PERIO CHAPTERS 9,10,11,12

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tigermom23
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14211
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PERIO CHAPTERS 9,10,11,12
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2010-04-13 00:44:12
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PERIO C 9 10 11 12 STUDY QUESTIONS
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PERIO C/9,10,11,12 STUDY QUESTION
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  1. PHASE OF TREATMENT THAT DESCRIBES THE PROCEDURES DESIGNED TO CONTROL OR ELIMINATE THE ETIOLOGC FACTORS OF DISEASE
    PHASE i THERAPY
  2. PHASE OF TREATMENT DESCRIBES THE PROCEDURES FOR RESTORATION OR REPLACEMENT OF TEETH
    PHASE iii
  3. GOALS OF TREATMENT PLANNING ARE TO ELIMINATE AND CONTROL FACTORS OF DISEASE AND TO PREVENT RECURRENCE OF DISEASE.
    TRUE
  4. THE RDH CAN USE TREATMENT PLANNING AS AN OPPORTUNITY TO EXPLAIN PROBLEMS TO PATIENTS IN UNDERSTANDABLE TERMS
    TRUE
  5. FACTORS THAT INFLUENCE THE NUMBER AND LENGTH OF TREATMENT VISITS FOR NUMBER AND LENGHT OF TREATMENT VISITS FOR RDH CARE
    • AMOUNT OF CALCULUS
    • SEVERITY OF PERIODONTAL POCKETS
    • WILLINGNESS OF PATIENT TO COOPERATE
  6. THE TERM THAT DESCRIBES THE BASIS FOR LEGAL RELATIONSHIP BETWEEN THE HEALTH CARE PROVIDER AND THE PATIENT
    INFORMED CONSENT
  7. ADAPTIVE CAPACITY OF THE OROFACIAL COMPLEX
    ORTHOFUNCTION
  8. HEAVY OCCLUSAL FORCES THAT HAVE CAUSED INJURY TO TISSUE AND BONE IN A NORMAL PERIODONTIUM
    PRIMARY TRAUMATIC OCCLUSION
  9. EITOLOGY OF TEMPOROMANDIBULAR DISORDERS
    MULTI-FACTORIAL
  10. 4 PRIMARY SYMPTOMS OF TMD
    • 1. LIMITATION OF MOVEMENT
    • 2. MUSCLE PAIN
    • 3. JAW PAIN
    • 4. CLICKING
  11. PAIN IN THE MUSCLE
    MYALGIA
  12. PLAQUE CONTROL FOR THE PERIODONTAL PATIENT INCLUDES TOOTHBRUSHING AND THE USE OF DENTAL FLOSS.
    TRUE
  13. IN AREAS WHERE THE INTERPROXIMAL BRUSH CAN BE USED-IT IS NOT NECESSARY TO FLOSS.
    TRUE
  14. MOST RECOMMENDED TOOTHBRUSHING METHOD ACCEPTED BY DENTAL PROFESSIONAL
    BASS METHOD
  15. PERCENT OF AMERICANS THAT FLOSS DAILY
    10%
  16. PROPERTY OF CHEMICAL ANTIPLAQUE AGENTS TAHT ALLOW PLAQUE TO ADHEAR TO ORAL STRUCTURE OVER TIME
    SUBSTANTIVITY
  17. EFFECTIVE ANTIMICROBIAL PRODUCTS THAT HAVE BEEN USED AS IRRIGANTS
    • .12% CHLORHEXIDINE
    • .4% STANNOUS FLUORIDE
    • .05% PROVIDONE IODINE
  18. THE GOAL OF PERIODONTAL INSTRUMENTATION IS TO RETURN THE PERIODONTIUM TO STATE OF HEALTH
    TRUE
  19. PERIODONTAL HEALTH IS ACHIEVED THROUGH PERIODONTAL THERAPY THAT CREATES GLASSY HARD AND SMOOTH ROOT SURFACES AT EACH TREATMENT VISIT
    FALSE
  20. REMOVAL OF THE INFLAMED SOFT TISSUE WALL LINING OF THE PERIODONTAL POCKET
