PHASE OF TREATMENT THAT DESCRIBES THE PROCEDURES DESIGNED TO CONTROL OR ELIMINATE THE ETIOLOGC FACTORS OF DISEASE
PHASE i THERAPY
PHASE OF TREATMENT DESCRIBES THE PROCEDURES FOR RESTORATION OR REPLACEMENT OF TEETH
PHASE iii
GOALS OF TREATMENT PLANNING ARE TO ELIMINATE AND CONTROL FACTORS OF DISEASE AND TO PREVENT RECURRENCE OF DISEASE.
TRUE
THE RDH CAN USE TREATMENT PLANNING AS AN OPPORTUNITY TO EXPLAIN PROBLEMS TO PATIENTS IN UNDERSTANDABLE TERMS
TRUE
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
THE TERM THAT DESCRIBES THE BASIS FOR LEGAL RELATIONSHIP BETWEEN THE HEALTH CARE PROVIDER AND THE PATIENT
INFORMED CONSENT
ADAPTIVE CAPACITY OF THE OROFACIAL COMPLEX
ORTHOFUNCTION
HEAVY OCCLUSAL FORCES THAT HAVE CAUSED INJURY TO TISSUE AND BONE IN A NORMAL PERIODONTIUM
PRIMARY TRAUMATIC OCCLUSION
EITOLOGY OF TEMPOROMANDIBULAR DISORDERS
MULTI-FACTORIAL
4 PRIMARY SYMPTOMS OF TMD
1. LIMITATION OF MOVEMENT
2. MUSCLE PAIN
3. JAW PAIN
4. CLICKING
PAIN IN THE MUSCLE
MYALGIA
PLAQUE CONTROL FOR THE PERIODONTAL PATIENT INCLUDES TOOTHBRUSHING AND THE USE OF DENTAL FLOSS.
TRUE
IN AREAS WHERE THE INTERPROXIMAL BRUSH CAN BE USED-IT IS NOT NECESSARY TO FLOSS.
TRUE
MOST RECOMMENDED TOOTHBRUSHING METHOD ACCEPTED BY DENTAL PROFESSIONAL
BASS METHOD
PERCENT OF AMERICANS THAT FLOSS DAILY
10%
PROPERTY OF CHEMICAL ANTIPLAQUE AGENTS TAHT ALLOW PLAQUE TO ADHEAR TO ORAL STRUCTURE OVER TIME
SUBSTANTIVITY
EFFECTIVE ANTIMICROBIAL PRODUCTS THAT HAVE BEEN USED AS IRRIGANTS
.12% CHLORHEXIDINE
.4% STANNOUS FLUORIDE
.05% PROVIDONE IODINE
THE GOAL OF PERIODONTAL INSTRUMENTATION IS TO RETURN THE PERIODONTIUM TO STATE OF HEALTH
TRUE
PERIODONTAL HEALTH IS ACHIEVED THROUGH PERIODONTAL THERAPY THAT CREATES GLASSY HARD AND SMOOTH ROOT SURFACES AT EACH TREATMENT VISIT
FALSE
REMOVAL OF THE INFLAMED SOFT TISSUE WALL LINING OF THE PERIODONTAL POCKET
GINGIVAL CURETTAGE
CONCEPT OF PERIODONTAL PATHOGENS ASSOCIATED WITH DIFFERENT PERIODONTAL DISEASES
SPECIFIC PLAQUE HYPOTHESIS
COMPLETE CALCULUS REMOVAL WITH HAND INSTRUMENTS OR POWER INSTRUMENTS IS A GOAL FOR THE RDH
TRUE
CALCULUS IS THE ETIOLOGIC AGENT IN PERIODONTAL DISEASE
FALSE-PLAQUE IS THE ETIOLOGIC AGENT OF PERIO DISEASE
ROUGH ROOT SURFACES ARE MECHANICAL IRRITANTS
FALSE
ROUGH ROOT SURFACES DELAY HEALING
FALSE
INSTRUMENTS MUST BE SHARP BECAUSE
WE WANT TO AVOID BURNISHING THE CALCULUS
HOW MUCH TIME SHOULD PASS BEFORE CLINICAL EVALUATION OF THE SOFT TISSUE AFTER PERIO CLEANING
4 WEEKS
ANTERIOR TEETH
1/2 AND 3/4
ANTERIOR AND BICUSPIDS
5/6
BUCCAL AND LINGUAL POSTERIOR TEETH
7/8 AND 9/10
MESIAL POSTERIOR
11/12
DISTAL POSTERIOR
13/14
(M)AND (D) OF POSTERIOR LINGUAL
11/14
(M)AND (D) POSTERIOR BUCCAL
12/13
POSTERIOR (F),(L),(M)
15/16
POSTERIOR (D)
17/18
GRACEY USED FOR PERIO POCKETS THAT MEASURE MORE THAN 5mm
AFTER 5
GRACEY USED FOR ROOT PLANE
EXTENDED SHANK
WHEN DO WE NOT WANT TO DO GINGIVAL CURETTAGE
FIBROUS TISSUE -WILL NOT SHRINK
INFRABONY POCKETS-WON'T SHRINK
ANUG/ANUP
GINGIVAL CURETTAGE IS BEST USED WHEN?
