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ch 55 periodontics
| Question | Answer |
|---|---|
| method of scoring the amount of bleeding present | bleeding index |
| addition of natural or synthetic bone to a surgical site | bone augmentation |
| instrument used to remove supragingival calculus in the contact area of anterior teeth. The blade on the chisel scaler is curved slightly to adapt to the tooth surfaces | chisel scaler |
| surgical procedure to expose more tooth surface | crown lengthening |
| surgical instrument used to remove tissue from the tooth socket | curette |
| a metal tool of varying size and form with numerous ridges or teeth on its cutting surfaces | file |
| surgical removal of diseased gingival tissues | gingivectomy |
| surgical reshaping and contouring of gingival tissues | gingivoplasty |
| curette with ne cuting edge area specific it is designed to adapt to specific tooth surfaces ( mesial or distal ) | Gracey curette |
| type of scaler used to remove heavy supragingival calculus; it is most effective when used on buccal and lingual surfaces of the posterior teeth | hoe scaler |
| double ended knife with kidney shaped blades; commonly used in periodontal surgery | kirkland knife |
| highly concentrated beam of light; acronym for light amplification by stimulated emission of radiation | laser |
| to have movement | mobility |
| abnormal occlusal relationships of the teeth, causing injury to the periodontium | occlusal trauma |
| knife with a spearlike shape and cutting edges on both sides of the blade; it is used to remove tissue from the interdental areas | orban knife |
| surgical specialty of removing defects in bone | osseous surgery |
| surgery involving the removal of bone | ostectomy |
| surgery in which bone is added, contoured, and reshaped | osteoplasty |
| commonly accepted notations that are mde to the patient's chart to indicate the condition, position, and restorative history of individual teeth | periodontal charting |
| surgical dressing applied to a surgical site for protection, similar to a bandage | periodontal dressing |
| fine, thin instrument that is easily adapted around root surfaces | periodontal explorer |
| incisional surgery performed when excisional surgery is not indicated. In flap surgery, the tissues are not removed but are pushed away from the underlying tooth roots and alveolar bone, similar to the flap of an envelope | periodontal flap surgery |
| surgical procedures of mucogingival tissues | periodontal plastic surgery |
| deepening of the gingival sulcus beyond normal; results from periodontal disease | periodontal pocket |
| dental specialty involved with the diagnosis and treatment of diseases of the supporting tissues | periodontics |
| dentist with advanced education in teh specialty of periodontics | periodontist |
| procedure that smooths the surface of a root by removing abnormal toxic ementum or dentin that is rough, contaminated or permeated with calculus | root planing |
| removal of calcareous deposits from the teeth with the use of suitable instruments | scaling |
| a hook shaped instrument that is available in various sizes and shapes and is used for the removal of tenacious supragingival deposits of calculus | sickle scaler |
| device used for rapid calculus removal; it operates on high frequency sound waves | ultrasonic scaler |
| hand instrument used to treat subgingival surfaces; it has a blade with an unbroken cutting edge that curves around the toe and a flat face set at a 90 degree angle to the lower shank. | universal curette |
| Depending on the particular state's dental practice act, the dental assistant also may do what | place and remove periodontal dressings, remove sutures, perform coronal polishes, take impressions for study models, and administer topical fluoride applications |
| a periodontal examination includes: | the patient's medical and dental history, radiographic evaluation, examination of the teeth, examination of the oral tissues and supporting structures, and periodontal charting |
| periodontal charting includes: | pocket readings , furcations, tooth mobility, exudate ( pus ) and gingival recession |
| a normal sulcus measures ___ mm or less | 3 |
| the purpose of periodontal probing is to | measure how much epithelial attachment has een lost to disease |
| the greater the depth of the periodontal pocket | the greater the loss of epithelial attachment and bone and therefore the more severe the periodontal disease |
| name 5 dental conditions that contribute to periodontal disease | pathologic migration, clenching or grinding, defective restorations or bridgework, mobility and occlusal interferences |
| what are the early signs of periodontal disease | changes in the gingiva color, size, shape and texture, gingival inflammation, gingival bleeding, evidence of exudate, development of periodontal pockets |
| periodontal probes are calibrated in | millimeters |
| when periodontal measurements are done how many recordings are made for each tooth | 6 |
| the bleeding index is based upon which principal | that healthy tissue does not bleed |
| ___is the primary cause of gingival inflammation and most other forms of periodontal disease | plaque |
| above the gingivae | supragingival |
| below the gingivae | subgingival |
| _____ is hard mineralized plaque. It may be supragingival or subgingival. It adheres to the surfaces of natural teeth, crowns, bridges and dentures. It is a contributing factor in peridontal disease because it is always covered with plaque | calculus |
| what are the six probing depths for each tooth | distobuccal, buccal, mesiobuccal, distolingual, lingual, mesiolingual |
| occlusal trauma does not cause periodontal pocket formation but it can cause | mobility,destruction of bone, migration of teeth, and temporomandibular joint pain |
| _________ radiographs are excellent for determining the extent of __________ | vertical, crestal bone loss |
| A _____ is the point at which the roots of a multirooted tooth diverge | furcation |
| what is the difference between cotton pliers and pocket markers | the pocket marker has one end that is smooth and straight and the other tip is sharp and is bent at a right angle |
| when using the ultrasonice scaler should you use the saliva ejector or the HVE | HVE to minimize aerosol contamination |
| with a patient that has a cardiac pacemaker should you use the ultrasonic scaler | consultation with the patient's cardiologist is necessary before using it because theoretically an ultrasonic scaler can disrupt a pacemaker |
| A ____________ is the complete removal of calculus, soft deposits, plaque, and stain from all supragingival and unattached subgingival tooth surfaces | dental prophylaxis commonly referred to as a prophy or cleaning |
| who is the dental team is licensed to do a prophylaxis | the dentist or dental hygienist |
| what is the primary treatment for gingivitis | prophylaxis |
| which antimicrobial agent is the most effective therapy available to reduce plaque and gingivitis | chlorhexidine |
| after periodontal surgery what post surgical instructions are given | the periodotistmay prescribe an analgesic and antibiotic, may recomment chlorhexidine as well |
| how long after a periodontal surgery should you instruct your patient to not rinse | 24 hours |
| which type of periodontal dressing is the most widely used | noneugenol dressing |
| what are some guidelines for laser safety | sheilded eyeglasses, matte finished instruments, protection of nontarget tissues, HVE |
Created by:
cynthia.fryer
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