D1- RPD > Therapy > Flashcards

Therapy Flashcards

(59 cards)

Study These Flashcards
1
Q

SRP stands for

A

scaling and root planeing

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2
Q

scaling and root planeing

A

Deep cleaning procedure that removes subgingival plaque and calculus and smooths the root surface to promote reattachment of periodontal ligament.

generalized gingivitis

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3
Q

scaling and root planeing indications

A

Periodontal pockets ≥4 mm
Subgingival calculus or biofilm
Moderate to severe periodontitis

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4
Q

Scaling in the presence

A

Mechanical removal of plaque and calculus from supragingival and shallow subgingival areas, typically in the presence of gingival inflammation or mild periodontal pockets.

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5
Q

Scaling in the presence
inidcations

A
  • Gingivitis
  • Shallow pockets (<3 mm)
  • Supragingival or slightly subgingival deposits
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6
Q

Recession

A

the apical displacement of the gingival margin relative to the cementoenamel junction (CEJ), exposing the root surface

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7
Q

Root sensitivity
Mechanism

A

exposed dentinal tubules

Stimulus applied:
Thermal (hot/cold), mechanical (brushing), chemical (acid), or osmotic (sweet/salty) stimulus

causes rapid movement of fluid inside dentinal tubules

fluid movement stimulates mechanoreceptors in the pulp, triggering sharp pain

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8
Q

TX for Root sensitivity

A
  • Desensitizing toothpaste (potassium nitrate)
  • Fluoride varnish to occlude tubules
  • Restorative coverage if severe
  • Surgical root coverage (CTG, CAF) if recession is significant

modified Widman, gingival grafts, toothpaste

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9
Q

Re-evaluation

A

4-6 weeks after SRP or SITP
to see if it was sucessfull

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10
Q

Sucessful Re-evaul

A
  • No pockets >5mm or equal
  • and none >4 with BOP
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11
Q

Perio surgery indications LONG

A
  • root and defect access
  • regerneation
  • pocket elimination
  • removal of bacteria
  • mucogiigval/perio palstic surgery
  • retreat
  • re-prosthetic
  • drug induced ging overgrowth
  • abcess debridement
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12
Q

indicaitons for retreat

A
  • non- surg failed
  • surg failed
  • new technique new materials
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13
Q

indicaitons for pre-prostethic surgery

A
  • crown lenghening
  • ridge augmentation
  • palatal recontouring
  • gingivectory/gingivioplasty
  • ridge or tuberosity reduction
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14
Q

indicaitons for gingival overgrowth

A
  • Dilantin
  • Cyclosporin
    Ca+ Channel Blockers
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15
Q

Perio surgery indications Implants?

A

Not indicated until perio disease has been controlled and all other needs addressed

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16
Q

Gingivectomy

A

Surgical removal of diseased or excess gingival tissue to eliminate periodontal pockets

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17
Q

Gingivectomy Indications

A
  • eliminate suprabony pockets that can be reached without debridement
  • eliminate suprabony pockets if the pocket wall is firbous and firm and therefore will not shrink after non-surg
  • access for resotarive surpabony pockets
  • remove ging enlargments
  • remove unesthetic
  • expose unrerupted teeth if ade kerat tissue is availible
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18
Q

Gingivoplasty

A

Surgical reshaping or contouring of gingiva to create physiologic and esthetic gingival form

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19
Q

Osseous resective definition

A

is a periodontal surgical procedure in which supporting alveolar bone is reshaped or removed to eliminate periodontal pockets and create a physiologic bone contour that is easier to maintain.

