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Mobilitys
- 0 = normal
- 1 = slight
- 2 = moderate
- 3 = severe
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Periodontal Probe
used to measure pocket depths
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Explorer
locates calculus deposits and provides tactile info to the operator about roughness or smoothness of the root surfaces
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How many sites are measured by the periodontal probe?
six in total
- Mesiofacial
- Facial
- Distofacial
- Mesiolingual
- Lingual
- Distolingual
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What are hygienist looking for on radiographs?
Bone to root ratio
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Plaque
the primary cause of gingival inflammation and most other forms of periodontal disease
soft, sticky, debris or bacteria that forms on teeth
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Calculus
hardened, mineralized plaque. Can be supragingival or subgingival. It adheres to the surfaces of natural teeth, crowns, bridges, and dentures. It is a contributing factor in periodontal disease because it is always covered with plaque.
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Who is licensed to perform prophylaxis?
The hygenist and the dentist
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Why do we use anesthetic for scaling, planing, and curotage?
- vasoconstrictor- controls bleeding
- patient comfort- pain
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Why use sutures?
- promotes healing
- controls bleeding
- assist in attachment of tissue
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Nonabsorbable sutures are removed in...?
5 to 7 days
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Supragingival
above gum line
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Subgingival
below gum line
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Application of Topical Flouride
- in an upright position
- tell patient not to swallow, can cause vomitting/ gastrous distress
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Periosteal Elevator
separate and retract the periosteum from the bone that is holding the tooth in its socket
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Straight Elevator
used to apply leverage against the tooth to loosen it from the periodontal ligament and ease the extraction
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Pit and Fissure Sealants
- resin material placed in pits and fissures of the posterior teeth
- not all sealants require being light cured
- first etch the tooth - appears dull and chalky
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High Risk Patients:
- have already experienced dental decay
- live in areas where the public water supply is not flouridated
- are prone to root caries
- have illnesses or are taking medications that slow the flow of saliva
- are undergoing chemotherapy or radiation treatments that damage the tissue and affect the flow of saliva
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Refractory Periodontitis:
not respoding to the treatment (aka class 5)
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