Perio Chp30/31/32

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  1. What are the three possible mechanisms for impact on systemic disease
    • Infection
    • Inflammation
    • Immune response
  2. Periodontal disease may play a role as a risk factor in the development and management of serious systemic diseases such as
    • Cardiovascular disease
    • Pre-term birth
    • Bacterial pneumonia
    • Control of non-insulin dependent diabetes (Type II)
  3. C-reactive protein is an ________ produced in the ______ as a result of ___________
    • inflammatory biomarker
    • liver
    • inflammation in the body
  4. ___% of deaths are attributed to CVD
    __ in __ Americans have CVD
    Complications of atherosclerosis (thickening of coronary artery walls) account for _____ of all deaths from CVD
    • 30 %
    • 1 in 3
    • three-quarters
  5. What are the four THEORIES FOR LINKS BETWEEN PERIODONTITIS AND CVD
    • 1. Inflammatory mediators from periodontal lesions enter the blood stream and heighten systemic inflammation; promoting thickening of the arteries
    • 2. Cross reactivity: Periodontal pathogens induce a local immune response in the endothelial cells of blood vessels resulting in inflammation and increase of deposits in the cell walls
    • 3. Periodontitis elevates levels of fibrinogen increasing vascular inflammation; playing a role in thickening of the arteries and clot formation
    • 4. Periodontitis elevates levels of serum cholesterol and lipoproteins; accelerating thickening of the arteries
  6. What are the clinical recommendations for patients with moderate to severe periodontitis and no CVD risk factors
    Inform the patient that there may be an increased risk for CVD associated with periodontitis
  7. What are the clinical recommendations for patients with moderate to severe periodontitis and one known risk factor
    Recommend the patient seek a medical evaluation if he/she has not had one in the last 12 months
  8. What are the clinical recommendations for patients with mild, moderate or severe periodontitis and two or more known risk factors
    Refer the patient for a medical evaluation if she/he has not had one in the last 12 months
  9. What is the theory of PERIODONTITIS AS A RISK FACTOR FOR ADVERSE PREGNANCY OUTCOMES
    Inflammatory triggers of periodontal disease may cause premature rupture of membranes, preterm birth, low birth weight, pre-eclampsia
  10. Hospital-acquired pneumonia results from
    bacteria that are normally found in the GI tract but may be passed into the oropharynx due to GERD and then aspirated into the lungs
  11. Application of ________ to the teeth and gingiva has been shown to significantly decrease the risk for pneumonia
    0.2% chlorhexidine
  12. Obese individuals have elevated blood levels of ________ and an increase in ______ production occurs during infections and inflammatory processes
    TNF-a, IL-6, CRP

    leptin
  13. What are the four parts of an implant
    • 1. Implant body
    • 2. Abutment
    • 3. Crown
    • 4. Screw (implant crown may be retained by a screw or cemented)
  14. Name the parts of the implant
    Image Upload
    • A. Implant body
    • B. Abutment
    • C. Crown
    • D. Screw
  15. Most implants are made of _________ and lack a _______
    • titanium
    • PDL
  16. What are important factors for the success of an implant
    • Absence of mobility
    • No discomfort
    • No increased bone loss radiographically
    • Less than .2mm of bone loss annually after the first year
  17. In failing implants the bacteria are similar to that of _________ but appears to be in ______ quantities of ___________, ___________, and __________
    • chronic periodontitis
    • less
    • A. A, Provotella Intermedius and Porphyromonas gingivalis
  18. What is the difference between peri-implant mucositis and peri-implantitis
    • Peri-implant mucositis is plaque-induced inflammation of the soft tissue with no bone loss and is reversible and
    • Peri-implantitis is chronic periodontitis affecting hard and soft tissues surrounding the dental implant resulting in bone loss
  19. What are some risk factors for peri-implantitis
    • Previous periodontal disease
    • Poor self-care
    • Smoking
    • Residual cement
    • Biomechanical overload
  20. What are biomechanical forces?
    the forces placed on an implant
  21. When should radiographs be taken for the assessment of implant health
    Once every 3 months for the first year and then every one to two years
  22. What are some clinical signs of a failing implant
    • BOP and suppuration
    • Implant mobility
  23. The presence of _______ is the best indicator for diagnosis of a failed implant
    mobility
  24. What are the appropriate instruments to be used with implants
    • Plastic curets for biofilm removal
    • Airpolishing and cavitron with a plastic tip are effective
    • Titianium curets for scaling
  25. Calculus deposits are _______ to remove from an implant than a natural tooth
    easier
  26. Titanium implants are typically ______ in width and _______ in length and _______ in shape
    • 3.25 to 5mm in width
    • 8.5 to 13mm long
    • cylindrical
  27. What is the sequence of periodontal therapy
    • initial phase
    • re-evaluation
    • re-treat
    • surgical phase of treatment
    • Maintenance phase
  28. Repopulation of pockets may occur within _______ days in the presence of poor oral hygiene. Repopulation of pockets may occur within _______ days with good meticulous oral hygiene
    • 40 to 60
    • 120 to 240
  29. What should be done in the first 15 minutes of a Perio maintenance appointment
    • Examination
    • Re-eval
    • Diagnosis
  30. Avoid aggressive instrumentation in
    shallow pockets (less than 3mm)
  31. What are the 5 Objectives of Periodontal maintenance
    • 1. Preservation of Clinical Attachment Levels
    • 2. Maintenance of Alveolar Bone Height
    • 3. Control of Inflammation
    • 4. Evaluation and Reinforcement of Oral Hygiene
    • 5.Maintenance of Optimum Oral Health
  32. ________ are the most valuable measurements to predict attachment loss
    Increasing probe depths
  33. Root caries are seen in

    ___% adults 50-64
    ___% adults 65-74
    ___% adults over 74
    • 21%
    • 31%
    • 42%
  34. Root caries are _________ in color and usually starts ________
    • yellowish to brown
    • slightly coronal to the gingival margin

Card Set Information

Author:
haitianwifey
ID:
330367
Filename:
Perio Chp30/31/32
Updated:
2017-04-18 01:42:43
Tags:
Perio Chp30 31 32
Folders:
Perio
Description:
Perio Chp30/31/32
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