PF Flashcards
(106 cards)
1
Q
PDL
A
arises from the cementum and the alveolar bone simultaneously and grows into the mid-portion of the PDL space
2
Q
the space between the free gingiva and the tooth surface is called:
A
sulcus
3
Q
the col:
A
is absent if teeth are missing
4
Q
Cementum
A
anchors the PDL to the bone protects dentin
5
Q
Gingiva
A
provides a tissue seal around the neck of the tooth, covers bone, and keeps the tissue around the tooth while chewing
6
Q
Alveolar bone
A
surrounds and supports the roots of the tooth
7
Q
PDL
A
suspends and maintains the tooth in its socket
8
Q
Name the 5 functions of the PDL
A
sensory, supportive, remodeling, nutritive and formative
9
Q
Name the branches of the 5th cranial nerve that innervates the maxilla and the mandible
A
Maxilla V2 and Mandible V3
10
Q
Name the 5 principal fiber groups of the PDL
A
alveolar crest, horizontal, interradicular, oblique, and apical
11
Q
What type of cementum aides in compensation for attrition?
A
cellular cementum
12
Q
Which term accurately describes the excessive deposition of cementum on the roots of teeth. In the absence of pathology, no treatment is needed.
A
Hypercementosis
13
Q
Alveologingiva
A
attach gingiva to the bone
14
Q
dentogingival
A
attach gingiva to the teeth
15
Q
circular
A
encircles the tooth like a ring not attached to cementum
16
Q
interpapillary
A
located in the papilla coronal to transseptal fiberstr
17
Q
transgingival
A
runs horizontally between adjacent teeth, like teeth into arch
18
Q
transseptal
A
passes over crest of alveolar bone secures alignment
19
Q
periosteogingival
A
attach gingiva to the bone
20
Q
intergingival
A
extend in mesiodistal direction along entire arch & the last molar
21
Q
the sulcular epithelium has how many cellular layers?
A
3
22
Q
what are supragingival fiber bundles of the gingival connective tissues?
A
network of rope like collagen fiber bundles in the gingival connective tissue
23
Q
how many supragingival fiber groups are there?
A
9 groups
24
Q
what are the 3 ways in which the fiber bundles are classified?
A
orientation, site of insertion, and the structures they connect
25
When considering bone loss, a bowled out defect in the alveolar bone is called?
osseous crater
26
Which of the bony defect has the worst prognosis?
1 wall
27
Name the 3 basic states of the periodontium
Health, gingivitis, periodontitis
28
the onset time for periodontitis is:
slow and varies
29
When considering different patterns of bone loss, there is a pathway that inflammation spreads which creates either vertical bone
loss or horizontal bone loss. Which pathway starts in the connective tissue, goes into the PDL space, then into the alveolar
bone?
Vertical bone loss
30
Which of the bony defects has the best prognosis?
3 wall
31
Name the two basic categories of periodontal disease
gingivitis and periodontitis
32
Microscopic pictures of gingivitis include all of the following except:
bone destruction
33
the onset time for periodontitis is:
varies per patient
34
When considering different patterns of bone loss, there is a pathway that inflammation spreads which creates either vertical bone
loss or horizontal bone loss. What type of bone loss is observed when the pathway starts in the connective tissue, into the
alveolar bone, then into the PDL space?
horizontal bone loss
35
Your patient presents with 3mm of recession on the maxillary canine and premolar areas on the UR. All other areas have no
recession, bleeding or probing depths past 3mm. This patient does not have a history of periodontal disease. After much
discussion with your patient, you have assessed that the recession is due to using a toothbrush that is too hard. How would you
describe this patients periodontium according to the new classification system?
Clinical health on a reduced periodontium.
36
________ is the study of the pathological manifestation of periodontitis
Pathophysiology
37
A key clinical difference between periodontal disease and necrotizing periodontal disease would be the observation of
psuedomembrane present
38
Name two reasons for splinting teeth
-create an even distribution of forces
-decreased or control mobility of teeth
39
A return of destructive periodontitis that had been previously arrested with periodontal therapy is called ____________.
recurrent
40
Name the three parts to a fully functional implant. A fully functional implant is one that a patient can chew with
implant body, abutments, and crown
41
Which of the necrotizing periodontal diseases extends beyond the gingiva and can affect the tongue, cheek, and palate?
