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Perio Flashcards

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1
Q

An implant contains:

A

Both a Junctional Epithelium and Connective Tissue Attachment

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2
Q

Surface modifications of implants are primarily aimed at

A

Increasing Surface Area

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3
Q

Titanium plasma sprays increases the surface area of an implant

A

6 times

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4
Q

Stage 2 surface remodeling is known as lamellar compaction and occurs at

A

18 weeks

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5
Q

Which of the following is seen with machined implants

A

Distance osteogenesis

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6
Q

Which implant diameter includes the thread diameter

A

Endosteal diameter

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7
Q

A 4.0 mm diameter implant has ______ greater surface area than a 3.0 mm implant

A

25%

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8
Q

Immediate loading (placement?) is primarily used

A

Among anterior teeth to replace esthetics

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9
Q

Which type of bone is ideal for implants

A

D3

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10
Q

What is the minimum amount of space that can be used for a 3.5 mm implant

A

6 mm

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11
Q

Two implants are being placed next to each other and between natural teeth. With a 4 mm implant. How much space is required

A

15 mm

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12
Q

Three implants are being placed next to each other and between natural teeth. With a 4 mm implant, how much space is required

A

22mm

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13
Q

. A direct sinus lift requires less than or equal to ______ mm of bone

A

5mm

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14
Q

Regarding an antibiotic prophylaxis, amoxicillin should be prescribed 30-60 min before surgery. This
dose that should be prescribed is

A

2g

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15
Q

Metranidazole has what adverse effects

A

Antibuse effect

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16
Q

Which of the following is concentrated in the gingival crevicular fluid

A

Doxycycline

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17
Q

How many mgs should be prescribed with a low dose doxycycline therapy

A

20 mg

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18
Q

Which of the following is not requirement of an antimicrobial system

a. Inhibits or kills the putative pathogens
b. Adequate concentration
c. Sufficient duration
d. Not very expensive

A

d. Not very expensive

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19
Q

Systemic antimicrobials have all of the following except

a. Inhibits or kills the pathogen
b. Reaches the site
c. Adequate concentration
d. Does no harm

A

c. Adequate concentration

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20
Q

Perdix is primarily composed of

A

Chlorhexidine

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21
Q

The amount of alcohol in chlorhexidine is

A

12%

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22
Q

Which of the following has the highest plaque and gingivitis reduction

A

Chlorhexidine

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23
Q

The main component of betadine

A

Iodine

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24
Q

The 1st generation antimicrobial that is non-resorbable is

A

Actisite

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25
. Arestin is primarily composed of
Minocycline
26
Arestin can be used a. As an initial therapy b. At re-evaluation c. During periodontal maintenance
c. During periodontal maintenance
27
Doxycycline is another name for
Atridox
28
Which of the following is not a prognostic category a. Good b. Fair c. Poor d. Guarded
Guarded
29
Which prognostic category usually does not change
Good
30
What is the most important determinant of prognosis a. Attachment loss b. Pocket depth c. Bony topography
a. Attachment loss
31
Which of the following is not a determinant in assessing periodontal disease a. Age b. Gender c. Systemic Diseases
b. Gender
32
A patient presents with a 7-8 mm attachment loss and bleeding on provocation. There is also severe bone loss. This is associated with case type a. 1 b. 2 c. 3 d. 4 e. 5
4
33
A patient has undergone a scaling and root planning. After 4-6 weeks, the patient presents with 4 mm pockets and the disease is stable. How should you procede
Maintenance phase
34
A patient has undergone scaling and root planning and has 10% plaque but a few pockets that are 6 mm. How should you proceed
Personalized maintenance
35
A patient has undergone scaling and root planning and presents with 6 mm pockets and has 40% plaque. How should you proceed
Compromised Periodontal Maintenance
36
What is the most important phase of periodontal therapy
Maintenance
37
Pregnancy gingivitis is associated with
Pi
38
A patient has a platelet count of 40,000
No tx
39
A patient has a HbA1c of 13
Postpone treatment until the patient’s HbA1c level is <9
40
A patient presents with an ANC of 350 (KNOW HOW TO CALCULATE)
Premed and continue with the treatment
41
The PDL contains all of the following types of collagen except
2
42
The periodontal ligament contains all of the following cells except a. Undifferentiated mesenchymal cells b. Fibroblasts c. Epithelial rests of Malassez d. Langerhans Cells
d. Langerhans Cells
43
Local delivery of antimicrobials can interrupt
Unattached plaque
44
The most common bacteria associated with diabetes is
Pg
45
The pro-inflammatory cytokine that stimulates osteoclasts, fibroblasts, and macrophages are
IL-1
46
Bone loss occurs in what stage of a periodontal infection
Advanced
47
Micro-ulcerations occurs in what stage of periodontal infection
Established
48
Which of the following can be used for NUP a. Doxycycline b. Tetrocycline c. Penicillin d. Metronidazole e. All of the above
Metronidazole
49
The superficial histological zone present in NUG is
Bacterial Zone
50
The deepest histological zone near the lamina propia in NUG is
Zone of spirochete infiltration
51
NUG is associated with
Treponema species
52
NUP
Occurs when the CD4 count is <200
53
The most well studied pro-inflammatory cytokine
IL-1
54
What are the most important bacteria involved in abscess formation?
Pg Pi
55
What is the most prevalent type of bacteria in a periodontal abscess?
Spirochetes
56
A diabetic patient comes into your office with 6.5% HbA1c and their glucose tolerance test is 146 mg/dL. You submit a medical consult and expect that the doctor will say you are to
Proceed with treatment
57
AGE stands for
Advanced glycation endproducts
58
The destruction of pancreatic B cells occurs in
Type 1 DM
59
What microbe is associated with most types of periodontitis?
Gram – anaerobic
60
A patient has diffuse palmar-plantar keratosis and loss of enzyme activity. What is the disease?
Papillon lefevre syndrome
61
Which of the following is not associated with deciduous teeth?
Deciduous only: hypophosphatasia
62
Steroid inhibition occurs
Pre-arachidonic
63
T/F A periodontal abscess can form in a 4 mm pocket.
T
64
An acute periodontal abscess has all of the following except:
a. Osteoblastic activity b. Does have: pain, swelling/edema, lymphadenopathy, low-grade fever, BOP, vital pulp, osteoclastic activity
65
All of the following are a treatment for abscess except
a. SRP | b. Can do: non-surgical drainage and debridement, surgical drainage, surgical therapy and antibiotics (when necessary)
66
You do SRP on a patient and two days later they are complaining of pain. What is the most likely cause?
a. Periodontal pocket blockage
67
Stress causes what effect on the body
a. Increased neurotransmitters (CORTISOL
68
What does MMP stand for?
Matrix metalloproteases

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