Final Exam 1A Flashcards
(26 cards)
Name the 2 phases of periodontal treatment and their sub categories
Phase 1 - Initial soft tissue therapy then re-evaluation
Phase 2 - hard tissue surgical therapy then maintenance phase
Phase 1 of periodontal treatment involves what?
SRP, and OHI
Phase 1 re-evaluation takes place how long after phase I?
4-6 weeks
What do you do at re-evaluation of phase 1?
re-collect data and analyze it
Phase 2 of periodontal treatment involves what?
bony defects and grow back bone
Where does PD begin in the mouth?
Most coronal part of interproximal tissue
Where does PD migrate after it begins in the mouth?
apically
How do you test sulcular fluid?
filter paper at gingival sulcus
How do you analyze sulcular fluid?
with Periotron
How does sulcular fluid increase?
- during gingivitis making tissue look wet
- during circadian 6 AM - 10 PM
- with female sex hormones
- vigorous chewing
- smoking
What is in sulcular fluid?
proteins antibodies - IgG antigens enzymes cells (epithelial, leukocytes) electrolytes (K, Ca, Na) organic compounds (metabolic & bacterial)
What about sulcular fluid and tetracycline?
concentration higher than in serum
What about sulcular fluid and inflammation?
removes products
Drug-induced enlargement begins where?
interdental papilla
Drug-induced enlargement extends where?
facial/lingual margins
What happens to tissues in drug-induced enlargement?
tissue folds unite
True/False Drug-Induced enlargement is plaque associated?
may or may not be
Name the new anticonvulsant?
Phenytoin
Anticonvulsant pathogenesis?
- stimulates fibroblast proliferation
- inactivation of collagenase
- plaque-induced inflammation
Anticonvulsant dose response?
questionable; may consider changing drugs
New immunosuppressant?
Tacrolimus
What’s different about immunosuppressants?
more vascular enlargement than phenytoin enlargement?
Gingival enlargement occurs in how many immunosuppressant patients?
20%-70% (dose related)
What immunosuppressant drug has less overgrowth?
Tacrolimus
