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76 Cards in this Set
- Front
- Back
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Primary Trama from occlusion |
loss of attachment apparatus due to excessive forces or high restorations, grinding due to stress |
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Secondary Trama from occlusion |
loss of attachment apparatus leads to movement of tooth in alveolar space due to slight movements/forces such as chewing soft foods or movements of tongue or cheeks |
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Gracey Curette #1-2 |
anterior teeth; F,L,M,D
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Gracey Curette #3-4 |
anterior teeth |
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Gracey Curette #5-6 |
anterior teeth and premolars |
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Gracey Curette #7-8 |
posterior teeth; facial and lingual |
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Gracey Curette #9-10 |
posterior teeth; facial and lingual |
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Gracey Curette #11-12 |
posterior teeth; mesial |
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Gracey Curette #13-14 |
posterior teeth; distal |
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Gracey Curette #15-16 |
-posterior teeth; mesial -is a modification of standard Gracey #11-12 -combine Gracey #11-12 blade with Gracey #13-14 more acutely angled shank -allows for better adaptation to posterior medial surfaces from a front position |
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Class I Furcation |
less than 1mm, incipient |
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Class II Furcation, Degree 1 |
1-3mm into furcation, NO exit |
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Class II Furcation, Degree 2 |
+3mm into furcation, NO exit |
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Class III Furcation |
Probe goes all the way through furcation BUT has NO clear visible path |
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Class IV Furcation |
Probe goes all the way through furcation AND have clear visible path |
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conditions that can lead to isolated periodontal defects |
vertical root fractures cemento-enamel projections developmental grooves enamel pearls endodontic involvement |
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Risk factors for periodontal disease |
smoking diabetes microorganism involvement |
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conventional intra oral finger rest |
finger rest established on the tooth surface immediately adjacent to the working area |
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Cross-arch intra oral finger rest |
finger rest established on tooth surfaces on the other side of the same arch |
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Opposite arch intra oral finger rest |
finger rest established on index finger or thumb of the non operating hand |
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Finger-on-finger intra oral finger rest |
finger rest established on index finger or thumb of the non operating hand |
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Marquis probe, markings show 3mm each section |
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North Carolina probe, 1mm markings with dark mark every 5mm |
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Williams probe, markings at 1mm-2mm-3mm-5mm-7mm-8mm-9mm-10mm |
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Michigan O probe marking at 3mm-6mm-8mm
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PSR probe (Periodontal Screening & Recording) marking follows: ball at tip = 0.5mm to end of 1st section = 3.5mm to end of 2nd section (colored band) = 5.5mm
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Naber's Probe: furcation detection -markings at 3mm-6mm-9mm-12mm
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mobility class 1 |
first distinguishable singe of movement greater than "normal" |
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mobility class 2 |
movement of the crown up to 1mm in any direction |
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mobility class 3 |
movement of the crown +1mm in any direction, depressible |
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Horizontal bone loss |
parallel plane with plane of alveolar bone -normally anterior, associated usually with supra bony pocket |
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Vertical bone loss |
perpendicular plane with plane of alveolar bone, bone loss appears as "V" shape adjacent to tooth -normally posterior, associated with infra bony pocket
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Cervical enamel projections Grade 1 |
enamel projections extends from cementoenamel junction of the tooth towards the furcation entrace |
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Cervical enamel projections Grade 2 |
the enamel projection approaches the entrance to the furcation, it does NOT enter the furcation therefore there is no horizontal component |
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Cervical enamel projections Grade 3 |
the enamel projection actually extends horizontally into the fucation |
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Excellent prognosis |
-NO bone loss -excellent gingival condition -adequate patient cooperation |
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Good prognosis |
one or more of the following: -adequate remaining bone support -adequate possibilities to control etiologic factors -establish maintainable dentition -adequate patient cooperation |
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Fair prognosis |
one or more of the following: -less than adequate remaining bone support -some tooth mobility -grage 1 furcation involvement -adequate maintenance possible -acceptable patient cooperation
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Poor prognosis |
one or more of the following: -moderate to advance bone loss -grade 1 or 2 furcation involvement -tooth mobility -difficult to maintain areas -doubtful patient compliance |
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Hopeless prognosis |
one or more of the following: -advance bone loss -non mantainable areas -extraction(s) indicated |
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Questionable prognosis |
