PERIO CHAPTER 13

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tigermom23
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14422
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PERIO CHAPTER 13
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2010-04-27 14:24:29
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PERIO CHAPTER 13
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  1. INDICATED TO CONTROL THE PROGRESS OF PERIODONTAL DESTRUCTION AND ATTACHMENT LOSS
    PERIODONTAL SURGERY
  2. PERIO SURGERY IS USED TO CONTROL THE PROGRESS OF DISTRUCTION THAT IS CAUSED BY PERIODONTAL DISEASE
    TRUE
  3. WHEN IS PERIO SURGERY INDICATED
    WHEN CONSERVATIVE TREATMENT IS NOT SUFFICIENT
  4. THE ADVANTAGES OF PERIODONTAL SURGERY
    • TO GAIN ACCES TO ROOT SURFACES
    • TO IMPORVE ACCESS FOR PLAQAUE CONTROL BY THE PATIENT
    • TO DRAIN PERIO ABCESSES
    • TO AID IN RESTORATIVE DENTISTRY
    • TO IMPROVE ESTHETICS
  5. GOALS OF PERIODONTAL SURGERY
    • REDUCE POCKET DEPTH
    • DRAIN PERIODONTAL ABCESSES
    • CORRECT MUCOGINGIVAL DEFECT
    • TO IMPROVE ESTHETICS
    • PROVIDE ACCESS
    • REGENERATE LOST TISSUE
    • PLACE IMPLANTS
  6. SOME DISADVANTAGES OF PERIO SURGERY (FOR THE PATIENT)
    • HEALTH STATUS
    • TIME
    • COST
    • ESTHETICS
    • DISCOMFORT
  7. POCKET DEPTH THAT INCREASES THE PROGNOSIS FOR SURGERY
    5-9mm
  8. POCKET DEPTH SHOULD NOT PROGRESS MORE THAN_____OVER TIME.
    2mm
  9. IS AGE A CONTRAINDICATION FOR PERIO SURGERY
    NO
  10. TYPES OF PERIODONTAL SURGERY
    • EXCISIONAL
    • INCISIONAL
  11. TO REMOVE THE GINGIVAL TISSUE COMPLETELY
    EXCISIONAL PERIODONTAL SURGERY
  12. EXAMPLE OF INCISIONAL PERIODONTAL SURGERY
    FLAP SURGERY
  13. MOST BASIC EXCISIONAL PERIODONTIAL SURGERY IS:
    • GINGIVECTOMY
    • GINGIVOPLASTY
  14. INCISIONAL PERIODONTAL SURGERY IS AKA:
    PERIODONTAL FLAP SURGERY
  15. MOST COMMON TYPE OF PERIO SURGERY, IT REDUCES POCKETS BY APICALLY POSITIONING FLAP
    INCISIONAL PERIODONTAL SURGERY/FLAP SURGERY
  16. POCKET REDUCTION IS NOT THE GOAL OF ACCESS FLAP PROCEDURES
    TRUE
  17. PROCEDURE FOR GAINING ACCESS TO THE ROOT SURFACE
    MODIFIED WHIDMAN FLAP
  18. 2 PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
    • 1. OSTECTOMY
    • 2. OSTEOPLASTY
  19. THE FINAL DECISION FOR SURGERY IS NOT MADE UNTIL __________OF NONSURGICAL PROCEDURES HAVE BEEN DONE
    4 WEEKS
  20. DEEPENED GINGIVAL SULCUS WITH AN INFECTED ROOT SURFACE COVERED BY AN ULCERATED EPITHELIAL SURFACE WITH UNDERLYING INFLAMED CONNECTIVE TISSUE