Necrotizing stomatitis
42
A patient that continues to show continued attachment loss despite good treatment and compliance is called
refactory
43
The direct contact of the living bone with the surface of the implant body is called ______________.
Osseointegration
44
Name two differeces in the tissues surrounding a dental implant versus the tissue surrounding a natural tooth
No PDL and No cementum
45
The distribution of the disease throughout the entire oral cavity or the degree in which a disease has spread is called
______________.
extent
46
Which category of periodontal health does your patient fit into if you have treated them and they have evidence of bone loss due to
periodontitis but over the last two years show no BOP, no increase in pocket depths, no edema or erythema, and minimal plaque?
periodontal health on a reduced periodontium in a successfully treated stable periodontitis patient
47
Name two potential modifying factors of plaque-induced gingivitis that are considered systemic conditions
puberty and pregnancy
48
With some patients, some teeth will have severe destruction while other teeth do not show any signs of destruction. This is known as
___________ periodontal disease. Sometimes we refer to this as localized periodontal disease
site specific
49
When bacteria live in balance and harmony this is termed
Symbiosis
50
P. gingivalis, P. intermedia, P. denticola, T. forsythia are all considered
Gram negative obligate anaerobes
51
The first 4 stages of plaque biofilm development in the oral cavity include:
Pellicle attachment, permanent attachment, self-protective matrix
formation, mushroom microcolonies.
52
During which phase of plaque biofilm development in the oral cavity is the chronic
disease of periodontitis established?
Self-protective matrix formation
53
Resident bacteria that supply the host with essential nutrients and defend against
opportunistic pathogens is:
Commensal bacteria
54
This is composed of salivary microproteins and antibodies, it plays an important role in
protecting enamel from acidic activity.
acquired pellicle
55
Name the immune system that is present at birth and does not improve with repeated
exposure to an infectious agent
innate immune system
56
A leukocyte travels through the bloodstream to an infection site and pushes its way between
the cells lining the blood vessel. This process of exiting the blood vessel is termed:
transendotheial migration
57
Name the 4 functions of the complement system.
1. Destruction of pathogens
2. Opsonization of pathogens
3. Recruitment of phagocytes
4. Immune clearance
58
A key clinical difference between periodontal disease and necrotizing periodontal disease would be the observation of:
psuedomembrane
59
_______ _________ is an individual's right to refuse all or a portion of proposed treatment.
informed refusal
60
An appointment in which emergency treatment takes place indicates the patient is in which phase of treatment?
phase 0
61
collaborative process that recognizes a patient's right to make decisions about their care once they have been fully informed of
options is called ______________.
Shared decision- making
62
Prevention of recurring disease is part of what phase of treatment?
Phase IV
63
A ___________ ___________ summarizes the results of available carefully designed health care studies (controlled trials) and
provides a high level of evidence on the effectiveness of health are interventions.
systematic review
64
An appointment in which restorative procedures take place indicates the patient is in which phase of treatment?
Phase III
65
In which phase of treatment would your patient be in if the periodontist were placing implants for the lower right molar area?
Phase II
66
What is a dental implant?
non-biological medical device surgically placed into the jawbone
67
Name the 2 ways implant crowns are seated
cement and screw retained
68
the biologic seal around an implant is equivalent to ________ for a natural tooth?
junctional epithelium
69
The type of sinus lift procedure in which bone is utilized to lift the sinus floor through the buccal plate bone is called:
external or lateral window
70
Name the 2 types of implant materials
titanium and zirconia
71
What type of implant system would be utilized if a patient was edentulous, had moderate loss of bone, and wanted to have a full
implant supported denture? This type of system would require a sugical flap to access the alveolar bone and an impression of
the alveolar bone in order to create the framework that would be placed directly on the jawbone
subperiosteal
72
What type of implant system would require an external incision (outside of the mouth), typically underneath the chin that would
run along the inferior border of the jaw. This implant system would have posts that run through the jaw bone and come through
the tissues intraorally.
transosteal
73
The type of sinus elevation procedure that involves an intraoral incision and tapping of the bone to lift the floor of the sinus in
order to allow room for an implant to be placed is called: _____________________
internal crestal
74
You have a stable implant patient that you have been maintaining for 5 years on a 3 month recall. During your last recall, you
noted evidence of inflammation, slight bleeding, but no bone loss with this patient since implants were placed. Homecare is farily
good and patient is compliant. Your patient has asked to move to a 6 month recall instead of a 3 month recall due to finances.
