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Perio (Mental dental) Flashcards

(86 cards)

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1
Q

_____: measurement from gingival margin to base of pocket

A

PD

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2
Q

____: measurement from CEJ to base of pocket

A

CAL

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3
Q

____ is the best measure of inflammation in perio tissues

A

BOP

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4
Q

_____; measurement from CEJ to ging margin, exposure of root surface due to apical shift of ging margin

A

Gingival recession

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5
Q

What type of inlfammatory cell is seen in suppuration? (PUs

A

Neutrophils

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6
Q

Class ___ mobility
Slightly more mobile than normal

A

Class 1

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7
Q

Class ____ mobility
Moderately more than normal less than or 1 mm movement

A

Class 2

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8
Q

Class ____ mobility
Severely more than normal >1 mm movement can be vertically depressed in socket

A

Class 3 mobility

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9
Q

Are horizontal or vertical bone loss defects classified by walls?

A

Vertical

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10
Q

_____ wall defect
hemiseptum

A

1 wall

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11
Q

___ wall defect
Crater (most common)

A

2 wall

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12
Q

___ wall defect
Trough

A

3 wall

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13
Q

___ wall defect
Circumferential

A

4 wall

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14
Q

Class ____ recession
Marginal tissue recession is not extending to MGJ
No loss of interdenal bone or soft tissue

A

Class 1

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15
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
No loss of interdenal bone or soft tissue

A

Class 2

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16
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
With loss of interdenal bone or soft tissue, or both malpositioning prevents total root coverage

A

Class 3

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17
Q

Class ____ recession
Marginal tissue recession extending to or beyond MGJ
With loss of interdenal bone or soft tissue
Root coverage not anticipated

A

Class 4

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18
Q

_____ perio ds is characterized by:
Pseudomembrane
Fetid breath
Blunted papillae
Fever

A

Necrotizing (NUG and NUP)

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19
Q

Supragingival plaque components derive from ____

A

Saliva

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20
Q

Subgingival plaque components derive from ____

A

GCF

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21
Q

___ bacteria
Can bind primary and secondary colonizers
Binds other bacteria

A

Fusobacterium nucleatum

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22
Q

What are the 3 red complex bacteria: BOp and deeper pockets

A

Pg
Td
Tf

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23
Q

What are the 3 orange complex bacteria that precedes presence of red complex supporting sequential nature of plaque maturation

A

Fusobacterium
Prevotella intermedia
Campylobacter rectus

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24
Q

What bacteria causes aggressive periodontitis?

