PERIODONTICS Flashcards

Question

Explain whether supra/subgingival use, grain size and suitability for low salt diet patients for the following: - Sodium bicarbonate - Calcium carbonate - Glycine - Erythritol

Answer 1

- Sodium bicarbonate: Supragingival, 65 -250 μm, not suitable for low salt diet - Calcium carbonate: Supragingival, 54 μm, suitable for low salt diet - Glycine: Subgingival, 25 μm, suitable for low salt diet - Erythritol: Subgingival ad supragingival, 14 μm, suitable for low salt diet

Answer 2

C) is true A) Standard tip should be used for up to 4mm. Subgingival tip used for pockets 5 - 10mm B) Does not remove calculus D) Should not air polish on an area for > 5 seconds

Answer 3

B) It is only recommended as an adjunctive therapy

Answer 4

- Extrinsic yellow/brown discolouration of teeth and oral mucosa (removed with AP) - Increased in presence of biofilm and diet – iron supplements, wine, tea/coffee - Decreased risk with decreased concentration - Interference with taste bud activity → Food tastes bland - Temporary burning sensation and dry oral mucosa - Desquamative lesions and oral mucosa - Hypersensitivity reaction NB: Generally high risk of adverse effects if used for >2 times/day

Answer 5

Chlorhexidine - Gram + - Less active against gram - Essential oils - G+ and G - - Fungi - Some viruses CPC - Gram + and yeasts

Answer 6

C is correct A - this is the classification for health in the intact periodontium B - this is the classification for health in a reduced periodontium (w/out perio) D - this is the classification for health in a reduced periodontium & Hx of perio

Answer 7

SAP SBI --> API --> PSR

Answer 8

Green banded slow speed hand piece --> runs at 5500rpm When performing prophylaxis you want to remain <3000rpm

Answer 9

Screening probe with measurements --> 0.5mm (ball) then increments of 3, 2, 3, 3 OR 0.5mm (ball), 3.5, 5.5, 8.5, 11.5

Answer 10

25-50g of pressure 20g when probing an implant

Answer 11

PSR - yes API/SBI - no

Answer 12

16, 11, 26, 36, 31, 46

Answer 13

0 - black mark visible, no bleeding, no calculus 1 - black mark visible, bleeding, no calculus 2 - black mark visible, bleeding, calculus and/or defective restoration margins 3- black mark partly visible, bleeding possible, calculus and/or defective restoration margins possible 4 - black mark no longer visible, bleeding possible, calculus and/or defective restoration margins possible

Answer 14

1. The code 3 sextant requires comprehensive perio charting 2. Full-mouth comprehensive perio charting

Answer 15

The tri-colour gel allows the plaque on teeth to be visdualised. the gel contains a red pigment, blue pigment and sucrose Three colours indicate different levels of the plaque Pink - indicates plaque that has been present for <24 hours. The plaque is not thick enough to retain the blue pigment once rinsed Purple/dark blue - indicated older plaque >48hrs. The plaque here is mature/structured anmd hence retains both the pink and blue pigments even after rinsing Blue/light blue - indicated a high risk cariogenic plaque. In this plaque the sucrose is metabolised by acidogenic bacteria --> this leads to acid production (<4.5pH) which breaks down the red pigment leaving only the blue

Answer 16

Critical pH - 5.5 Light blue Tri-colour Gel - 4.5

Answer 17

SBI - 15-25% API - 25-35%

Answer 18

Underlying bleeding risk/systemic bleeding condition Diabetes mellitus Vitamin C deficiency Medications that increase bleeding (warfarin, heparin) Pregnancy

Answer 19

Areas of recession Misaligned teeth Distal surfaces of distal most molars Partially erupted teeth

Answer 20

Brush is held at a 45 degree angle towards the gingiva so the brush is 1/2 on tooth and 1/2 on the gums - this allows the bristles to enter and clean the gingival sulcus. Gentle pressure is applied and using 10 small circular/vibrating motions each tooth is cleaned one at a time

Answer 21

Charters TB is placed at a 90 degree angle to the long axis of the tooth, pressure applied so the brush is averted from the gingiva.

Answer 22

Dosage: 15ml of 0.12% - twice daily 10ml of 0.2% - twice daily Mild issue, prevention - 2 weeks use Chronic issue, post-op, severe disease - 4 weeks use Indications: - Adjunct to brushing and flossing for those who are impaired --> decreased saliva, decreased motivation, decreadsed mobility/function - Alternative to brushing after surgery or when there is an acute infection that causes ginvial pain --> affecting mechanical brushing - Prevention/management of candida infections - Halitosis ADR: Yellow/brown discolouration of teeth, tongue, restorations Dysgeusia Burning mouth Desquamative lesions Parotid swelling Hypersensitivity (rarer but on the rise)

Answer 23

Lingual Buccal

Answer 24

24 Reading points 14 and 15 - lose one reading point 21/28 - irrelevant 24 gap closure - lose one reading point 34-36 - losing two reading points 43-45 all replaced with implants - reading points retained

Answer 25

API - 50% SBI - 75% This is not good, patient needs education on brushing and cleaning techniques. IDT and initial therapy I

Answer 26

o Active ingredients with clinical evidence  Arginine • Works with calcium carbonate to create dentine-like material to occlude tubules • Colgate sensitive pro relief toothpaste  Strontium • Equivalent to arginine • Sensodyne rapid relief • Sensodyne original (red packaging)  Stannous fluoride • Superior to arginine • Forms calcified barrier on dentin surface to occlude tubules • Oral B Pro Health

Answer 27

Gingival abscess = Pus in gingiva, occurs due in healthy gingiva due to foreign body impaction or root morphology (e.g. root invagination) --> Swelling of gingiva with pain and pus, pseudpocket Treamtnet = Incision and drainage, removal of cause, NO abx Periodontal abscess = Pus in periodontal pocket, occurs in perio involved gingiva --> Swelling of pocket with pain and pus, PPD, bone loss, mobility of tooth Treatment = Incision and drainage with review in 48hrs (abx if drainage is difficult), periodontal therapy

PERIODONTICS Flashcards

(52 cards)