WHEN POCKETS ARE SHALLOW WITH SUPRABONY PCKETS AND INFLAMMED GINGIVA.
WHAT IS THE GOAL OF ROOT PLANNING
TO RESTORE THE TISSUES TO HELATH BY REMOVING THE FACTORS THAT CAUSE INFLAMMATION
CEMENTUM THAT HAS BEEN PERMEATED BY TOXINS OF PLAQUE
ALTERED (NERCROTIC) CEMENTUM
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
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
FIRM AND MODERATE LATERAL PRESSUER IS USED INITIALLY TO REMOVE CALCULUS
SCALING
LIGHT LATERAL PRESSURE
ROOT PLANNING STROKES
INSTRUMENTS THAT ARE BEST SUITED FOR ROOT PLANNING
CURETTES
AREA SPECIFIC CURETTES
GRACEY
ETIOLOGIC TREATMENT (CLEANING)
PHASE i
SURGICAL TREATMENT
PHASE ii
RESTORATIVE TREATMENT
PHASE iii
MAINTENANCE TREATMENT (RECALL)
PHASE iV
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...
IS GROSS SCALING ACCEPTABLE
NO...EACH AREA SHOULD BE COMPLETELY SCALED AT THE APPOINTMENT.
PARTIAL DEBRIDEMENT CAN INCOURAGE PERIO ABCESSES
IMMEDIATE GOAL OF INSTRUMENTATION
COMPLETE REMOVAL OF PLAQUE AND CALCULUS
LONG TERM GOAL
PERIO HEALING MEASURED BY TISSUE RESPONSE
ORTHOFUNCTION
MORPHOFUNCTIONAL HARMONY COMFORT NORMAL FUNCTION
HARMONY COMFORT AND NORMAL FUNCTION FOR THE PATIENT
ORTHOFUNCTION
DISHARMONY ABNORMAL FUNCTION OR PAIN
DYSFUNCTION
DYSFUNCTION
DISHARMONY OR ABNORMAL FUNCTION AND PAIN
OCCLUSAL FORCES THAT CAUSE INJURY TO TISSUE AND BONE IN NORMAL PERIODONTIUM
PRIMARY TRAUMATIC OCCLUSION
OCCLUSAL FORCES THAT CAUSE INJURY TO TISSUE AND BONE OF PERIODONTIUM THAT IS ALREADY AFFECTED BY PERIO DISEASE
SECONDARY TRAUMATIC OCCLUSION
TRAUMA FROM OCCLUSION CAN INITIATE GINGIVITIS AND PERIO DISEASE
FALSE
TRAUMA FROM OCCLUSION CAN INCREASE BONE LOSS AND POCKET DEPTH
TRUE
GROUP OF MUSCULOSKELEETAL CONDITIONS THAT CAN PRODUCE PAIN OR DYSFUNCTION IN THE MASTICATORY SYSTEM
TMD
PAIN IN MUSCLES (NOT JOINT)
EXTRACAPSULAR
PAIN IN JOINT(NOT MUSCLE)
INTRACAPSULAR
4 PRIMARY SYSTEMS OF TMD
CLICKING
LIMITED MOVEMENT IN LOWER JAW
PAIN IN JOINT
PAIN IN MUSCLES
ABNORMAL MOVEMENT; TMJ MUSCLE SPASM
DYSKINESIA
SHIFT IN MIDLINE DURING OPENING THAT DISAPPEARS LATER IN OPENING MOVEMENT
DEVIATION
SHIFT IN MIDLINE THAT BECOMES GREATER AS OPENING CONTINUES
DEFLECTION
CAUSED BY RESTRICTION IN ONE JOINT
DEFLECTION
CAUSED BY INTERFERENCE IN A DISC OF THE JOINT
DEVIATION
VISIBLE AND PALPABLE MOVEMENT OF A TOOTH UPON OCCLUDING
FREMITUS
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)
TREATMENT METHODS OF TMD
HOME THERAPY
PHYSICAL THERAPY
OCCLUSAL APPLIANCES
BEHAVIORAL THERAPY
PHARMACOLOGIC THERAPY
SURGICAL THERAPY
IRREVERSIBLE TREATMENTS(SURGERY)
PAIN IN A JOINT STRUCTURE
ARTHRALGIA
CLAMPING WITH OUT GRINDING
CLENCHING
GRATING NOISE IN THE TMJ BECAUSE OF DAMAGE
CREPITATION
ABNORMAL MOVEMENT IN MUSCLE
DYSKINESIA
SPASM IN MUSCLE ASSOCIATED WITH DISTURBANCE IN TRIGEMINAL NERVE
TRISMUS
ABILITY OF A SUBSTANCE TO ADHERE TO SUBSTANCES AND BE RELEASED OVER TIME
SUBSTANTIVITY
HOW DO CHLORHEXIDINE AND PHENOLIC COMPOUNDS ACT ON THE BACTERIA
ALTERS THE BACTERIAL CELL WALL
FLOURIDE WITH ANTIMICROBIAL PROPERTIES
