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DHP I Module 7
Scaling and Post-Operative Instructions: Wilkins Chapter 39
| Question | Answer |
|---|---|
| What is done to prevent, arrest, control, or eliminate the infection in the gingiva? | dental hygiene care |
| What does the long-range success of treatment depend on for periodontal disease? | the control of dental biofilm by the patient on a daily basis |
| When is a light grasp in instrumentation during calculus removal indicated? | instrument insertion and positioning, assessment strokes, and root debridement strokes in removal of biofilm |
| What type of pathogenic microorganisms are toxic to human tissue and cause inflammation and destruction of the periodontal attachment? | Lipopolysaccharides or endotoxins which are derived from the cell walls of gram-negative pathogenic microorganisms |
| What is true of endotoxins? | Endotoxins are embedded in the cemental surface and in the superficial biofilm and cannot be removed readily. |
| What are the essential components of successful periodontal therapy? | complete subgingival scaling with root debridement by the dental hygienist and effective daily dental biofilm control by the patient |
| What is the objective of periodontal therapy? | to eliminate or suppress the pathologic microorganisms in the subgingival area to promote healing and control the infection |
| In the dental hygiene care plan, what is the expected outcome for nonsurgical therapy? | Interrupt or arrest the progression of disease, create an environment that encourages tissue resolution and elimination of inflammation, and educate and motivate the patient. |
| What dental hygiene treatment is indicated for a patient with 4- to 5-mm probing depths, moderate subgingival calculus, and bleeding on probing? | Oral hygiene instructions, periodontal debridement, and professional irrigation |
| After scaling and root planing are completed, what type of instructions should be provided to the patient? | Personalized printed instructions |
| When scaling is accomplished over a series of appointments, what needs to be done? | each previously scaled quadrant or area should be examined and rescaled as needed at each appointment |
| What methods are applied carefully to each tooth surface during periodontal therapy? | both visual and tactile methods |
| What is the protocol after the completion of initial periodontal therapy? | Immediate evaluation of teeth and gingiva, follow-up phone call to the patient, and examination at scaling visit |
| What occurs during the ongoing evaluation within a multiple visit periodontal therapy program? | Observe and explore the teeth for complete removal of deposits and observe any gingival changes. |
| What should be the expected clinical end points after periodontal treatment has occurred? | Bleeding on probing should be eliminated |
| Periodontal debridement includes which therapeutic interventions? | Scaling to remove calculus and all soft deposits, root planing to eliminate subgingival calculus and smooth the tooth surface, and root debridement to eliminate subgingival biofilm and mineralized deposits |
| What preventive services could be performed by the RDH during periodontal therapy? | Desensitization of teeth, implant maintenance, and dietary analysis |
| When is a single appointment adequate for instrumentation appointment sequencing? | few areas of deposits present, only a few teeth are present, anesthesia may not be needed, or patient acts responsibly in keeping appointments for maintenance and continued monitoring for disease control |
| What is true of the direction of strokes when performing manual subgingival scaling? | Apply strokes systematically and strokes should overlap, |
Created by:
BrendaAlberts