What is your best advice?
There is evidence of some bleeding and inflammation. It is best to stay with 3 month recall appointments
75
You take your probe to check the tissues surrounding an implant. There is bleeding and the tissues are slightly soft. X-ray taken
today show no evidence of bone loss and there is no mobility. Your patient likely has:
peri-implant mucositis
76
Extracellular matrix prevents large molecules and inflammatory cells from penetrating matrix. Mature biofilms block small
molecules like antimicrobial agents. This phenomenon is called what?
blocking
77
___________________________ is the failure to provide sufficient information for the patient to make informed decisions
malpractice
78
Calculus attaches to the tooth surface through 3 different modes. Name the three modes of attachment to tooth surfaces
Pellicle
Tooth irregularities
Direct contact of the calcified component
79
Name three types of local contributing factors that relate to tooth morphology
Palatolingual groover
Cervical enamel projection
Enamel pearl
80
Name 3 examples of iatrogenic factors that increase plaque retention
open margins, overhangs, and poor contoured crowns
81
Name the three types of dental calculus.
Brushite
Octacalcium phosphate
Hydroxyapatite crystals
82
Injury from normal or excessive occlusal forces applied to a periodontium previously damaged by periodontitis is called
__________.
secondary occlusal trauma
83
Injury to the periodontium resulting from excessive occlusal forces is called ______________.
occlusal trauma
84
Name two medical concerns with Down Syndrome that would affect a patients periodontal condition
mouth breathing and tongue protrusion
85
Osteoclasts break down the bone mineral and matrix
resorption phase
86
Osteoclasts stop the process of resorption. Cells release a signal that attract
osteoblasts to the area.
reversal phase
87
Osteoblasts form a matrix to replace resorbed bone with new bone. Under normal
conditions new mineralized bone is equal to resorbed bone.
formation phase
88
Period following the formation phase. Maintained until the next bone remodeling cycle is
signaled
resting phase
89
Name the 3 major classes of drugs associated with gingival enlargment.
-anticonvulsants
-immunosuppressants
-calcium channel blockers
90
Name the three types of diabetes.
Type I
Type II
Pregnancy
91
Name 2 foods to tell your patients to avoid if they have mouth sores.
spicy and alcohol
92
Name 3 food to recommend to a patient when they have mouth sores.
soups, soft foods, smoothies
93
Closely related metabolic disturbances that occur together, increasing risk of heart disease, stroke and diabetes is called
_________.
metabolic syndrome
94
Injury to the periodontium and excessive occlusal forces that result from tooth-to-tooth contact when NOT in the act of chewing is
called ______________.
Parafunctional occlusal forces
95
Name the three criteria for effective chemical agents
reach site at disease, able to be delivered at a bacteriostatic or bactericidal concentration, remain in place long enough to be effective
96
What type of abscess involves the pulp of the tooth being infected or the death of the tooth pulp from trauma or from deep
decay?
endo abscess
97
An abscess that is isolated and limited to the gingiva or to the interdental papilla is called___________
gingival abscess
98
What is the concentration of Chlorehexidine gluconate mouthrinse utilized in dentistry?
.12%
99
What is the prescription for Periostat?
20mg x2day
100
What is the major side effect of bisphosphonates in dentistry. This usually occurs after oral surgery.
Osteonecrosis of the jaw
101
Name three types of commonly used antibiotics in dentistry
Amoxicillin, Tetracycline, Z Pack
102
Which type of abscess involves the necrosis or "death" of the pulp and moderate-severe bone loss?
perio endo
103
__________ is an abscess of the periodontium that involves tissues around the crown of a partially erupted tooth.
Pericoronal Abscess
104
A ________ _________ is a niche or secure place in the oral cavity that allows periodontal pathogens to live undisturbed.
microbial reservoir
105
What product/material is used to trace the source of an abscess?
gutta percha
106
A fragment of necrotic bone is known as ______________.
sequestrum