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20
Q

Osseous resective indications

A
  • shallow infra bony defect
  • osseous ledges
  • furcattion (Class 1 and 2)
  • cutting mulit-rooted teeth to be single
  • incosistent margin
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21
Q

Osseous resective
advantages

A
  • predictiable
  • one step
  • single site
  • minimal healing
  • ease of post op maintence
  • increased contours
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22
Q

Osseous resective
examples

A
  • osteoplasty
  • ostectomy
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23
Q

Osteoplasty

A

reshaping bone WITHOUT removal of alveolar bone proper

Done with Large ROund

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24
Q

Ostectomy

Study These Flashcards
A

removal of alveolar bone proper

Done with End- cutting bur

25
Steps to Resective
1. Bone Sounding 2. Intrasulular incision 3. Mucioperiosteal Flap 4. Root and defect debribment
26
Tissue Placement AT alvelolar Crest
pocker ELIMINATION
27
Tissue Placement Coronal alvelolar Crest
pocket REDUCTION
28
What is the gold standard for perio surgery?
Regeneration
29
Regeneration
is a periodontal procedure aimed at reforming lost alveolar bone and periodontal supporting structures that were destroyed by periodontal disease
30
The goal is true regeneration, meaning formation of
New alveolar bone New periodontal ligament New cementum
31
regeneration examples
* Autograft * Allograft * Allowlists/Xenograft * GTR | also Biologic modifiers (growth factors, enamel matrix proteins)
32
regeneration indications
* deep vertical defects * esthetic * teeth critical for prothesis * when anatomy precludes other procedure * GTR
33
Allograft
from same species
34
Autograft
From self
35
Xenograft
from different speices
36
GTR stands for
Guided Tissue Regeneration
37
In Guided Tissue Regeneration the membrane with provide
epitheial exclusion
38
Mucogingival indications
* regain periodontium * remove frena * root coverage or increase keratinized tissue * restore gingiival topography * preposthetic/pre - ortho
39
Mucogingival examples
* Free Gingival Graft (FGG) * Connective Tissue Graft (CTG) * Semi-Lunar COroclaly Postioned Flap * Laterally Positioned
40
Free Gingival Graft (FGG)
**Full-thickness keratinized tissue** harvested from palate and transplanted to the recipient site * Tissue taken from palate * Increases attached gingiva * Predictable but less esthetic * place on BONE
41
Connective Tissue Graft (CTG)
subepithelial connective tissue graft is harvested (usually from the palate) and placed under a flap to cover exposed roots
42
Semi-Lunar COroclaly Postioned Flap
Flap is advanced coronally to cover the root without a graft * superior esthetics heals by 2 | requires 3-5 mm of keratinized
43
Laterally Positioned
Tissue moved from adjacent tooth Used when donor tissue is available nearby
44
Endo/Perio
primary endo caries affecting pulp and subsequent periodontal involvement
45
Perio/Endo
periodontal destrcution that then effects pulp
46
The more _____ is involed the worse the out come
Perio | endo heals more
47
Implant therapy
ii. Mechanical debridgement, airpowder polisher, local drug delivery iii. Every 6 months if healthy (no systemic or local risk factors) iv. Recall every 3 months if hx of perio
48
peri-implant-mucositis
inlfammation of the peri-implant soft tissue
49
peri-implant-mucositis characterized by
* edema * change in color (redness) * BOP * PD > or equal to 4 * NO radio BONE LOSS
50
peri-implantitis
advanced inflammation that exhibts deep probing (>5 or equal) with BONE LOSS
51
peri-implantitis characteristics
* PD > or equal to 5 * BOP * Radiographic BONE LOSS
52
peri-implantitis DX no past info
* BOP * PD > 6mm or equal * BL >3 or equal
53
TX of Failing Implant
* Remove containminated surface * surgical repair * explant
54
TX of Failing Implant Remove containminated surface
*Citric Acid * EDTA * Tetracycline * Ultrasoinics
55
Implant Lacks
PDL
56
Full thickness flap
epithelium, connective tissue, and periosteum
57
Partial thickness-
epithelium and some connective tissue
58
Combined
true combined lesion occurs when periodontal disease and endodontic (pulpal) disease progress independently and eventually meet, creating a single lesion involving both the periodontal ligament and the pulp
59
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