    GINGIVAL CURETTAGE
  21. CONCEPT OF PERIODONTAL PATHOGENS ASSOCIATED WITH DIFFERENT PERIODONTAL DISEASES
    SPECIFIC PLAQUE HYPOTHESIS
  22. COMPLETE CALCULUS REMOVAL WITH HAND INSTRUMENTS OR POWER INSTRUMENTS IS A GOAL FOR THE RDH
    TRUE
  23. CALCULUS IS THE ETIOLOGIC AGENT IN PERIODONTAL DISEASE
    FALSE-PLAQUE IS THE ETIOLOGIC AGENT OF PERIO DISEASE
  24. ROUGH ROOT SURFACES ARE MECHANICAL IRRITANTS
    FALSE
  25. ROUGH ROOT SURFACES DELAY HEALING
    FALSE
  26. INSTRUMENTS MUST BE SHARP BECAUSE
    WE WANT TO AVOID BURNISHING THE CALCULUS
  27. HOW MUCH TIME SHOULD PASS BEFORE CLINICAL EVALUATION OF THE SOFT TISSUE AFTER PERIO CLEANING
    4 WEEKS
  28. ANTERIOR TEETH
    1/2 AND 3/4
  29. ANTERIOR AND BICUSPIDS
    5/6
  30. BUCCAL AND LINGUAL POSTERIOR TEETH
    7/8 AND 9/10
  31. MESIAL POSTERIOR
    11/12
  32. DISTAL POSTERIOR
    13/14
  33. (M)AND (D) OF POSTERIOR LINGUAL
    11/14
  34. (M)AND (D) POSTERIOR BUCCAL
    12/13
  35. POSTERIOR (F),(L),(M)
    15/16
  36. POSTERIOR (D)
    17/18
  37. GRACEY USED FOR PERIO POCKETS THAT MEASURE MORE THAN 5mm
    AFTER 5
  38. GRACEY USED FOR ROOT PLANE
    EXTENDED SHANK
  39. WHEN DO WE NOT WANT TO DO GINGIVAL CURETTAGE
    • FIBROUS TISSUE -WILL NOT SHRINK
    • INFRABONY POCKETS-WON'T SHRINK
    • ANUG/ANUP
  40. GINGIVAL CURETTAGE IS BEST USED WHEN?
    WHEN POCKETS ARE SHALLOW WITH SUPRABONY PCKETS AND INFLAMMED GINGIVA.
  41. WHAT IS THE GOAL OF ROOT PLANNING
    TO RESTORE THE TISSUES TO HELATH BY REMOVING THE FACTORS THAT CAUSE INFLAMMATION
  42. CEMENTUM THAT HAS BEEN PERMEATED BY TOXINS OF PLAQUE
    ALTERED (NERCROTIC) CEMENTUM
  43. WHEN A SMOOTH ROOT IS PROVIDED, THERE IS LESS CHANCE FOR CALCULUS REATTACHMENT AND ENHANCES THE CONDITIONS THAT ARE FAVORABLE FOR REATTACHMENT OF NEW FIBERS.
    TRUE
  44. TYPE OF PRESSURE THAT IS CREATED WHEN FORCE IS APPLIED AGAINST THE SURFACE F A TOOTH WITH A CUTTING EDGE OF THE CURET BLADE.
    LATERAL PRESSURE
  45. FIRM AND MODERATE LATERAL PRESSUER IS USED INITIALLY TO REMOVE CALCULUS
    SCALING
  46. LIGHT LATERAL PRESSURE
    ROOT PLANNING STROKES
  47. INSTRUMENTS THAT ARE BEST SUITED FOR ROOT PLANNING
    CURETTES
  48. AREA SPECIFIC CURETTES
    GRACEY
  49. ETIOLOGIC TREATMENT (CLEANING)
    PHASE i
  50. SURGICAL TREATMENT
    PHASE ii
  51. RESTORATIVE TREATMENT
    PHASE iii
  52. MAINTENANCE TREATMENT (RECALL)
    PHASE iV
  53. TREATMENT PLANNING FOR THE PERIO PATIENT
    • CONSIDER EACH CASE INDIVIDUALLY
    • CONSIDER SYSTEMIC FACTORS (MAY ALTER # OF APPTS.)
    • COSIDER SEVERITY OF DISEASE, PT COMPLIANCE, AMT OF CALCULUS...
  54. IS GROSS SCALING ACCEPTABLE
    • NO...EACH AREA SHOULD BE COMPLETELY SCALED AT THE APPOINTMENT.
