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Periodontics 2 > Goals and Objectives-Indications for Surgery > Flashcards

Goals and Objectives-Indications for Surgery Flashcards

1
Q

Goals of Non-Surgical
Therapy
(5)

A
  • Removal of plaque and calculus
  • Microflora alteration
  • Endotoxin removal
  • “Smooth” surface
  • Tissue shrinkage
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2
Q

Depth of
pocket: 1-3 mm
Scaling and
Root Planing:
Open Flap
Debridement:

A

86% calculus-
free
86% calculus-
free

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3
Q

Depth of
pocket: 4-6 mm
Scaling and
Root Planing:
Open Flap
Debridement:

A

43%
76%

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4
Q

Depth of
pocket: >6mm
Scaling and
Root Planing:
Open Flap
Debridement:

A

32%
50%

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5
Q

The CEJ: Biofilm and Calculus Trap
–% chance of leaving residual calculus or
biofilm in pockets > 5 mm.

A

85

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6
Q

Disadvantages of Non-Surgical
Therapy
(4)

A
  • Depth of pockets-determines efficiency
  • Loss of connective tissue by scaling
    and root planing in healthy sites
  • Thin versus thick tissue
  • Instrumentation of furcations
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7
Q
  • Instrumentation of furcations
    (2)
A
  • Size of instruments
  • Size of furcation entrances
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8
Q

Endpoint of Scaling and Root
Planing

A

Eliminate inflammation, bleeding on
probing, suppuration, disease
progression

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9
Q

Endpoint of Scaling and Root
Planing
Final goal of a

A

functional,
comfortable, healthy dentition
with stable probing attachment
levels

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10
Q

Indications for Surgery
* Root and Defect Access
(4)

A
  • Plaque and calculus removal (non-
    surgical more difficult to accomplish
    in deeper pockets)
  • Difficulty for furcation instrumentation
    without surgical access
  • Granulation tissue removal
  • Access to osseous defects
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11
Q

Indications for Surgery
The ‘gold’ standard

A
  • Regeneration
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12
Q
  • Regeneration
    Definition:
A

Reconstitution of a lost or missing
part

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13
Q
  • Regeneration
    In Periodontics
    (3)
A
  • new periodontal ligament
  • new cementum
  • new bone
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14
Q

Indications for Surgery
* Regeneration
(4)

A
  • Autografts
  • Allografts
  • Alloplasts/Xenografts
  • Guided Tissue Regeneration
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15
Q
  • Guided Tissue Regeneration
    membranes (2)
A
  • Non-resorbable vs resorbable
    membranes
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16
Q

Guided Tissue
Regeneration: GTR
Membrane will provide

A

epithelial exclusion

17
Q

Indications for Surgery
* Pocket Elimination
(3)

A
  • Osseous contouring with placement
    of the flap margin at the alveolar
    crest
  • Creation of shallow sulci
  • Ease of maintenance by therapist
    and patient
18
Q

Indications for Surgery
* Removal of bacteria
* Bacterial penetration seen in —
* Formerly known as —
* 2017 classified as —***
* Causative bacterial pathogen of —

A

Aggressive Periodontitis
LJP/GJP
Periodontitis
A.a

19
Q

Indications for Surgery
* Mucogingival Surgery / Periodontal
Plastic Surgery
* Regain —
* Remove —
*
* Restore —
*

A

periodontium
frena
Root coverage or increase keratinized
tissue
gingival topography
Pre-prosthetics and pre-orthodontics

20
Q

Indications for Surgery
* Retreatment of Case
(3)

A
  • Non-surgical therapy has failed
  • Surgical therapy has failed
  • New techniques or materials are
    available
21
Q

Indications for Surgery
* Pre-prosthetic Surgery
(5)

A
  • Crown lengthening
  • Ridge augmentation
  • Palatal recontouring
  • Gingivectomy/Gingivoplasty
  • Ridge or Tuberosity Reduction
22
Q

Indications for Surgery
* Drug-Induced Gingival Overgrowth
(3)

A
  • Dilantin®
  • Cyclosporin
  • Calcium Channel Blockers
    (Nifedipine)
23
Q

Indications for Surgery
* Abscess Debridement
(4)

A
  • Undiagnosed periodontitis
  • Maintenance patients
  • Recurrent abscesses
  • Undiagnosed diabetes
24
Q
  • Non-surgically treated areas have a greater
    percentage of defects that convert from
A

non-diseased to diseased sites than
surgically treated sites.

25
Q
  • All studies show that results in —
    rooted teeth are better for both non-surgical
    and surgical modalities than —.
A

single
molars

26
Q
  • Non-surgically treated areas have a —
    percentage of defects that convert from
    non-diseased to diseased sites than
    surgically treated sites.
  • All studies show that results in single
    rooted teeth are — for both non-surgical
    and surgical modalities than molars.
A

greater
better

27
Q

Implants
NOT indicated until

A

periodontal disease has been
controlled and all other dental needs are addressed
in a comprehensive treatment plan (think what you
should do in predoc clinic for implant consult/
planning).

Periodontics 2 (13 decks)

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