Perio test #3

Question 1

Rub it and it bleeds…do what?

Answer 1

Biopsy

its an axe wound

Question 2

Pemphigoid is separation @

Answer 2

Epithelial Basement membrane junction with the C.T. layer

Question 3

Pemphigus is separation @

Answer 3

Within the Epithelial layer (cell to cell connection)

Question 4

INR ONLY USED FOR what patients?

Answer 4

ONLY for patients with WARFARIN.

Question 5

INR=

Answer 5

Patient/Control (reference)

Question 6

INR of a patient that will NOT receive care

Answer 6

3.0 or higher

Question 7

What info can GCF testing relay? (3)

Answer 7

Mediator content
Characterizes host response
Bacterial products

Question 8

Bone loss mediators (3)

Answer 8

Osteocalcin
ICTP
NTX

Question 9

What are the four types of Mediator content?

Answer 9

1. Cytokines/inflammatory
2. Biochemical markers of bone loss
3. Enzymes
4. Soft tissue breakdown

Question 10

Why is GCF used in the mouth diagnostically?

Answer 10

To assess INDIVIDUAL sites.

Question 11

What is salivary testing used in the mouth diagnostically?

Answer 11

Overview of entire mouth.

• inflammatory mediators
• Antibodies
• Enzymes

Question 12

What can one use to increase the sensitivity of bone loss seen on the radiograph from 30% (naked eye) and to what degree.

Answer 12

use of subtraction radiography to increase sensitivity to 5%.

-CADIA

Question 13

Bacterial profile for LAP

Answer 13

A.A.

Question 14

Bacterial profile for GAP

Answer 14

P. Ging

Question 15

Which test has a high predictive value for disease progression which can be cost effective?

Answer 15

NOPE

Question 16

Disease distribution

• Localized =
• Generalized =

Answer 16

Local - 1-2 in one or more symmetrical areas

Generalized - 2 or more teeth in EACH quadrant.

Question 17

Gingival overgrowth caused by medication (3)

Answer 17

1. Phenytoin (dilantin)
2. Calcium channel blockers
3. Cyclosporin

Question 18

Response of Gingival diseases to prophy?

Answer 18

Good response with removal of local irritants

Question 19

Gingival disorders caused by Medicine, plaque and ________

Answer 19

Hormonal disorders (puberty/pregnancy)

Question 20

*****More inflammation is Good

Answer 20

indicates that less bone loss has occurred. just remove irritant :)

Question 21

Phases of treatment planning overview (6)

Answer 21

1) Prelim
2) Phase 1
3) Evaluation
4-6) Phase 2 3 and 4

Question 22

Preliminary

Answer 22

Emergencies and REQUIRED Extraction

-So issues don’t spread

Question 23

***Phase I

Answer 23

Learn on own

Question 24

Phase II (3)

Answer 24

1. PD surgery
2. Implants
3. (root canal ENDO)

Question 25

Phase III (2)

Answer 25

1. Restorations FINALIZING | 2. Fixed and removable pros

Question 26

Phase IV

Answer 26

1. Periodic recalls with supportive therapy

Question 27

SRP requires what level of INR

Answer 27

3.0 or less

Question 28

Adjustments for Infective endocarditis (2)

Answer 28

1. Extend antibiotic coverage during debridement 2. 10-14 days between coverage or rotate antibiotics 3. Pretreat with chlorhexidine

Question 29

Adjustments for Kidney failure (2) [what to monitor in them]

Answer 29

1. Keep track of patients Urea level | 2. Bleeding tests PTT PT etc.

Question 30

Best time to treat Kidney issue patients

Answer 30

BEFORE transplant/dialysis!

Question 31

Primary concerns for transplant patients (2)

Answer 31

Infections Medications causing gingival growth

Question 32

Pulmonary diseases adjustment

Answer 32

NO bilateral blocks and no ultrasonic devices

Question 33

Three concerns with Radiation

Answer 33

Xerostomia Osteoradionecrosis - stuff losses blood supply and dies Stunted roots - radiation during tooth formation.

Question 34

Adjustments Uncontrolled diabetes normal treatment? spencer is a little bitch

Answer 34

Antibiotic prophylaxis during debridement

Question 35

Adjustments for controlled diabetes

Answer 35

No epinephrine ABOVE 1:100,000

Question 36

Lab levels A1C

Answer 36

4-6 Normal 7 good diabetic control 7-8 moderate diabetes 8 and above (YOU SUCK, YOU WILL DIE)

Question 37

Hyperthyroid limit what? | Hypothyroid limit what?

Answer 37

Hyper - no stress :) | Hypo - Limit any sedation

Question 38

Adjustment treatment with "Given exogenous glucocorticosteriods"

Answer 38

Give 2-4x normal | -if they have had 20mg or more per day for 2 weeks in last 1 year.

Question 39

Adjustments for hemmoragic disorders | -Warfarin (coumadin)

Answer 39

-INR 1.5 or below for surgery and 3.0 for other simple crap

Question 40

Adjustments for hemmoragic disorders | -NSAIDS

Answer 40

-Nsaids have a long half life and must wait 7-14 days for them to take (not much effect on Rootplaning)

Question 41

Adjustment for liver disease

Answer 41

concerns about excessive bleeding

Question 42

Adjustment for Hemophilia

Answer 42

Replace their low coagulation factor

Question 43

What adjustments must be made for thrombocytopenia and for what degree of cytopenia?

Answer 43

BELOW 30,000 platelets and careful root planing

Question 44

Adjustment for Leukemia?

Answer 44

* THEY are immunocompromised so: - antibiotic (chlorhexidine and oral tablet) - Thrombocytopenia

Question 45

What treatments to do for acute vs chronic phase Leukemia patient?

Answer 45

ONLY emergencies vs chronic stage: normal dentistry

Question 46

purpose of root planing

Answer 46

remove toxified cementum

Question 47

when is ultrasonic better for effective cleaning not just a time saver?

Answer 47

class 2 and class 3 furcation involvement

Question 48

To what depth are closed procedures (no flap) efffective

Answer 48

5 mm or under

Question 49

Expected recession following SRP for 5mm (or less) is? | what if it is more than 5?

Answer 49

Less than 5 is 1mm | More than 5 is 2-3mm

Question 50

Goals of SRP (phase I)

Answer 50

- Shrinkage-->Recession | - Less BOP