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45 Cards in this Set
- Front
- Back
power scaling terms:
frequency magnetostrictive inst. operate at piezoelectrics correlated with? |
- # of times/s the tip moves back and forth
- 25,000-42,000 - 27,000-45,000 - NOT correlated with pt comfort |
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power scaling terms:
cycle |
- 1 complete linear/elliptical stroke path
|
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power scaling terms:
amplitude increases with correlated with? |
- amount of insert's swing
-increased power -pt comfort |
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sonic vs. ultrasonic frequencies
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Sonic: <20,000 cycles (audible)
Ultrasonics: > " " (but "ultrasonic scaling" is generic for both) |
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Sonic Unit:
powered by attached by heat? direction of insert tip (tip movement) |
-compressed air
-standard handpiece hose -no heat -orbital |
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Piezoelectric:
heat? tip is active on direction of insert tip (tip movement) |
-some. uses H2O spray to cool
-lateral sides -linear |
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Magnetostrictive:
heat tip active on most power is at direction of insert tip eg |
-yes, heat. Cools w/ H2O
-all sides -the very tip -elliptical -Cavitron SPS |
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slimline series tips:
diameter cutting edge replacement rate fluid source |
-thinner. sim to probe
-none -frequent -internal or external |
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advantages of ultrasonics (5)
|
-cavitation
-effective on all surfaces -uses light touch -easier on both operator and pt -less soft tissue trauma/distension |
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ultrasonics: disadvantages (2)
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-contaminated aerosol
-pacemaker risks |
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ultrasonic:
contraindications (3) |
-veneers
-root sensitivity -pacemakers |
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how to clear the tip of stagnant H2O
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-let run for 2 min BEFORE inserting tip
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technique:
pressure movement tip angle portion of tip used strokes |
-light
-constant. coronal to apical -parallel to tooth -NOT the tip!! -multiple, overlapping |
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SPT:
aka (3) |
-Perio Maintenance Therapy or Procedure (PMT or PMP)
-perio recall -maintenance phase of Perio Tx |
|
D1110
|
-prophylaxis for healthy perio w/ NO root planing.
-includes polishing |
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subG bact return to pretreatment levels _______ after Tx
|
- 2-4months
|
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O'Leary Plaque Index (3)
|
-tooth divided into 4 quads
- # of quads w/ plaque (in entire mouth) are added up - given as % of total surfaces |
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SPT procedure (5)
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-OHreI
-S/RP -occlusal adj (prn) -polish/floss -chemotherapeutic agents |
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avoid polishing where
speed, pressure |
-cementum or dentin
-slow-speed, light, intermittent pressure |
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SPT recall: 2 months
|
-advanced disease, deep pockets, complicated restorative treatment, history of refractory cases
|
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SPT recall:
3 months (7) |
-moderate disease
-too bad for surgery, or no perio surgery although indicated -inconsistent hygiene -during ortho -pregnant women -systemic diseases (diabetes) -smokers |
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SPT recall:
4 months (3) |
-early disease w/ marginal hygiene
-moderate disease w/ excellent hygiene -no BoP 4-5mm pockets w/ good hygiene |
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SPT recall:
6 months (3) |
-healthy pts
-good hygiene -pedo |
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perio classification (AAP)
|
- 1-2mm
- 3-4mm - 5mm + |
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Phases of perio Tx (5)
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I. preliminary
II. etiotrophic III. surgical IV. restorative V. maintenance |
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when referral is necessary (4)
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-crown lengthening procedures
-mucogingival defects ++ -significant LoA +++ -implants |
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Actisite:
material pros (2) size active ingrediant method |
-ethylene/vinyl acetate fiber
-biocompatible, flexible -0.5mm diameter x 9" -12.7mg of SR tetracycline -insert into pocket |
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perio chip:
material pros (3) size active ingrediant method |
-gluconate
-quick, no bact resistance, bioabsorbable - 4mmx5mmx350microm -2.5 controlled release chlorhexidine |
|
pharmacokinetics:
% released w/in 24hrs amount at 4hrs amount ate 3 days |
- 40%
- >1,000ug -480ug/ml |
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atridox:
material pros active ingr. |
-doxycycline hyclate (10%). liquid
-bioabsorbably -50mg doxycycline |
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doxycycline (3)
|
-broad-spectrum
-bacteriostatic -MIC90<6um/ml |
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Arestin:
material pros (3) active ing |
-microsphere liquid
-bioabsorbable, easy to place, no refrigeration -SR minocycline 1 mg |
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minocycline:
spectrum deriv of effective against |
-broad spectrum
-tetracycline -perio pathogens |
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systemic antibiotics may be indicated for (5)
|
-aggr perio
-refractory perio -acute infections -diabetes -implants |
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systemic antibiotics NOT indicated for (2)
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-chronic perio
-NUG |
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Perio Antibiotics (5)
|
-penicillins
-tetracyclines -metronidazole -ciprofloxicin -clindamycin |
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host anti-inflammatory mediators (3)
|
-cytokines (IL-4, 10, and 1ra)
-tissue inhibitors of MMP's (TIMPs) -lipoxins |
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endogenous MMP's (3)
|
-PMN collagenase (MMP-8)
-PMN gelatinase (-9) -bone resorption collagenase (MMP-13) |
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periostat:
active ing dosing use |
-20mg doxycycline hyclate capsules
-2x's/day -adjunce to S/RP |
|
SDD:
meaning used for result |
-sub-antimicrobial dose doxycycline
-chronic perio -works w/ S/RP to reduce PD and achieve CAL gain |
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NSAIDs:
decrease (4) |
-bone loss
-BoP -gingival inflammation -LoA |
|
bisphosphonates (?)
|
??
|
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RP objective :
reduction of what bact (2) |
-P. gingivalis, A.a.
|
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granulomatious vs granulation tissue (for RP)
|
granulomatous -> bad! inflammatory CT
granulation -> good! healing tissue |
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chances of removing subG plaque:
<3mm 3-5mm >5mm |
-good
-fair -poor |