Flashcards in last Perio test Deck (20)
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4910 periodontal maintenance
Every 3 to 4 months
1
They can retain teeth and we can:
Stop attachment loss
2
Our three goals of periodontal maintenance
1. Control the information by controlling etiologic risk factors
2. Preserve attachment levels
3. Preserve bone around teeth
3
Procedures during periodontal maintenance
Health history, clinical assessment, evaluate home care and levels of plaque, Point out good things, periodontal instrumentation, other treatments needed
4
Periodontal instrumentation:
Thin ultrasonics on low-power, liberal use
5
Code 4341
SRP of up to three teeth per quad, used for recurrence in limited individual sites
6
Noncompliance
In study, 16% fully compliant, 49% erratic compliance, 34% never participate
7
Reasons for noncompliance
Fear, expense, low priority, denial, misunderstanding implications of noncompliance, perceived indifference of healthcare provider
8
Root caries
Demineralized at pH of 6.2, strip mutans and lactobacillus, discolored tan or brown areas that are soft and Shallow
9
Cambra
Caries management by risk assessment
10
Measurements for good candidate for implant
6.6 mm of bone, height of jaw bone 10 mm, diameter of implant 3 to 6 mm
11
Early implants
Endosseous root or blade, subperiosteal
12
Specific indications for implants
Gag reflex so no denture, long span bridge, free and removable partial denture's, alternative to bridge, hopeless periodontally involved teeth
13
Two-stage surgical procedure
First implant placed with cover on screw, then three months later abutment placed
14
One stage surgical procedure
Implant and abutment placed in one visit
15
Successful implant
Immobile, no inflammation, no discomfort or pain, no increased bone loss, no bone loss greater than one third of the implant, bone loss is less than .2 mm after year, no mechanical failure
16
Bacterial infection
Porphyromonas gingivalis, Prevotella intermedia, fusobacterium nucleatum
17
No probing necessary if Peri-implant tissue is healthy
True
18
Implant maintenance
Meticulous self-care, three-month recall, Watch for decrease in bone, inflammation, host response or systemic disease affecting implant
19
