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75 Cards in this Set
- Front
- Back
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What did we gain in perio guidelines in workshop 1999?
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gingival component
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pyogenic granuloma found in?
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pregnant women
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chronic perio is ____ induced
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plaque
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Localized aggressive perio
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at least a molar and 2 permanent teeth. Usually 1st molar and incisors
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Generalized aggressive perio
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At least 3 teeth not 1st molar or incisors. Poor serum antibody response
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T/F- Localized & generalized aggressive perio is plaque induced
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True
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What causes NUG?
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stress, smoking, immunosuppression, bacteria
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What usually is found in NUP?
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HIV people 20 x more likely to have CD4 under 200
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When do most people have gingivitis?
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During puberty. 80% around 15 yrs old
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T/F- Micro organisms are immune to antibiotics and host response. Inside biofilm there are gram + and gram - bacteria
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True
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What bacteria is usually present in localized aggressive perio?
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A.a
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In ginigvitis is prevotella intermedia and spirochetes present?
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yes
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Red complex?
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P.g, T.f. T.d
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Smokers are alomost ___ times as likely to have perio?
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3 times
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Disease progression ___ when someone quits smoking compared to those who don't
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slows. Specificity
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Smokers do not respond well to therapy as non smokers
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temporality
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Effects on perio tissues on smokers?
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more calculus, elevated GCF, less bleeding on probing
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year 2000 Tomar and asma- smokers are 4 times as likely to have perio
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just read
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Does smoking alter micro flora
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perhaps qualitative not quantitative. Different kinds not more of it
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In perio infection neutrophils are first to come what happens in smoker?
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Diminsihed chemotaxis, phagocytosis, killing. Decreased IgG (IgG2)production. Increased levels of inflammatory factors (MMP8, PGE2, TNF alpha)
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Smokers effect on gingival crevecular fluid?
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Lowers fluid levels, lowers OPG which protects bone. RANKL increased which increases bone loss
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What happens to fibroblasts in smoker
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Nicotine inhibits fibroblasts which then produces collogenase. Delayed wound healing
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Smoking has more effects on perio than genetics
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True
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Which cytokine means you are going to have perio genetically
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IL-1
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Smokers respond to non surgical perio therapy ___ as much as non smokers?
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half 50%
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Implants fail ___ times as much in smokers and usually more on the ___
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twice, maxillary
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Heavy smokers have more plaque than light smokers or non smokers?
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True
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T/F smoking decreases likelihood of root canal tx?
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False it increases it
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What is looked for to see if there is exposure to second hand smoke?
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cotinine
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Elevated second hand smoke leads to more decay in primary but not permanent teeth?
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True
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What is ADA code for tobacco counseling?
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D1320
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What drugs help quit smoking?
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Wellbutrin, chantix, nicotine patch
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What drug used chronically helps reduce perio?
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aspirin
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How long does Arestin help?
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30 days local antibiotic
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What does aspirin activate that helps destruction of inflammatory things?
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resolvins (aspirin)
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What does of aspirin helped perio
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325mg
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LASER
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light amplification stimulated emission of radiation
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What are two properties of light that are n laser
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amplitude and wavelength
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Lasers have how many wavelengths
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one
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All lasers are where is specturm?
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infrared
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What is soft tissue laser?
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Co2 laser
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Thermal relaxation time?
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time the irritated tiisue takes to lose 50% of the incidental heat
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What is energy density measured in ?
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mJ
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high energy density = ?
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high efficiency
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What lasers do we use for gingival hyperplasia?
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Co2, Diode, Nd: Yag
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what laser do we use for biopsy?
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Co2`
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What laser opens tubules and creates porosities on cementum?
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erblum laser
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Laser with optical cable and short wavelength?
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Nd:Yag and Diode
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Laser with articulating arm and mirrors
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Co2
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What is wavelength of Diode laser, Nd:Yag and Co2
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Diode- 800-1000
Nd:Yag- 1064 Co2- 10600 |
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What laser has quartz or saphire tip
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waterlase
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zone of thermal damage layers?
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vaporization - necrosis- cogulation- edema and normal tissue
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What temp does vaporization occur?
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100 degrees
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What lasers should not be used on implant?
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diode and Nd:Yag
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What makes pt a level 3 pt and needsw to be referred
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furcation involvement, severe chronic perio, progressive gingival recession, aggressive perio
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Probing depth greater than 5 would be what level?
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Level 2 (dual tx with periodontist and dentist
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Any pt with perio and has systemic condition (diabetes, prgnant, heart probs) are what level?
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Level 1
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What are indications for gingivectomy?
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gingival craters, rolled blunted margins, excessive granulation tissue
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Contraindications of osetectomy?
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gingivitis, severe perio, deep bone defect, 3 walled defect
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biological width has?
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1mm connective tissue, 1mm junctional epi
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Miller classification of recession
Class 1- |
recession not to mucogingival junction and no bone loss
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Miller classification of recession
class2 |
recession to mucogingival junction and no bone loss
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Miller classification of recession
class 3 |
recession to muco gin junc and bone loss
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transfer of tissue from same species
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allograft
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tissue transfer bw 2 diff species
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xenograft
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what local antibiotic is liquid and mixed with purple stripe?
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atridox
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What local antibiotic is no longer used?
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Actisite 12.7 mg tetracycline
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What is most common used antibiotic in dentistry?
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tetracyclin
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T/F- scaling and root planing
give same results as s/c r/p with tetracycline |
true
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When should you give systemic antibiotics?
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NUG, abcess, aggressive perio
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When should you not give local antibiotics?
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pregnant, probing greater than 7mm, furcation involvment
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Atridox
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10% doxicycline gel
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Arestin
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1mg minocycline
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Perio chip
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2.5mg chlorhexidine
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Actisite
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12.7mg tetracycline (not available) non resorbable
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