STANNOUS FLUORIDE
HOW DOES STANNOUS FLUORIDE HELPS THE PERIO PT
IT HAS ANTIPLAQUE PROPERTIES ALTERS CELL METABOLISM AND ADHEASION AS WELL AS ANTI CARIES PROPERTIES
CAN STANNOUS FLUORIDE CAUSE GINGIVA IRRITATION IN SOME PATIENTS
YES IT CAN
NONSURGICAL PERIODONTAL THERAPY
PHASE i
PHASE i
NONSURGICAL PERIO THERAPY
REMOVAL OF CALCULUS DEPOSITS AND PLAQUE
SCALING
FEWER STROKES, SHORTER STROKES, AND HEAVIER PRESSURE
SCALING STROKES
REMOVAL OF SURFACE CEMENTUM THAT CONTAINS EMBEDDED CALCULUS OR MICROORGANISMS
ROOT PLANING
LONGER STROKES, LIGHTER PRESSURE, MANY STROKES
ROOT PLANNING STROKES
THE GOAL OF ROOT PLANING
SMOOTH ROOTS...NOT GLASSY SMOOTH
ANOTHER TERM FOR SCALING AND ROOT PLANING
PERIODONTAL DEBRIDEMENT
DISRUPTION OR REMOVAL OF PLAQUE
PERIODONTAL DEBRIDEMENT
THE GOAL OF PERIO DEBRIDEMENT
RESTORATION OF HEALTH
SCALING, ROOT PLANING, POLISHING - ANY PREVENTIVE PROCEDURES THAT REMOVE IRRITANTS TO THE GINGIVA
PROPHYLAXIS
REMOVAL OF STAINS AND SUPRAGINGIVAL PLAQUE
CORONAL POLISH
TO ONLY POLISH WHAT IS NECESSARY
SELECTIVE POLISHING
REMOVAL OF POCKET LINING
GINGIVAL CURETTAGE
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
PROMOTE PLAQUE CONTROL; INSTRUMENT TOOTH SURFACES UNTIL CLEAN AND SMOOTH
IMMEDIATE GOAL OF NONSURGICAL THERAPY (PHASEi)
HOW CAN IMMEDIATE GOALS OF NONSURGICAL THERAPY BE BEST EVALUATED
EXPLORATION
RESTORATION OF GINGIVAL HELATH
LONG TERM GOAL OF NONSURGICAL PERIO THERAPY
HOW CAN WE BEST EVALUATE
HOW CAN WE BEST EVALUATE THE PRODUCTION OF NONSURGICAL PERIO THERAPY
TISSUE RESPONSE
REDUCED INFLAMMATION
DECREASED PROBING DEPTH
AND GAIN OF CLINICAL ATTACHMENT
EPTIHELIAL CELLS HEAL FASTER THAN CONNECTIVE TISSUE
TRUE
RESULT OF REPAIR IN EXISTING TISSUE INSTEAD OF REGENERATION OF TISSUE THAT IS LOST IN PERIODONTAL DISEASE
HEALING
DURING HEALING...WHY DO PROBING READINGS DECREASE
INFLAMMATION IS RESOLVED. TISSUE HEALS.
HEALING IS GREATEST AFTER....
3-6 WEEKS
AFTER NON SURGICAL PERIO TREATMENT(PHASE I) HOW LONG MUST WE WAIT UNTIL WE PROBE AGAIN
4 WEEKS
DURING HEALING, THE FORMATION OF NEW BONE, NEW CONNECTIVE TISSUE, AND NEW CEMENTUM ARE NOT PREDICTABLE OUTCOMES
TRUE
CAN NSPT MINIMIZE THE EXTENT OF SURGERY NEEDED
YES IT CAN
WHEN IS NSPT INDICATED PRIOR TO SURGERY
PATIENTS WITH MODERATE OR ADVANCED PERIODONTITIS
PERIO DISEASE MAY BE CONTROLLED BY NSPT ALONE IN PATIENTS WITH_________-
GINGIVITIS AND SLIGHT PERIODONTITIS
ONE COMPLICATION OF ROOT PLANING
SENSITIVITY
TREATMENT PLANS ARE ONLY ESTIMATES FOR THE RDH - NOT TEMPLATES
TRUE
GINGIVITIS
CAST TYPE I
CASE TYPE I
GINGIVITIS
CASE TYPE II
SLIGHT CHRONIC PERIO
CASE TYPE III
MODERATE CHRONIC OR AGGRESIVE PERIO
CASE TYPE IV
ADVANCED CHRONIC OR AGGRESIVE PERIO
CASE TYPE V
REFRACTORY CHRONIC OR AGGRESIVE PERIO
COMPLETE REMOVAL OF ALL PLAQUE AND CALCULUS
IMMEDIATE GOAL
RESTORED ORAL HEALT
LONG TERM GOAL
WHAT IS THE GOAL OF TREATMENT PLANNING
TO ELIMINATE AND CONTROL FACTORS OF DISEASE AND TO PREVENT REOCCURANCE
PRELIMINARY PHASE
PHASE WHERE ANY EMERGENCY TREATMENT MAY BE DONE BEFORE PHASE I-IV BEGINS