    PERIODONTAL POCKET
  21. PATIENTS WITH MODERATE POCKET DEPTHS OF 5-6mm MAY BE MONITORED ON A "WAIT AND SEE" APPROACH.
    TRUE
  22. BONE LOSS CAUSED BY PERIODONTAL DISEASE
    OSSEOUS DEFECTS
  23. VERTICAL BONE LOSS IS USUALLY DESCRIBED BY THE # OF WALLS REMAINING
    TRUE
  24. PERIODONTAL SURGERY THAT INCLUDES MODIFICATION OF THE BONE LEVEL OR SHAPE
    OSSEOUS SURGERY
  25. OSSEOUS SURGERY IS USUALLY INDICATED WHEN AT LEAST HALF OF THE BONE SUPPORT REMAINS
    TRUE
  26. EXCISION OF THE GINGIVA
    GINGIVECTOMY
  27. SURGICAL RESHAPING OF GINGIVAL TISSUES
    GINGIVOPLASTY
  28. TO REDUCE PERIODONTAL POCKET DEPTH BY REMOVING SOFT TISSUE TO A LEVEL AT WHICH PLAQUE CONTROL ISEFFECTIVE
    POCKET REDUCTION SURGERY
  29. WHEN SHOULD PERIO SCALING AND ROOT PALNING BE COMPLETED BEFORE SURGERY
    4-6 WEEKS
  30. most common type of perio surgery; reduces pockets by apically positioning flap;for suprabony and infrabony
    • incisional periodontal surgery-
    • AKA: PERIODONTAL FLAP SURGERY
  31. THE GOAL OF ACCESS FLAP PROCEDURES IS NOT POCKET REDUCTION
    TRUE
  32. NAME OF AN ACCESS FLAP
    • MODIFIED WHIDMAN FLAP
    • ALSO CALLED LIFTING A CURTAIN
  33. PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
    • OSTECTOMY
    • OSTEOPLASTY
  34. perio surgery that involves shaping the alveolar bone with chisels or burs and remove bony defects
    treatment of osseous defects
  35. perio surgery: increases the predictability for growth of new tissue
    guided tissue regeneration
  36. T/F: REGENERATIVE PERIO SURGICAL PROCEDURES SELECTIVELY ENCOURAGE THE GROWTH OF CELLS OF THE ATTACHMENT APPARATUS
    TRUE
  37. MOST COMMON ORAL SITE FOR DONOR TISSUE
    PALATE
  38. FORMS AT THE SURGICAL SITE TO PROTECT THE WOUND AND ALLOWING THE TISSUE TO BEGIN TO HEALING
    BLOOD CLOT
  39. CELLS THAT BEGIN TO HEAL FIRST
    EPITHELIAL
  40. TIME FOR PERIO SURGERY SITE TO COMPLETELY HEAL
    4-6 MONTHS
  41. BEGINS LATE IN THE HEALING PROCESS-APPROXIMATELY 1 MONTH AFTER THE SURGERY
    OSSEOUS (BONE)
  42. REQUIRED TO CLOSE PERIO SURGICAL WOUNDS-SECURES GRAFTS INTO POSITION
    SUTURES
  43. SUTURES MUST BE REMOVED IN ____DAYS.
    7-14
  44. PLACED OVER THE SUTURES TO HOLD THE FLAPS TIGHTLY TO THE TEETH AND BONE WHEN POCKET REDUCTION SURGERY HAS BEEN PERFORMED
    PERIODONTAL DRESSING
  45. may includes a presctiption for an analgesic and possibly and antibiotic.
    POSTOPERATIVE INSTRUCTIONS
  46. POSTOPERATIVE INSTRUCTIONS INCLUDE:
    • 1. LIMITED PHYSICAL ACTIVITY
    • 2. PRESSURE ON GAUZE PLACED ON THE SITE TO STOP ANY BLEEDING
    • 3. SOFT DIET
    • 4. REVIEW RX
    • 5. EXPLAIN THE PERIO DRESSING
    • 6. WARN OF SWELLING: ICE PACK ON 10 MIN/OFF 10 MIN
    • 7. AVOID SMOKING
    • 8. PROPER BIOFILM CONTROL
    • 9. WRITTEN LIST OF POST OP INSTRUCTIONS MUST BE GIVEN TO THE PATIENT
    • SCHEDULE A FOLLOW UP 7 DAYS AFTER SURGERY
  47. WITHIN THE FIRST 24 HOURS ___SHOULD BE USED TO STOP SWELLING
    ICE
  48. AFTER 24 HOURS___IS USED FOR SWELLING
    MOIST HEAT
  49. HEALING BY SELECTED CELL REPOPULATION
    GUIDED TISSUE REGENERATION
  50. USED IN GUIDED TISSUE REGENERATION TO EXCLUDE EPITHELIAL CELLS BETWEEN THE PERIODONTAL FLAP AND THE ALVEOLAR BONE TO ALLOW ONLY CELLS FROM THE PDL SPACE ARE ALLOWED TO REPRODUCE
    BARRIER MEMBRANE
  51. MATERIAL THAT IS USED FOR BARRIER MEMBRANE IN GUIDED TISSUE REGENERATION
    ePTFE - POLYTETRAFLUOROETHYLENE
  52. BEST CANDIDATES FOR GUIDED TISSUE REGENERATION
    INFRABONY DEFECTS, AND FURCATIONS
  53. MOST PREDICTABLE METHOD FOR REGENERATING LOST PERIODONTAL TISSUE
    GUIDED TISSUE REGENERATION
  54. LIMITED SUCCESS OF GUIDED TISSUE REGENERATION HAS BEEN NOTED IN THESE CASES...
    CLASS III FURCATIONS AND INFRABONY DEFECTS WITH FEWER THAN 2 WALLS.
