingival Erythema

67
Q

What are the two tests (AND their limits) when treating a diabetic patient?

A

Blood [Glucose] < 120…..A1C < 6

Oral Soft Tissues (PERIO) (4 decks)

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