    • PARTIAL DEBRIDEMENT CAN INCOURAGE PERIO ABCESSES
  55. IMMEDIATE GOAL OF INSTRUMENTATION
    COMPLETE REMOVAL OF PLAQUE AND CALCULUS
  56. LONG TERM GOAL
    PERIO HEALING MEASURED BY TISSUE RESPONSE
  57. ORTHOFUNCTION
    MORPHOFUNCTIONAL HARMONY COMFORT NORMAL FUNCTION
  58. HARMONY COMFORT AND NORMAL FUNCTION FOR THE PATIENT
    ORTHOFUNCTION
  59. DISHARMONY ABNORMAL FUNCTION OR PAIN
    DYSFUNCTION
  60. DYSFUNCTION
    DISHARMONY OR ABNORMAL FUNCTION AND PAIN
  61. OCCLUSAL FORCES THAT CAUSE INJURY TO TISSUE AND BONE IN NORMAL PERIODONTIUM
    PRIMARY TRAUMATIC OCCLUSION
  62. OCCLUSAL FORCES THAT CAUSE INJURY TO TISSUE AND BONE OF PERIODONTIUM THAT IS ALREADY AFFECTED BY PERIO DISEASE
    SECONDARY TRAUMATIC OCCLUSION
  63. TRAUMA FROM OCCLUSION CAN INITIATE GINGIVITIS AND PERIO DISEASE
    FALSE
  64. TRAUMA FROM OCCLUSION CAN INCREASE BONE LOSS AND POCKET DEPTH
    TRUE
  65. GROUP OF MUSCULOSKELEETAL CONDITIONS THAT CAN PRODUCE PAIN OR DYSFUNCTION IN THE MASTICATORY SYSTEM
    TMD
  66. PAIN IN MUSCLES (NOT JOINT)
    EXTRACAPSULAR
  67. PAIN IN JOINT(NOT MUSCLE)
    INTRACAPSULAR
  68. 4 PRIMARY SYSTEMS OF TMD
    • CLICKING
    • LIMITED MOVEMENT IN LOWER JAW
    • PAIN IN JOINT
    • PAIN IN MUSCLES
  69. ABNORMAL MOVEMENT; TMJ MUSCLE SPASM
    DYSKINESIA
  70. SHIFT IN MIDLINE DURING OPENING THAT DISAPPEARS LATER IN OPENING MOVEMENT
    DEVIATION
  71. SHIFT IN MIDLINE THAT BECOMES GREATER AS OPENING CONTINUES
    DEFLECTION
  72. CAUSED BY RESTRICTION IN ONE JOINT
    DEFLECTION
  73. CAUSED BY INTERFERENCE IN A DISC OF THE JOINT
    DEVIATION
  74. VISIBLE AND PALPABLE MOVEMENT OF A TOOTH UPON OCCLUDING
    FREMITUS
  75. CHANGES OBSERVED IN RADIOGRAPHS DUE TO EXCESIVE OCCLUSAL FORCES
    • INCREASED LIGAMENT SPACE
    • INCREASED CEMENTUM AT ROOT TIPS(HYPERCEMENTOSIS)
    • INCREASED DENSITY OF BONE AROUND TOOTH(OSTEOSCLEROSIS)
  76. TREATMENT METHODS OF TMD
    • HOME THERAPY
    • PHYSICAL THERAPY
    • OCCLUSAL APPLIANCES
    • BEHAVIORAL THERAPY
    • PHARMACOLOGIC THERAPY
    • SURGICAL THERAPY
    • IRREVERSIBLE TREATMENTS(SURGERY)