  55. WHY DO THE CLINICIANS PREFER THE ePTFE TO RESORBABLE MEMBRANE MATERIAL?
    THE ePTFE IS EASIER TO HANDLE
  56. IN GUIDED TISSUE REGENERATION-HEALING IS PERMITTED TO COME FROM WHERE??
    THE BONE AND PDL
  57. HEALING BY SELECTED CELL REPOPULATION
    GUIDED TISSUE REGENERATION
  58. FORMATION OF NEW ALVEOLAR BONE, NEW CEMENTUM, AND NEW PDL ON A PREVIOUSLY DISEASED ROOT SURFACE
    REGENERATION SURGERY
  59. T/F: ALL TYPES OF PERIODONTAL TREATMENT, INCLUDING SCALING AND ROOT PLANING-HAVE POTENTIAL TO YEILD PERIODONTAL REGENERATION
    TRUE
  60. GRAFTS CREATED FROM PT OWN BODY
    AUTOGRAFTS
  61. BONE FROM ANOTHER PERSON
    ALLOGRAFT
  62. GRAFTS USING SYNTHETIC BONE
    ALLOPLASTIC
  63. CREATED FROM BONE TAKEN FROM ANOTHER SPECIES
    XENOGRAFTS
  64. GRAFT BETWEEN GENETICALLY IDENTICAL PEOPLE (TWINS)
    ISOGRAFT
  65. COMBINATION OF 2 TYPES OF BONE GRAFTS @ THE SAME TIME
    COMPOSITE GRAFT
  66. WHICH WALL DEFECT HAS THE BEST OUTLOOK FOR REGENERATION
    3 WALL
  67. PROCEDURES FOR THE TREATMENT OF OSSEOUS DEFECTS
    • OSTECTOMY
    • OSTEOPLASTY

    *THIS IS REMOVING OF BONE AND IS ALWAYS DONE TOGETHER
  68. A VARIETY OF PLASTIC SURGERY TYPE PROCEDURES TO AUGMENT THE THICKNESS OF KERATINIZED GINGIVA TISSUE
    MUCOGINGIVAL SURGERY
  69. USED TO INCREASE THE ZONE OF ATTACHED GINGIVA, IMPROVE GINGIVAL ESTHETICS OR AUGMENT ENDENTULOUS SPACES.
    MUCOGINGIVAL SURGERY
  70. TREATED BY PEDICLE GRAFTS OR FREE MUCOSAL GRAFTS
    AREAS OF RECESSION
  71. CONNECTIVE TISSUE GRAFTS HAVE BEEN USED TO TREAT AREAS OF RECESSION
    TRUE
  72. IDEAL WIDTH OF ATTACHED GINGIVAL TISSUE
    3mm
  73. T/F: DURING SURGERY ALL INFLAMED TISSUE SHOULD BE TRIMMED, ROOT SURFACE CLEAN OF PLAQUE, CALCULUS AND CEMENTUM BIOTOXINS
    TRUE
  74. BEST TECHNIQUE TO COVER EXPOSED ROOT SURFACES
    LATERAL PEDICLE GRAFT
  75. WHY IS LATERAL PEDICLE GRAFT PREFERRED FOR COVERING EXPOSED ROOT SURFACES
    BECAUSE THE TISSUE BRINGS THEIR OWN BLOOD SUPPLY WITH THEM
  76. SLIDING OF THE GINGIVAL TISSUE FROM AN ADJACENT TOOTH OR PAPILLA
    LATERAL PEDICLE GRAFT
  77. LIMITATION TO THE LATERAL PEDICLE GRAFT
    RECESSION AT THE DONOR SITE
  78. DONOR SITE LOCATED WITHIN THE MOUTH AWAY FROM SITE TO BE GRAFTED
    FREE GINGIVAL GRAFT
  79. MOST COMMON DONOR SITE FOR THE FREE GINGIVAL GRAFT
    PALATE OR EDENTULOUS AREAS
  80. DONOR KERATINIZED EPITHELIUM WITH SOME UNDERLYING CONNECTIVE TISSUE IS REMOVED
    FREE GINGIVAL GRAFTS
  81. PRIMARY DISCOMFORT IN PERIO SURGERY IS COMMONLY FROM THE DONOR SITE.
    TRUE
  82. WHAT IS A POTENTIAL PROBLEM AT THE DONOR SITE POST SURGERY
    POST-SURGICAL HEMORRHAGE
  83. WHY IS POST HEMORRAGE A PROBLEM IN FREE GINGIVAL GRAFTS
    BECAUSE THE EPITHELIUM AND CONNECTIVE TISSUE ARE REMOVED LEAVING AN OPEN WOUND.
