Week 4 Flashcards

(46 cards)

1
Q

what is the study of the distribution of a disease, in a defined population over a specific time and the variables that are in effect

A

epidemiology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the sum of all examined individuals or sites that exhibit the condition or disease of interest divided by the sum of the number of individuals or sites examined

A

prevalence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the probability that an individual or site will develop a particular condition or disease during follow up

A

risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the probability than an event happened divided by the probabiliity that an event did not happen

A

odds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the number of disease occurrences per person/time or site/time

A

incidence rate

e.g. speedometer displays at any given time the number of miles being traveled per hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what measures the severiity and quantity of gingival inflammatiion and only gingival tissues are assessed

A

gingival index GI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the scores of the gingival index and what does each represenst

A

0 = health/normal gingiva
1 = mild inflammatiton with no BOP
2 = moderate inflammatiion w BOP
3 = severe inflammation w spontaneous bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the plaque index

A
  • assess percentages of surfaces that have identifiable plaque
  • DOES NOT TAKE INTO ACCOUNT AMOUNT OF SURFACE COVERED W PLAQUE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the bleeding index

A

asses percentage of tooth surfaces with gingival margin bleeding when probed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are tangible outcomes that directly measusre how a pt feels, functions or survives (quality of life, self reported problems)

A

true endpoint

e.g. if pt brushes does it normally bleed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what endpoint is intangible to the pt, what are examples

A

surrogate endpoint

  1. anatomic measures - PD
  2. measures of inflammation - BOP
  3. microbiologic measurements OBJECTIVE IN NATURE - pt doesnt know different between 3.5 and 4 mm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

type of study:

Outcome-Based Study
Subjects have the condition of interest
Compared to subjects without the condition
Determine suspected causal factors

A

case-control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

type of study:
exposure-based study
subjeccts are free of disease
followed longitudinally for assessment of outcome

A

cohort studies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

type of study:

assign patientts randomly to treattment group
monitor and assess the outcomess

A

randomized controlled trialss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the most reliable study design

A

randomized controlled trial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what percent of dental disease is plaque induced

A

95%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

studies indicate that plaque levels of ___% will result in stability of periodontal health

A

10-15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what percent of p. gingivalis is found in blood vessel plaques

A

26%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the common brush style on the market? why?

A

a flat, level surface and straight edge gives max surface contact for efficiency

20
Q

are electric toothbrushes more beneficial than manual?

A

there is no beneficial effect in reducing gingivitis with electric toothbrushes currently

21
Q

what is the most effective means of preventing and controlling infective periodontal, dental, and implant diseases?

A

eliminating the accumulation of dental biofilm on the teeth

22
Q

what is the goal of the patient’s plaque removal

A

reduce the quantity of microorganisms, thus affecting virulence and concentration of toxins

23
Q

T/F: the patient must be able to access the root for plaque removal

24
Q

motivation techniques

A
  1. sandwich
  2. 3 minute instruction and done
  3. repetition
  4. incremental
  5. show and tell
25
what are EXPLORATORY instruments
1. #23 explorer 2. periodontal probe 3. #11-12 explorer
26
exploratory instruments are used with a light grip and light touch to increase what?
tactile sense
27
what are WORKING instruments
scalers and curretes
28
how should you use working instruments
with a firm grip and forceful touch
29
how many cutting edges on scalers
two, one on eaech side of instrument head
30
should you use scalers supra and subgingivally?
NO. only used supragingivally
31
H6-7 is used on what teeth
anterior teeth
32
what is used to hook under large calculus deposits for removal on anterior teeth
scaler tip
33
what should never be used on the tooth surface or the sharp point will damage the tooth structure
scaler tip
34
what portion of the scaler should be used to contact tooth structure
side or edge of the tip (like 11-12 explorer)
35
when the terminal shank of the scaler is parallel to long axis of the tooth, the cutting edge will point where?
into interproximal area
36
Clean the away surfaces from the ___ position. Clean the toward surfaces from the ___ position.
back, front
37
how do you avoid risk of damage to the tooth structure and the soft gingival tissue w/ scaler
only used with an up-stroke from apical to incisal direction
38
what should you NOT do with H6-7 scaler
1. use the tip against the tooth surface, especially dentin 2. using scaler sub-gingivally 3. pointing the tip into the gingival tissues
39
what is the calculus grading scale
0 - no calc 1 - trace - trace levels of calculus at gingival margin or between teeth 2 - slight - calculus deposits 1 mm or less 3 - moderate - calculus deposits 1-2 mm but covering less than 1/3rd of tooth surface 4 - heavy - calculus deposits greater than 2 mm may extend over soft tissues, or may bridge teeth
40
the removal of plaque, acquired pellicle and stain can be used with what?
rotary handpiece, polishing cup/brush, and abrasive paste
41
prophylaxis and cup are used on what handpiece?
slow speed
42
what type of stains does polishing remove
extrinisic stains
43
T/F: polishing is used with a LIGHT TOUCH and multiple short duration applications to the tooth surface
TRUE
44
where do you put the edge of the prophy cup
free gingival margin
45
what suction to use when polishing
high evacuation sucion
46
what to do if you dont have assistant to hold high evac suction while polishing?
1. prophy paste on a toothbrush and remove plaque in that manner 2. CHX or other mouthrinse can be placed on a toothbrush and used to remove plaque