Exam II-Review Cards

Question 1

Why is A1C a better indicator of a diabetics health?

Answer 1

It tests a longer time span

Question 2

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

Answer 2

<2.5

Question 3

Which treatment phase (NAME and #) involves surgery?

Answer 3

Surgical Therapy (hard tissue)/Phase II

Question 4

Which treatment phase (NAME and #) involves surgery?

Answer 4

Surgical Therapy (hard tissue)/Phase II

Question 5

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

Answer 5

4-6 weeks

Question 6

Which phase do we do Scaling and Root Planing?

Answer 6

Initial Therapy(soft tissue management)/Phase I

Question 7

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

Answer 7

Apically

Question 8

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

Answer 8

Apically

Question 9

What is the normal amount of GCF?

Answer 9

0.43 - 1.56 microLiters

Question 10

What antibodies are found in GCF?

Answer 10

IgG

Question 11

What happens to GCF @ the smoking event?

Answer 11

it increases!

Question 12

What time of the day is GCF the highest?

Answer 12

6am to 10pm (circadian rhythm)

Question 13

GCF is increased with ______ hormones.

Answer 13

Female Sex hormones

Question 14

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

Answer 14

GCF or SULCULAR fluid

Question 15

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

Answer 15

GCF yo!

Question 16

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

Answer 16

SALIVA

Question 17

Are leukocytes in Saliva or GCF?

Answer 17

HAHA GOTCHA…its both.

Question 18

What uses coating similar to gastric mucin?

Answer 18

Saliva!

Question 19

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

Answer 19

GCF=electrolytes….Saliva=bicarb/phosphate

Question 20

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

Answer 20

IgA…..Lysozyme….Lactoperoxidase

Question 21

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

Answer 21

INCREASES!

Question 22

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

Answer 22

Papilla before GM before AG

Question 23

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

Answer 23

Initial! (NO GINGIVITIS THO!)

Question 24

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

Answer 24

Tac-Ro-Lim-Us

Question 25

What is multiple abscesses attributed to?

Answer 25

PERIODONTAL abscesses due to SYSTEMIC Disorder (Diabetes, immunosuppression)

Question 26

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

Answer 26

PREGNANCY gingivitis!

Question 27

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

Answer 27

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

Question 28

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

Answer 28

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

Question 29

What am I talking' bout? Rapid Onset • Severe Pain | • Gingival Bleeding

Answer 29

NUG

Question 30

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

Answer 30

NUG

Question 31

What is the main BUG assoc. with NUG?

Answer 31

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

Question 32

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

Answer 32

NUP

Question 33

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

Answer 33

Primary Herpes...Kids or ImmunoCompromised adults

Question 34

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

Answer 34

Bound and Non-Bound tissues

Question 35

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

Answer 35

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

Question 36

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

Answer 36

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

Question 37

Is Abreva an anti-viral?

Answer 37

NO! it prevents the virus from getting into the cell

Question 38

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

Answer 38

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

Question 39

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 ______.

Answer 39

wider....thicker....FLAT!

Question 40

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!!!

Answer 40

Marginal Gingiva..."ROLLED" gingiva!

Question 41

Malpositioned teeth accumulate more _______.

Answer 41

Accumulate more plaque!!

Question 42

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

Answer 42

SUPRA-bony Pocket

Question 43

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

Answer 43

INFRA or INTRA-bony Pocket

Question 44

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

Answer 44

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

Question 45

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

Answer 45

Periodontal Abscess

Question 46

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

Answer 46

Gingival Abscess

Question 47

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

Answer 47

NORMAL Perio BONE characteristics

Question 48

What is the MOST COMMON destructive bone loss pattern??

Answer 48

HORIZONTAL bone loss!

Question 49

Which Vertical Bone loss category will have BEST regeneration??

Answer 49

a 3 Wall Defect

Question 50

Which Verticle bone category will have the worst regeneration?

Answer 50

a 1 wall defect

Question 51

What is the MOST COMMON osseous defect?

Answer 51

Osseus Craters

Question 52

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

Answer 52

Primary Occlusial Trauma

Question 53

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

Answer 53

Secondary Occlusial Trauma

Question 54

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

Answer 54

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

Question 55

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

Answer 55

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

Question 56

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

Answer 56

Resorption

Question 57

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

Answer 57

Deposition

Question 58

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

Answer 58

Generalized, Aggressive, Periodontitis

Question 59

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

Answer 59

Localized, Aggressive, Periodontitis

Question 60

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

Answer 60

Generalized, mild (slight), chronic, periodontitis

Question 61

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

Answer 61

Oral Hairy Leukoplakia

Question 62

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

Answer 62

Oral Candadiasis

Question 63

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

Answer 63

Kaposi's Sarcoma

Question 64

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

Answer 64

Bacill-ary Angio-Mato-sis

Question 65

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

Answer 65

Oral Hyperpigmentation

Question 66

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

Answer 66

Linear Gingival Erythema

Question 67

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

Answer 67

Blood [Glucose] < 120.....A1C < 6