A

A. Actinomycetemcomitans

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25
WHat bacteria causes chronic periodontitis?
P gingivials
26
What bacteria causes ANUG and ANUP?
T denticola
27
What bacteria causes pregnancy gingivitis?
P intermedia
28
___ stains are usually on anterior teeth due to poor OH
Orange
29
___ stains: Drinking dark colored beverages, poor OH
Brown
30
____ stains: Tobacco
Dark brown and black
31
___ stains: CHX and stannous fluoride
Yellow brown
32
___ stains: thin lines on cervical third found in healthy mouths due to consumption of iron
Black
33
_____ stains: usually on anterior teeth; poor OH and chromogenic bacteria
Green and yellow
34
_____ stains: occupational exposure of metallic dust
Bluish green
35
Are under or overcontoured restoration worse for gingival health?
Over contoured
36
___ are the immune cells that are involved in first line of defense MOst important cells involved in controlling bacterial challenge and destroying perio tissue via release of destructive molecules Chemotaxos, phagocytosis, MMP-8
Neutrophils
37
-__ are antigen presenting cells Regulate immune response via cytokine release like IL-8
Macrophages
38
____ Vascular permeability and dilation IgE
Mast cell
39
What proinflammatory mediators destroy collagen?
MMPs
40
When is the perio reeval done?
4-6 or 8 weeks
41
Risk ____: casually associated with ds (smoking leads to perio ds) Smoking, diabetes, pathogenic bacteria, microbial tooth deposits
Risk factor
42
Risk ____: Unchangeable background characteristics, increases likelihood of ds (Gender, genetics)
Risk determinant
43
Risk ____: Not causally assc with ds (stress, osteoporosis may influence perio ds) HIV, OSteoporosis, infrequent dental visits, stress
Risk indicator
44
Risk ____: quantitative assc with ds (Previous history, attachment level) Previous history of perio ds BOP CAL
Risk. marker or predictor
45
Which vertical defect is most likely to be treated with regenerative therapy?
3 wall trough
46
What is the most important facor in determining prognosis?
CAL
47
____ are used for removal of penacious calculus
Ultrasonic scalers
48
Do magnetosctrictive or piezoelectic ultrasonic vibrate in a linear pattern?
Piezoelectric
49
Do magnetosctrictive or piezoelectic ultrasonic vibrate in an elliptical pattern?
Maagnetostrictive
50
What angulation should the curette be at when insertion of curette into pocket?
0 degrees
51
What angulation should the curette be at when scaling?
45-90 degrees
52
Should base or top of flap be wider?
Base wider
53
Where should vertical releasess be placed in relation to a tooth?
LIne angle
54
Whenever alveloar bone is exposed like in full thickness flaps, expect about ___ mm of bone resorption and remodeling
1 mm
55
Do periodontal packs enhance healing?
Do not enhance healing
56
What type of insicisoin is made on maxillary arch for distal wedge?
Full thickness flap with parallel incision
57
What type of insicisoin is made on mand arch for distal wedge?
Full thickness with v-shaped incision
58
_____ mucogingival surgery is used to widen band of keratinized tissue -Below gingival margin
Free gingival graft
59
______ mucoginigval surgery is used to cover roots ABove gingival margin
Connective tissue graft
60
Where is the most common site used for free gingival graft and connective tissue graft?
Palate
61
__ synthetic or inorgainic graft mateirals
Alloplast
62
_____ bone graft material provides a scaffold
Osteoconductive
63
___ bone graft mateiral converts neighboring porgenitor cells into osteoblasts
Osteoinductive
64
____ bone graft material makes bone
Osteogenic
65
What furcation class has best prognosis for regeneration?
Hamp Class 2
66
What vertical defects are treated with resection?
1 and 2 wall defects
67
What vertical defects are treated with regeneration?
3 and 4 wall defects
68
What recession class has best prognosis for regeneration with CTG?
Miller 1
69
What is the most effective abx regimen?
Amox and MZD for 14 days
70
Arrestin is what abx?
Minocycline (in)
71
Atridox is what local abx?
Doxycycline (dox)
72
PerioChip is what local abx?
Chlorohexidine gluconate (Ch)
73
_____ is occlusal trauma caused by excessive forces on a normal periodontium
Primary occlusal trauma
74
______ is occlusal trauma caused by excessive forces on a reduced periodontium
Secondary occlusal trauma
75
__ method of toothbrushing Most effective 45 degree angle
Bass method
76
Does waterpik reduce bacterial load on gingival or tooth?
Gingiva
77
What is the most common group of people that get periodontitis?
Males of African descent
78
____ of perio ds is determined by severity and extend of disease at presenation
Staging
79
___ flaps slplit the papilla Needed when interdental space is too narrow Can lead to formation of black triangles
Conventional
80
____ flap Internal bevel, sulcular, interdental incision Facilitates surgical debridement Doesn not directly reduce PD Open gingival curretage eliminates pocket lining
Modificed widman
81
_____ is most common flap in periodonal surg Improves access for instrumentation reduces PDs by removing pocket wall More aggressive
Undisplaced
82
____ flap Used for apicoectomy
Semilunar flap
83
___ flap Most common flap in OS No vertical release
Envelope
84
A pt has a deep pocket depth. Which procedure would reduce the PD while preserving gingiva? Undisplaced flap Apical positioned flap Lateral positioned flap Coronoally posiitoned flap Gingivectomy
Apical positioned flap
85
Is the distal wedge incision a full or partial thickness flap?
Full thickness
86
What is the predominant inflammatory cells in the perio pocket?
Neutrophils

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