Dentistry Additional Questions

Front 1

Name the 12 factors that cause periodontal disease?

Back 1

Age, Species, Breed, Genetics, Diet, Chewing Behavior, Orthodontic Occlusion, Patient Health Status, Home Care, Frequency of Professional Care, Bacterial Flora of Oral Cavity

Front 2

Inflammation & infection of the tissues surrounding the tooth, collectively called the periodontium is known as what?

Back 2

Periodontal Disease

Front 3

What component attaches to the teeth & helps bacteria attach to the surface?

Back 3

Glycoprotein - acquired pellicle

Front 4

How long does it take for acquired pellicle to attach to the tooth's surface?

Back 4

20 minutes

Front 5

How long does it take after acquired pellicle attachment for plaque to form?

Back 5

6 to 8 hours

Front 6

What is another name for the bacteria that colonizes a tooth's surface?

Back 6

Plaque

Front 7

What is the calcified form of the bacteria that colonizes on a tooth's surface called?

Back 7

Calculus - Tartar

Front 8

Healthy gingival flora is made up mostly by what type of bacteria?

Back 8

gram-positive aerobic

Front 9

What is Biofilm

Back 9

An aggregate of bacterial colonies protected by a polysaccharide?

Front 10

The worst plaque is when it is where?

Back 10

In the gingiva

Front 11

Endotoxins or bacteria that are toxic enzymes for gingival tissues are often referred to as what?

Back 11

lipopolysaccharides LPS

Front 12

The space between the tooth and gingiva that results from inflammation caused by bacteria is known as what?

Back 12

A pocket

Front 13

Less than 1mm of the furcation is exposed:

Back 13

Class 1

Front 14

Exposure of more than 1mm of the furcation, but not fully through:

Back 14

Class 2

Front 15

Complete furcation exposure:

Back 15

Class 3

Front 16

Why is chlorhexidine so useful for dental work?

Back 16

Because it is both a bactericidal & a virucidal

Front 17

Why can't you use chlorhexidine & floride together?

Back 17

They will bind to each other and not to the tooth negating their properties

Front 18

What is Chlorhexidine sometimes combined with and why?

Back 18

Zinc, they are great for healing and encourage re-adhesion.

Front 19

What is the clinical name for the most common first sign of dental issues?

Back 19

Halitosis (bad breath)

Front 20

Is "doggy breath" normal?

Back 20

No

Front 21

What are 5 signs a client commonly sees that may indicate periodontitis?

Back 21

Halitosis, Not eating well or eating on one side of their mouth, Drooling excessively, Blood in saliva, Pawing at mouth

Front 22

What is the first priority (Gold Standard) with dental care?

Back 22

To save the tooth

Front 23

What can get in the way of saving the tooth?

Back 23

Home care commitment, Financial means

Front 24

Why is it important to get the entire root out during an extraction?

Back 24

It can abscess and lead to osteomyelitis

Front 25

What is the best approach for extraction?

Back 25

Periodontal ligament stretch

Front 26

How do you know if you've gotten all of the root during an extraction?

Back 26

Touch the apical delta. Smooth - got all of it, Rough - piece of root remains in the socket

Front 27

True or False Gingivitis is not associated with the destruction of the supporting tissue (periodontium).

Back 27

True

Front 28

True or False Periodontitis is reversible.

Back 28

False

Front 29

Primary cause of gingivitis & is the accumulation of what? What is the secondary factor?

Back 29

Plaque on the tooth's surface, Calculus

Front 30

Where is gingivitis most commonly seen?

Back 30

Buccal or labial side

Front 31

How do we exam the peridontium?

Back 31

Under general anesthesia, using periodontal probe, & intraoral radiographs

Front 32

True or False: The stage is based on the overall health of the mouth.

Back 32

False, it's based on the worst tooth in the mouth

Front 33

Vital tissue, bright pink or pigmented color with even, smooth-flowing gingiva from tooth to tooth (Topography). Periodontal probing does not cause bleeding. Normal gingival sulcus depth.

Back 33

Stage 1

Front 34

What is normal gingival sulcus depth for Canines?

Back 34

1 - 3 mm

Front 35

What is normal gingival sulcus depth for Felines?

Back 35

0.5 - 1 mm

Front 36

Untreated gingivitis may develop into periodontitis. Redness of gingiva, mild amount of plaque. Radiographic change; mild to no change. Reversible** Changes seen from healthy gingiva. Early Gingivitis

Back 36

Stage 1

Front 37

Increased inflammation of the gingiva plaque/calculus. No root exposure yet. Still reversible.** Slightly painful, mild gingival bleeding. Irregular topography, bubble effect of the gingiva. Radiographic change. Early Periodontitis

Back 37

Stage 2

Front 38

Moderate loss of bone attachment. Moderate pocket formation. Furcation exposure. Gingival recession/abnormal topography, gingiva bleeds easily. Radiographs indicate bone loss at alveolar crest. Tooth mobility in some cases.* Moderate Periodontitis

Back 38

Stage 3

Front 39

Visually see breaking down of periodontal tissues. Severe inflammation/painful. Gingiva bleeds readily. Deep/abnormal pocket formation. Root exposure. Bone loss + purulent discharge. Periapical bone loss on radiographs. Advanced - Severe Periodontitis

Back 39

Stage 4 (occasionally 5)

Front 40

How is Furcation exposure classed?

Back 40

By depth

Front 41

True for False: Professional periodontal therapy MUST be performed under general anesthesia.

Back 41

True

Front 42

True or False: It's not your job to educate the owner on the disease process.

Back 42

False

Front 43

True or False: Regular oral check-ups should be with the vet tech.

Back 43

False, they should be with the veterinarian.

Front 44

True or False: Vet Techs can perform all extractions in WA state.

Back 44

True

Front 45

True or False: Vet Techs can perform surgery if it pertains to the teeth.

Back 45

False, they can only perform surgery that pertains to extractions.

Front 46

True or False the AVDC statement says that only DVMs should perform extractions.

Back 46

True.

Front 47

True or False: LVT may not do any procedures that alter the arcade of the mouth.

Back 47

True

Front 48

What is the "arcade" of the mouth?

Back 48

The shape, structure, or location of the teeth in the 'dental arch'

Front 49

True or False: Only the DVM can do subgingival root scaling and debridement.

Back 49

False

Front 50

What things in WA can the LTV do as far as dentistry is concerned?

Back 50

Extractions, surgeries involved in the extractions, dental prophy, supragingival & subgingival scaling & polishing, taking impressions, making mouth models, taking & developing radiographs, charting, subgingival root scaling and debridement.

Front 51

These are used to grasp/remove the tooth from the socket.

Back 51

Extraction Forceps

Front 52

These are used to engage or loosen the teeth from the socket.

Back 52

Elevators

Front 53

These are used to remove any broken pieces of root left in the socket.

Back 53

Root tip pick

Front 54

This is used to cut or section teeth.

Back 54

Crosscut bur

Front 55

This is made up of saline or diluted chlorhexidine.

Back 55

Irrigation solution

Front 56

Bone implant material. Synthetic material, fills the socket once tooth is extracted.

Back 56

Consil

Front 57

Elevator great for extracting feline premolars & primary teeth in dogs... most common size.

Back 57

301s

Front 58

True or False Root Tip Picks have dull, rounded tips.

Back 58

False