Match the condition and associated organisms: Strep M, AA, Strep A, BG, Staph A, PG 1. Perio: 2. Ortho Perio: 3. Juvenile Perio: 4. Caries: 5. Rheum Fever: 6. Osteomyelitis:

1. Perio: PG 2. Ortho Perio: BG 3. Juvenile Perio: AA 4. Caries: Strep M 5. Rheum Fever: Strep A 6. Osteomyelitis: Staph A

Orthodontic Perio, Endo & Restorative Treatment 18% 12Q Flashcards by Beatriz Tejera

which organism must be present in periodontal disease?

Porphyromonas Gingivalis

How well did you know this?

Not at all

Perfectly

during orthodontic Tx, which organism is present in higher numbers?

Bacteroides Gingivalis

How well did you know this?

Not at all

Perfectly

which organism has an association with juvenile periodontitis?

AA - Actinobacillus actinomycetemcomitans

How well did you know this?

Not at all

Perfectly

Match the condition and associated organisms: Strep M, AA, Strep A, BG, Staph A, PG

Perio:
Ortho Perio:
Juvenile Perio:
Caries:
Rheum Fever:
Osteomyelitis:

Perio: PG
Ortho Perio: BG
Juvenile Perio: AA
Caries: Strep M
Rheum Fever: Strep A
Osteomyelitis: Staph A

How well did you know this?

Not at all

Perfectly

In peril, a Class II furcation involvement means what? What is the Tx?

halfway through

Graft and Guided Tissue Regeration

How well did you know this?

Not at all

Perfectly

In perio, a Class III furcation involvement means what? What is the appropriate Tx?

through and through

Hemisection, Extraction, or open flap curettage

How well did you know this?

Not at all

Perfectly

what effect does intrusion have on peril pockets and furcations

Intrusion does not change furcation or pocket

How well did you know this?

Not at all

Perfectly

what kind of defect has the best prognosis? how many walls?

3 walled

How well did you know this?

Not at all

Perfectly

with 3 walled peril defects, you can get Pocket reduction with regenerative perio therapy. What therapy?

debridement, graft and Guided Tissue Regeneration

How well did you know this?

Not at all

Perfectly

it is safe to initiate orthodontic treatment when peril has been stable for ___ - ___ months

3 - 6 mo

How well did you know this?

Not at all

Perfectly

a 2 walled perio defect is aka

osseous crater / interdental crater

How well did you know this?

Not at all

Perfectly

a 2 Walled perio defect is a concavity confined to ________ and _________ walls

facial and lingual

How well did you know this?

Not at all

Perfectly

what is the appropriate treatment for a 2 walled perio defect?

osseous recontouring or resection

How well did you know this?

Not at all

Perfectly

where are 1-2 Walled hemiseptal defects commonly found?

mesially tipped or supraerupted teeth.

How well did you know this?

Not at all

Perfectly

can 1-2 wall hemiseptal perio defects be eliminated with orthodontic treatment?

YES, uprighting and eruption will level the bony defect

How well did you know this?

Not at all

Perfectly

If bone level is flat between adjacent teeth and the marginal ridges are at different levels, correcting marginal ridge discrepancy will create a:

hemiseptal defect

How well did you know this?

Not at all

Perfectly

which two systemic conditions put patients at an increased risk for periodontal disease?

uncontrolled diabetes

rheumatoid arthritis

How well did you know this?

Not at all

Perfectly

A free Gingival Graft is performed ( pre / post )-ortho when less than ___mm of gingiva for cosmetic reasons post-ortho

pre - ortho

2mm

How well did you know this?

Not at all

Perfectly

what is the appropriate/ideal gingival display upon smiling?

1-2mm

How well did you know this?

Not at all

Perfectly

what are the potential causes of excessive gingival display?

VME

short upper lip

increased max eruption (altered active)

Delayed apical migration of gingival margin (altered passive)

How well did you know this?

Not at all

Perfectly

Gingival margin should be ___mm coronal to CEJ

1mm

How well did you know this?

Not at all

Perfectly

Biologic width, or the distance form bone to gingival sulcus should be ___mm

2mm

How well did you know this?

Not at all

Perfectly

what Tx is appropriate for a vertical root fracture?

extraction

How well did you know this?

Not at all

Perfectly

is a horizontal root fracture occurs, can you continue ortho?

yes

How well did you know this?

Not at all

Perfectly

with gingival inflammation, there will be a greater breakdown of bone because of higher _______________ levels

**prostaglandin** levels

can ortho cause perio involvement?

yes

Frenectomy procedures should be done ( before / after ) space closure and ( before / after ) debonding

after space closure before debond

Compared to 1960 the prevalence and severity of perio disease are both ( higher / lower )

higher

A ________________ fiberotomy severs gingival and transseptal fibers which run between two adjacent teeth in the same arch, and is used to reduce ____________ relapse

supracrestal rotational

Contraindications to supracrestal fibrotomy Tx include: Poor OH, excessive ( lingual / labial ) root prominence, active Perio

labial

Supracrestal fibrotomy Tx is more successful in (maxillary / mandibular ) teeth

maxillary

Supracrestal fibrotomy Tx heals is ___ - ___ days

7-10 days

which canine exposure technique preserves the attachment and mimics natural tooth eruption by allowing the canine to be brought down through attached gingiva

