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Perio-Dr Ray

Test 3

Autograft A graft of tissue from one point to another of the same individual's body
Allograft A tissue graft from a donor of the SAME species as the recipient
Xenograft A tissue graft or organ transplant from a donor of a DIFFERENT species from the recipient
Signs of a Failing Implant Pocketing, BOP, Exudate, Progression of bone loss, Dull sound on percussion
Maintenance of Implants PI, OHI, Removal of plaque and calculus, Prophy jet contra indicated for implants, Implant patients should be considered periodontal patients, Recall should be every 3 month, Never extended beyond 6 months, if hygiene is poor more frequent than 3
Fibrointegrated Connective Tissue grows between implant and bone Implant not as stable Implant will be compromised
Tissue Interaction with the Implant Implant interacts w/ epithelial just like a tooth would (JE is the same), NO PDL - connective tissue runs parallel to implant (different from tooth), Bone adheres to the implant- osseointegration (bone grows into the implant) (different from bone & toot
Parts of Implants 1. Implant- acts like the root of the tooth- down in the bone Actual part engaged in bone 2. Abutment or Coping- The connection between the implant and restorative component 3. Restorative- Crown or Denture
Healing by Secondary Intention The wound margins are not closely adapted GRANULATION TISSUE fills in gap slowly- but doesn’t restore the tissue back to its original function Slower, more painful and more apt to infection
Healing by Primary Intention Wound margins (edges) are closely adapted to each other- epithelial meets epithelial tissue- CT meets CT Usually faster, less chances of infection, less scar tissue at site- slice arm w/ knife
Healing by REATTACHMENT Healing of a periodontal wound by reunion of connective tissue and roots which were separated by incision or injury…NO PRIOR DISEASE Healthy tissue was removed during surgery- when tissue is placed back, there is simple reattachment
Healing by REPAIR After NONSURGICAL perio therapy- open/ closed, scaling or root planing- Long JE- Readaptation of epithelium against tooth’s surface- pocket decreases b/c new epi forms- not exactly like tissue that was originally by root- NO new bone, cementum or PDL
Healing by NEW ATTACHMENT Used to describe the union of a pathologically exposed root (DISEASED Area) with connective tissue or epithelium- SURGICAL- Example: grafting procedure
Healing by REGENERATION With the help of modern periodontal surgical procedures, the body completely restores the architecture and function of the lost, diseased tissue (new bone, cementum, PDL is formed, so what was originally there is restored)
Restective Periodontal Surgery Removal of diseased tissue- Still used in cases today
Regenerative Periodontal Surgery Modern Perio Surgery that facilitate new tissue growth
Phase I of Perio Therapy Etiotropic Phase: Self Care Ed, Nutritional Analysis, Debridement, Antimicrobial Agents, Caries Management, Occlusal Therapy, Plaque-Retentive Factors Removed
Phase II of Perio Therapy Surgical Phase (determine prognosis of the teeth or restorability of tooth)- Periodontal Surgery, Endodontic Therapy, Implant
Phase III of Perio Therapy Restorative Phase: Final management of dental caries, Fixed & removable prosthodontics, Note: Do Surgical phase BEFORE Restorative phase so don’t restore tooth that should be extracted
Phase IV of Perio Therapy Supportive Perio Therpy Phase (SPT): Periodontal Maintenance Procedures: Re-Assessment, Self-Care Education, Deposit Removal, NOTE: ALL PT. w/ Perio Require Phase I and Phase IV
Radiographic Signs of Malocclusion Root Resorption, Widening of PDL, Hypercementosis, and Thickening of the Lamina Dura
Tooth Mobility Horizontal Movement, Vertical Movement (tooth is depressible-about to come out), Fremitus (movement of the tooth during occlusion)
Level of Mucogingival Junction Marks the junction between keratinized and non-keratinized gingiva, Helps us evaluate the amount of attached gingiva- need 2 mm for health
Standard of Care Requires that you have training that is comparable to the other professionals in your specific geographical area who are providing the same type of services
Clinical Periodontal Assessment is a fact-gathering process designed to provide a comprehensive picture of the patient’s periodontal health status
Baseline Assessment The patient’s periodontal health status at their first visit
Presence of Exudate (Circle in Blue) During probing ONLY- the defect is very narrow Digit pressure- defect is wide Fistula- typically periapical- not periodontal- Tooth is absessed- also called a gumboil
Objectives of Periodontal Assessment Detect inflammation ID damage to periodontium Record data for perio diagnosis Get Baseline Assessment
Periodontal Screening Exam (SA) Quick assessment of the periodontal health and needs of the patient Divided in sextants Code for specific criteria
Miller Classification of Recession Class I – buccal/ facial- Cornal to MGJ Class II – same as I, but extends beyond MGJ Class III- broad recession, no interdent pap, beyond MJG Class IV- loss of hard & soft tiss around tooth, crater-like
Furcation Involvement Maxillary 1st Premolar (Mesial surface)(predisposed to perio disease due to root concavity)
Healthy Crown to Root (in bone) Ratio 1:1, once it gets to 2:1 (crown to root), prognosis of tooth severely declines
Contraindications for Periodontal Surgery Relative Contraindications (unique individual characteristics that reduce the healing ability of the patient), Systemic Diseases or Conditions, NonCompliant with Self-Care, High Risk of Caries, Unrealistic Expectations
Created by: wbell82
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