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Periodontology
Chapters 5 and 7
| Question | Answer |
|---|---|
| What types of components are in supra and sub calculus? (refer to chart) | Inorganic and organic |
| Hydroxyapatite what percentage id located in the inorganic and organic? | 58%-double check |
| In sub gingival calculus where is the mineral content derived from? | GCF |
| In supragingival calculus where is the mineral content derived from? | Saliva |
| What are locally contributing factors to perio disease? | Plaque Bio-film Faulty restorations Overhangs Malpositioned teeth Occlusion Etc. |
| Which calculus is more mineralized? | Sub calculus |
| What are the color differences between supra and sub? | Supragingival calculus: white Subgingival calculus: green, brown, black- color changes due to oxygen availability |
| What are the main systemic conditions that effect on perio disease? | Diabetes |
| Does having perio worsen or help out the glycemic control of a diabetic-? | Worsen severe perio has been shown to worsen this situation |
| What is the specific nutritional deficiency? What is the name of this deficiency? | Vitamin C deficiency also known as scurvy Nutritional deficiency can have any effect on perio disease |
| can calculus form where there is no plaque is not present | No it can not |
| By itself can calculus cause disease? | No |
| is calculus an attachment mechanism for plaque | Yes |
| does tobacco have any relevance to perio disease | Yes |
| should we discuss about tobacco use- | Yes about i.e. decreased healing time etc. |
| does pellicle have anything to do with attachment- | Yes |
| Do surface irregularities have anything to do with attachment? | Yes |
| Do bacteria penetrate through the cementum? | Yes |
| Different components that make up calculus which one are the primary component? | Inorganic |
| Does perio disease have an influence at all on pregnancy? | Premature birth, low birth weight (baby) Gingivitis effects due to hormonal imbalance (mother) |
| What does the term nosocomial mean? | That you acquire an infection or got sick form something you got from the hospital i.e. staph-infection |
| Which one is locally or systemic that has the ability to shift the microbia more associate to health? | Locally; metrondiazonol |
| Know the antibiotics | Refer to chart |
| Which is the one that inhibits collagenase activity and helps controls disease? | Tetracycline |
| What do the inflammatory inhibitors deal with? | Cytokines |
| Which one is the chip? | clorahexadine |
| Which one is we concerned with resistance? | Penicillin |
| Which one inhibits the spirochetes? | metroniazonal |
| Supra gingival calculus is composed of what? pg. 56 in the old book chapter 5 attachment to the tooth surface | Calcium phosphate |
| Where does most often find supra gingival calculus? | By the salivary ducts |
| How long does it take for plaque to calcify (mineralize)? | 2-days up to 50% |
| Specific in toothpastes etc. What is the specific ingredient in them? pg. 58 anti-calculus toothpastes chapter 5 attachment to the tooth | Pyrophosphate |
| Tetracycline | useful in treating periodontal disease because they are concentrated in the gingival fluid; AA is susceptible to tetracycline (AA means actinomycetemcomitans) |
| helpful in the treatment of aggressive forms of periodontitis; may be helpful in periodontal therapy because it inhibits collagenase activity, thus helping to control the spreading of disease | Tetracycline |
| Metronidazole | • treat periodontal disease because of its ability to inhibit several periodontal pathogens including the spirochetes • kills anaerobic bacteria but is not affective against AA • come in a gel form |
| Penicillins | • does not increase attachment • common allergies • periodontal pathogens may become resistant to this |
| Cephalosporins | • no more info |
| Chlorexidine | • disinfectant placed subgingivally as a chip • degrade in 10 days • can still do regular home care • continually releasing antibiotics • called perio chip • increase heal sites 2 mm |
| Locally Delivered Antibiotics | place the drug right at the infection (more beneficial) |
| Clindamycin | • used to control refractory and rapidly progressing periodontitis |
| Systemic Antibiotics | given to the pt. orally or applied topically |
| Minocycline | • form of tetracycline • in a gel form • shown to improve parameter healing in clinical trials |
| Doxycycline | • gel form • shown to improve attachment measures after 3-6 months • improvement of probing depths and attachment levels and bleeding sites • can be place locally • ability to shift microbial more associated with health |
| Advantages of locally delivered Antibiotics | • lower total dose that is required • lower amount of the drug that is present serum • active ingredient is at the site of infection rather than having to be diffused through the entire circulatory system |
| Inflammatory Inhibitors-Cytokines | • Enzymes released by the inflammatory response to plaque • Mediate the destruction of collagen, damaging gingival and periodontal fibers |
Created by:
daisenmurray
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