  77. PAIN IN A JOINT STRUCTURE
    ARTHRALGIA
  78. CLAMPING WITH OUT GRINDING
    CLENCHING
  79. GRATING NOISE IN THE TMJ BECAUSE OF DAMAGE
    CREPITATION
  80. ABNORMAL MOVEMENT IN MUSCLE
    DYSKINESIA
  81. SPASM IN MUSCLE ASSOCIATED WITH DISTURBANCE IN TRIGEMINAL NERVE
    TRISMUS
  82. ABILITY OF A SUBSTANCE TO ADHERE TO SUBSTANCES AND BE RELEASED OVER TIME
    SUBSTANTIVITY
  83. HOW DO CHLORHEXIDINE AND PHENOLIC COMPOUNDS ACT ON THE BACTERIA
    ALTERS THE BACTERIAL CELL WALL
  84. FLOURIDE WITH ANTIMICROBIAL PROPERTIES
    STANNOUS FLUORIDE
  85. HOW DOES STANNOUS FLUORIDE HELPS THE PERIO PT
    IT HAS ANTIPLAQUE PROPERTIES ALTERS CELL METABOLISM AND ADHEASION AS WELL AS ANTI CARIES PROPERTIES
  86. CAN STANNOUS FLUORIDE CAUSE GINGIVA IRRITATION IN SOME PATIENTS
    YES IT CAN
  87. NONSURGICAL PERIODONTAL THERAPY
    PHASE i
  88. PHASE i
    NONSURGICAL PERIO THERAPY
  89. REMOVAL OF CALCULUS DEPOSITS AND PLAQUE
    SCALING
  90. FEWER STROKES, SHORTER STROKES, AND HEAVIER PRESSURE
    SCALING STROKES
  91. REMOVAL OF SURFACE CEMENTUM THAT CONTAINS EMBEDDED CALCULUS OR MICROORGANISMS
    ROOT PLANING
  92. LONGER STROKES, LIGHTER PRESSURE, MANY STROKES
    ROOT PLANNING STROKES
  93. THE GOAL OF ROOT PLANING
    SMOOTH ROOTS...NOT GLASSY SMOOTH
  94. ANOTHER TERM FOR SCALING AND ROOT PLANING
    PERIODONTAL DEBRIDEMENT
  95. DISRUPTION OR REMOVAL OF PLAQUE
    PERIODONTAL DEBRIDEMENT
  96. THE GOAL OF PERIO DEBRIDEMENT
    RESTORATION OF HEALTH
  97. SCALING, ROOT PLANING, POLISHING - ANY PREVENTIVE PROCEDURES THAT REMOVE IRRITANTS TO THE GINGIVA
    PROPHYLAXIS
  98. REMOVAL OF STAINS AND SUPRAGINGIVAL PLAQUE
    CORONAL POLISH
  99. TO ONLY POLISH WHAT IS NECESSARY
    SELECTIVE POLISHING
  100. REMOVAL OF POCKET LINING
    GINGIVAL CURETTAGE
  101. GINGICAL CURETTAGE IS LEGAL IN MS AND IS PART OF STANDARD CARE.
    FALSE - CURETTAGE IS NOT LEGAL IN MS AND IS NOT DONE MUCH ANYMORE IN ANY AREA
  102. PROMOTE PLAQUE CONTROL; INSTRUMENT TOOTH SURFACES UNTIL CLEAN AND SMOOTH
    IMMEDIATE GOAL OF NONSURGICAL THERAPY (PHASEi)
  103. HOW CAN IMMEDIATE GOALS OF NONSURGICAL THERAPY BE BEST EVALUATED
    EXPLORATION
  104. RESTORATION OF GINGIVAL HELATH
    LONG TERM GOAL OF NONSURGICAL PERIO THERAPY
  105. HOW CAN WE BEST EVALUATE
  106. HOW CAN WE BEST EVALUATE THE PRODUCTION OF NONSURGICAL PERIO THERAPY
    • TISSUE RESPONSE
    • REDUCED INFLAMMATION
    • DECREASED PROBING DEPTH
    • AND GAIN OF CLINICAL ATTACHMENT
  107. EPTIHELIAL CELLS HEAL FASTER THAN CONNECTIVE TISSUE
    TRUE
  108. RESULT OF REPAIR IN EXISTING TISSUE INSTEAD OF REGENERATION OF TISSUE THAT IS LOST IN PERIODONTAL DISEASE
    HEALING
  109. DURING HEALING...WHY DO PROBING READINGS DECREASE
    INFLAMMATION IS RESOLVED. TISSUE HEALS.
  110. HEALING IS GREATEST AFTER....
    3-6 WEEKS
  111. AFTER NON SURGICAL PERIO TREATMENT(PHASE I) HOW LONG MUST WE WAIT UNTIL WE PROBE AGAIN
    4 WEEKS
  112. DURING HEALING, THE FORMATION OF NEW BONE, NEW CONNECTIVE TISSUE, AND NEW CEMENTUM ARE NOT PREDICTABLE OUTCOMES
    TRUE
  113. CAN NSPT MINIMIZE THE EXTENT OF SURGERY NEEDED
    YES IT CAN
  114. WHEN IS NSPT INDICATED PRIOR TO SURGERY
    PATIENTS WITH MODERATE OR ADVANCED PERIODONTITIS
  115. PERIO DISEASE MAY BE CONTROLLED BY NSPT ALONE IN PATIENTS WITH_________-
    GINGIVITIS AND SLIGHT PERIODONTITIS
  116. ONE COMPLICATION OF ROOT PLANING
    SENSITIVITY
  117. TREATMENT PLANS ARE ONLY ESTIMATES FOR THE RDH - NOT TEMPLATES
    TRUE
  118. GINGIVITIS
    CAST TYPE I
  119. CASE TYPE I
    GINGIVITIS
  120. CASE TYPE II
    SLIGHT CHRONIC PERIO
  121. CASE TYPE III
    MODERATE CHRONIC OR AGGRESIVE PERIO
  122. CASE TYPE IV
    ADVANCED CHRONIC OR AGGRESIVE PERIO
  123. CASE TYPE V
    REFRACTORY CHRONIC OR AGGRESIVE PERIO
  124. COMPLETE REMOVAL OF ALL PLAQUE AND CALCULUS
    IMMEDIATE GOAL
  125. RESTORED ORAL HEALT
    LONG TERM GOAL
  126. WHAT IS THE GOAL OF TREATMENT PLANNING
    TO ELIMINATE AND CONTROL FACTORS OF DISEASE AND TO PREVENT REOCCURANCE
  127. PRELIMINARY PHASE
    PHASE WHERE ANY EMERGENCY TREATMENT MAY BE DONE BEFORE PHASE I-IV BEGINS

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