  84. WHICH GRAFTING PROCEDURE HAS BECOME THE PROCEDURE OF CHOICE
    GRAFTING OF SUBEPITHELIAL CONNECTIVE TISSUE
  85. WHY IS SUBEPITHELIAL CONNECTIVE TISSUE PROCEDURE OF CHOICE IN ROOT COVERAGE
    • DONOR SITE CAN BE CLOSED
    • TISSUE MATCHES BETTER IF IT COMES FROM ADJACENT SITES INSTEAD OF PALATE
  86. MAJOR CONTRAINDICATION OF MUCOGINGIVAL SURGERY
    LACK OF DONOR TISSUE
  87. REMOVAL OF BONE CONTAINING PERIO FIBERS THAT SUPPORT TOOTH
    OSTECTOMY
  88. REMOVAL OF ONLY BONY LEDGES OR NONSUPPORTING BONE
    OSTEOPLASTY
  89. 2 SURGICAL PROCEDURES THAT ARE DONE TOGETHER TO CREATE BONE FORM THAT ALLOWS TISSUE TO HAVE POSITIVE GINGIVAL ARCHITECTURE
    • OSTECTOMY
    • OSTEOPLASTY
  90. PROCEDURE USED TO TREAT PERIODONTAL POCKETS IN ESTHETICALLY SENSITIVE AREAS
    ACCESS FLAP
  91. MAIN REASON FOR ACCESS FLAP TECHNIQUE
    CLEANING ROOT SURFACE
  92. WHY ACCESS FLAP PROCEDURE
    TO PRESERVE AS MUCH GINGIVAL TISSUE AS POSSIBLE
  93. PROVIDES ACCESS TO ROOT SURFACES FOR DEBRIDEMENT AND TO CREATE CONDITIONS FOR REATTACHMENT OF TISSUE TO ROOT SURFACE
    ACCESS FLAP PROCEDURE
  94. EXCISIONAL ATTACHMENT PROCEDURE AND OPEN FLAP CURETTAGE
    MODIFIED WIDMAN FLAP
  95. GOAL OF ALL ACCESS FLAP PROCEDURES
    TO GAIN ACCESS TO ROOT SURFACE AND REMOVE PLAQUE AND CALCULUS
  96. POCKET REDURCTION IS/IS NOT THE GOAL OF ACCESS FLAP PROCEDURE
    IS NOT
  97. FLAP SURGERY-FOR POCKET REDUCTION
    PERIODONTAL FLAP SURGERY
  98. TISSUE IS PUSHED AWAY FORM ROOT AND BONE LIKE A ENVELOP FLAP
    PERIODONTAL FLAP SURGERY
  99. MORE COMMON SURGERY DONE BY PERIODONTIST-BECAUSE OF FEWER CONTRAINDICATIONS
    PERIODONTAL FLAP SURGERY
  100. FLAP IS SUTURED MORE APICALLY ON THE TOOTH ROOTS TO REDUCE POCKET DEPTH
    APICALLY POSITIONED FLAP
  101. BEST TREATED BY FLAP SURGERY...
    SUPRABONY POCKETS
  102. TYPES OF PERIO SURGERY
    • POCKET REDUCTION
    • ACCESS TO ROOT SURFACE
    • TREATMENT OF OSSEOUS DEFECTS
    • CORRECTING MUCOGINGIVAL DEFECTS
    • NEW ATTACHMENT
  103. REDUCES PERIO POCKET LEVEL
    POCKET REDUCTION SURGERY
  104. METHODS FOR POCKET REDUCTION
    • EXCISIONAL PERIODONTAL SURGERY(GINGIVECTOMY)
    • INCISIONAL PERIODONTAL SURGERY(FLAP)
  105. REMOVES EXCESS TISSUE FROM WALL OF PERIO POCKET
    EXCISIONAL PERIO SURGERY
  106. MOST BASIC EXCISIONAL SURGICAL PROCEDURES
    • GINGIVECTOMY
    • GINGIVOPLASTY

    PERFORMED IN COMBINATION
  107. PERIO S&RP SHOULD BE COMPLETED _______WEEKS BEFORE SURGERY TO ALLOW FOR HEALING. (GINGIVECTOMY/PLASTY)
    4-6
  108. MAJOR CONTRAINDICATION OF EXCISIONAL SURGERY
    DOES NOT PERMIT ACCESS TO INFRABONY POCKETS
  109. BEST PROGNOSIS FOR PERIO SURGERY
    5-9mm POCKETS
  110. AGE IS NOT NECESSARILY A CONCERN IN PERIO SURGERY
    TRUE
  111. MODIFICATION OF THE BONE LEVEL OR SHAPE
    OSSEOUS SURGERY
  112. BONE LOSS CAUSED BY PERIO DISEASE
    OSSEOUS DEFECTS
  113. DESCRIBED BY NUMBER OF WALLS REMAINING
    VERTICAL BONE LOSS
  114. WHEN ALL WALLS OF THE OSSEOUS DEFECT ARE WITHIN THE BONE HOUSING
    INTRABONY POCKETS
  115. INDICATED TO CONTROL PROGRESS OF PERIODONTAL DESTRUCTION
    PERIODONTAL SURGERY

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