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55 Cards in this Set
- Front
- Back
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Abx of chjoice for perio abscess?
Amoxicillin Metformin Clindamycin doxycycline |
amoxicillin
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Primary endo, secondary perio tooth responds...
neg EPT NR to thermal Positive EPT a and b |
a and b
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earliest a new JE will form after gingivectomy is when?
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12-14 days
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1st biological compontent to form after a wound to seal it?
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fibrin clot
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which is most suitable for pocket reduction if you have infrabony pockets?
a - subg curettage b - enap c - full thickness flap d - gingivectomy |
c - full thick flap
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which of the following does not give pocket reduction?
a - ScRp B - ENAP C - gingivectomy D - none (they all do) |
d - they all do
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a flap that contains mucosa and submucosa and is prepared with a blade
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partial thickness
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orientation of incision for flap debridement?
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internal bevel
45 degree to tooth coronal to apical |
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anatomic factors of maxilla that limit ability to reflect a flap are...
1 - floor of max sinus 2 - low insertion of zygomatic proces 3 - hamular notch 4 - flat palatal vault |
2 and 4
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gingivectomy to treat...
a- recession b - overgrowth c - change in condyle position d - change in occlusion e - all |
overgrowth
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give 4 reasons for OA threpay?
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stabilize dentition
protect oral tissue tx myositis prevent damage from parafunction |
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phase 1 treatments
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OHI
ScRp caries, restorative issues |
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WHen is ScRp definitive?
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plaque induced gingivitis
inflammation present suprabony pockets ANG non-recurrance ANPD unless -architect |
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when is ScRp not definitive?
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non-plaque goingivitis (systemic, meds)
recurrent NG perio disease w/ dense fibrous tissue |
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ScRp not as effective on
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furcation
tuberosity/RMP root prox root fracture tortuous calculus oss defects |
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3 bacteria in perio abscess
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p gingivalis
p intermedia A a |
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Abx treatment for Anug
metronidazole penicillin tetracycline |
metronidazole
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abx treatment for perio abscess?
metronidazole penicillin tetracycline |
penicillin
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abx treatment for aggressive perio?
metronidazole penicillin tetracycline |
tetracycline
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NUG's 2 abx options
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metronidazole
clinda augmentin |
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treatment for nug rinses
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chlorohex gluconate
h2o2 water providone iodine |
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nug bacteria or nup bacteria?
terponema Fn p ging |
nup
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nug bacteria or nup?
spirochetes p intermedia fusiform |
nug
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histopathology is not definitive for....
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nug/nup
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dd for nug/nup?
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primary herpes gingivitis
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fever in nug?
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no
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perio abscess occurs on a (vital/non) tooth
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vital
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sinus tract for a perio abscess drians thru
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keratin gingiva
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bacteria in aggressive perio?
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p ging
p intermedia aa |
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what is elevated in 2ndary aggresive perio
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PGE2
IL 1b |
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tp for aggresive perio
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urgent needs
evaluate family, pt education culture tetracycline/doxy/amox+metro + ScRp extract any hopeless teeth |
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localized vs generalized aggressive perio - which has strong serum response?
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localized has strong serum
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when would you give a OAT (4 reasons)
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parafunction
provide stability for mobile reduce myositis symptoms eliminate occ interference |
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4 MoM's
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masseter
temporalis medial laterl (pterygoids) |
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absolute contraindication for perio surgery?
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inadequate plaqu control
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relative contraindications for perio surgery?
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addisons disease
dm cardiac neoplasm |
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no vertical releases in... (3)
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posterior
mental foramen area straight over root |
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mentalis area need to beware of _____space
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submental space, lateral pharygeal
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genial tubercules - need to beware of____space
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sublingual
parapharyngeal |
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mylohyoid ridge- need to beware of____space
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submandibular
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3 ways to enhance hemostasis
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with epinephrine - 1:50,000 lido epi
surgicel - clot enhanceers bone wax - occlude bleeding w/in bone |
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name 3 types of drugs (and example) that give hyperplasia
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anticonvulsant - phenytoin(dilantin) valproic acid
ca-channel blocker - -ine cyclosporine (immunosuppresant_ |
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if a pt is on an immunosuppresant, what would you recommend if they have gingival hyperplasia?
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tacromilos
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contraindications for gingivectomy? 4
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esthetic zone
non-horiz bone loss need for osseous surgery pockets beyond MGJ |
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describe incision of gingivectomy?
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45 degrees external bevel
apical to coronal |
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3 new attachment procedures
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ENAP
flap debride regenerative procedure |
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after ENAP, what type of attachement forms?
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LJE
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difference between repaced an apical position flap
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apical position reflects beyond MGJ, thereby increasing KG
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reattachment occurs following a ____process. New attachment occurs following a ____process
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re-nonpatho
new - patho |
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ScRp timeline for healing
____occurs 1st ____occurs in ______ you will see _____(strange) and improved ____via_____ |
fibrin clot 1st
junctional epith in 1 week gingival recession and improved CAL via CT/epith |
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gingivectomy timeline
2 days - 3 layers: 4 days - 8 days - 14 days - |
2 days - 3 layers - necrotic/leukocyute/fibrinous
4 days - necrotic surface cast off - epith proceeds 8 days - most ofwound epithlelizlazed 14 - entire wound covered (new JE 12-14 days_ |
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flap surgery
fibrin remains for ____ 3rd day---- 5th day---- 1 week---- 2nd week---- 3-4 weeks---- fibers are ----- remove suture @----- 120 days---- |
fibrin for 1 week
3rd day - epith attach to root 5th - hemidesmo 1 week - epi attacchment - low tensile strength 2 weeks - collagen replaces fibrin 3-4 weeks - oblast repair - new bone/ligament/cementum 120 days - classic fiber perpendicular |
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4 wall (moat) assoc with...
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occlusal trauma
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correcting a 2 wall IP crater---better to remove lingual or buccal bone?
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lingaual - furcations usually more apical to the CEJ
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final restoration placed when following surgery?
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esthetic - 3 month/90 day healing
4-6 weeks before crown |