Closed eruption technique

after extraction of a tooth, the maxillary ridge will 25% in ___ months and 33% in ___ years

6 mo 5 yrs

gingival recession happens 68% of the time, mores in (maxillary / mandibular ) teeth and occurs ( symmetrically / asymmetrically )

mandibular symmetrically

When considering root proximity, ___ - \_\_\_mm of root separation will provide adequate bone and embrasure space for perio healing

2 - 3mm

after band removal, the total amount of time needed for adequate bone remodeling, cessation of mobility and narrowing of the periodontal ligaments is:

6 months

ankylosed teeth should be removed as soon as the alveolar height is changes because ankylosis has what effect on the development of the alveolar ridge?

arrested developemnt

Which systemic antibiotic is least effective for perio disease?

Metronidazole

the incisogingival position is determined by the position of the gingival margin. In some young patients, labial gingival level has not migrated to its adult level , so they either need _______________ or ______________ depending on bone level.

gingivectomy osseous surgery (crown lengthening)

black triangles can be addressed with:

IRP ARS (air rotor stripping)

black triangles are caused by:

crown shape, bone loss, root position

improper root positioning ( can / cannot ) lead to reduced bone levels

can

name 4 conditions/characteristics which can predispose someone to root resorption

hypothyroidism previous RR long, thin roots long duration of Tx

which type of fibers are most associated with relapse?

transseptal fibers Profit says suprecrestal

\_\_\_ - \_\_\_% of children and ___ - ___ % of adults need pre-ortho perio

5-10% 20-25%

\_\_\_% of perio patients in ortho will see rapid progression

10%

perio patients in ortho should have scaling \_\_\_x as often as normal

2x (twice)

Bone breakdown is higher for perio patients because of higher **prostaglandin** levels which leads to increased ___________ activity

osteoclast

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is released during the breakdown of periodontal fibers

Interleukin - I

T/F: ortho can be done concurrently or immediately after an specification procedure

True

This procedure should be performed on a tooth with necrotic pulp and unfinished root tip formation

apexification

What is a **vital** pulp therapy procedure performed to encourage continued physiological development and formation of the root end? performed to encourage the continuation of this process.

Apexogenesis

with horizontal root fractures, a ___ year observation period is needed before initiation of orthodontic treatment

2 year

If a tooth with a horizontal root fracture undergoes orthodontic Tx, the root fragment may separate, and/but there ( is / is not) worsening of prognosis of that tooth.

is NOT

Orthodontic treatment for teeth with prior RCT ( do / do not ) have more root resorption than non-endo treated teeth

no NOT

What is the diagnosis when a radiolucency inside the canal is observed? What should be done?

Internal RR Immediate Endo

The peak incidence of incisor trauma is at ___ - ___ years old

8 - 10 years old

The ump ( does / does not ) have proprioceptors

does not

If placing **porcelain** crown, the minimum overjet needed is ___ - \_\_\_mm to avoid additional tooth preparation on lingual surface

0.5-0.75mm

If placing conventional porcelain bridge, the minimum overjet needed is ___ - \_\_\_mm to avoid additional preparation on the lingual surface

0.5-0.75mm

T/F: If placing porcelain veneers, an edge-to-edge overate to allows sufficient space on labial for both temporary composite build up and eventual porcelain laminate

True

if placing a bonded bridge, the appropriate overate and minimal **OB** is \_\_\_mm. Additionally, ______ incisor angulation permits better retention due to vertically oriented occlusal forces.

0.5mm upright

When veneering the U2-2, place the lateral \_\_\_/\_\_\_ away from the central and \_\_\_/\_\_\_ away from the canine

⅓ from central ⅔ from canine

The width-to-length ratio of the centrals should be ___ - ___ %

65-75%

The space needed for an implant restoration of a lateral incisor is roughly \_\_\_mm, ⅔ the width of the central

7mm

When lateralizing canines (substitution), ST esthetics, the size and _____ of the canines, and the need for ____________ in the lower arch are more important factors than doing restorations on the centrals

shape extractions

You need ___ months of retention before restoration after extrusion is done.

6 months

in the Gorlick foundation study, they found that \_\_\_% of patients have decalcification and that you should (prescribe / avoid ) fluoride

50% avoid - allow the tooth to remineralize

In the Guzman-Armstrong technique for treating calcification, the steps include: 1. Allow natural remineralization for ___ months – no Fl-, it arrests remineralization and leads to staining 2. _____________ to camouflage white spots, then do Fl- treatment 3. acid _____________ (loses 250**μ**m) followed be Recaldent or MI paste plus 4. Restoration

1. 6 months 2. external bleach 3. acid microabrasion 1. restoration

over the counter fluoride is 0.\_\_\_\_%

0.05%

the maxillary lateral is \_\_\_\_% of the size of central incisor

75%

If the laterals are congenitally missing and you have Bs and Cs, what can be done?

extract Bs to encourage 3s to erupt into the lateral position

Orthodontic Perio, Endo & Restorative Treatment 18% 12Q Flashcards

(73 cards)