one or more of the following: -advance bone loss -grage 2 or 3 furcation involvement -tooth mobility -inaccessible areas |
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4 modes of calculus attachment to tooth surface |
-attachment onto organic pellicle -direct attachment to tooth -attachment onto plaque -attachment to dental material such as restorations, crowns, bridges, etc |
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difference between attachment level and probing depth |
Attachment level = CEJ to bottom of sulcus
Pocket depth = marginal gingiva to bottom of sulcus |
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Different parts of gingival |
Free gingival groove Mucosal-gingival junction Attached gingiva Marginal gingiva Interdental papilla |
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Periodontal screening sextant score 0 |
-colored band (PSR probe) completely visible in the deepest crevice of the sextant -NO bleeding -NO calculus -NO defective margins
Treatment: -appropriate preventative care |
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Periodontal screening sextant score 1 |
-colored band (PSR probe) completely visible in the deepest crevice of the sextant -NO calculus -NO defective margins -SOME bleeding
Treatment: -oral hygiene instructions -subgingival plaque removal
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Periodontal screening sextant score 2 |
-colored band (PSR probe) completely visible in the deepest crevice of the sextant -calculus PRESENT -defective margins DETECTED -BOP
Treatment: -Oral hygiene instructions -calculus removal -correction of plaque-retentive margins -subgingival plaque removal |
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Periodontal screening sextant score 3 |
-colored band (PSR probe) partially visible in the deepest crevice of the sextant
Treatment: -comprehensive periodontal examination of affected sextant |
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Periodontal screening sextant score 4 |
-colored band (PSR probe) not visible in the deepest crevice of the sextant; indicates a bribing depth of greater than 5.5mm
Treatment: -comprehensive full mouth examination and charting -full set of radiographs -removal of sub gingival calculus -restore faulty margins -root planing and scaling, with possible antibiotic therapy -4-6weeks follow up |
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Diagnosing gingivitis |
-generalized or localized (less than 30%) -mild (1-2mm CAL), moderate (3-4mm CAL) or severe (+5mm CAL) -diffused (all areas), marginal (only at marginal gingival) or papillary (only at interdental papillary) -end with "chronic gingivitis"
acute gingivitis only apply to: variation ANUG |
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Clinical features of periodontitis |
-generalized or localized (less than 30%) -mild (1-2mm CAL), moderate (3-4mm CAL) or severe (+5mm CAL) -chronic (0.25mm CAL/year) or aggressive (1.5-1.8mm CAL/year) -end with "periodontitis"
*note: severity only used with chronic NOT aggressive periodontitis |
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Clinical features of gingivitis |
-increased GCF production -BOP -color change from coral pink -> red -consistency change from firm -> edema, fibrosis -surface texture = stippling -recession present |
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Clinical features of periodontitis |
-inflammatory disease of supporting tissues of teeth -involves underlying alveolar bone -PDL destruction -Pocket formation -Recession present |
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normal distance of alveolar bone from the CEJ |
1-2mm |
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normal sulcular depth |
0-3mm |
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normal PDL width |
0.18-0.50mm |
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greatest width of attached gingiva |
Anterior maxillary = 3.5-4.5mm Anterior mandibular = 3.3-3.9mm
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least width of attached gingiva |
maxilla = 1.9mm mandible = 1.8mm |
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medication: Doxycycline Gel |
Commercial name: Atridox -medication in gel form |
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medication: Minocycline Microspheres |
Commercial name: Arestin |
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medication: Tetracycline Fiber |
Commercial name: Actisite
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medication: Chlorhexidine Chip |
Commercial name: Periochip -medication in gelatin |
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medication: Low dose Doxycycline |
Commercial name: Periostat -medication in capsule
*note: it is NOT an antimicrobial but it IS an anti-collagenase |
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medication: Metronidazole Gel |
Commercial name: elyzol -medication in gel form |
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IU 13/14 Curette |
most effective for anterior teeth |
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IU 17/18 Curette |
larger instrument, more effective for posterior teeth |
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After Five Gracey 1/2 |
Anterior teeth; F, L, M, D |
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After Five Gracey 3/4 |
Anterior and Premolar; F, L, M, D |
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After Five Gracey 5/6 |
Posterior; F, L |
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After Five Gracey 7/8 |
Posterior; F, L |
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After Five Gracey 13/14 |
Posterior; M |
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After Five Gracey 15/16 |
Posterior; M |
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which part of the root system provides the most support? |
root trunk |
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name the 5 principal fibers of periodontal ligament |
-Alveolar Crest: prevent extrusion -Horizontal: mesiodistal width -Oblique: vertical forces -Apical: connect cementum to socket -Transeptal: can be reconstructed after destruction
*Sharpey's fibers w/in alveolar bone |
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5 Clinical sings of inflammation |
rubor = redness calor = heat dolar = pain tumor = swelling loss of function |
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3 types of medication that causes gingival overgrowth? |
Antiepileptic Antihypertension Immunosuppressant |
