Term
What is nonsurgical periodontal therapy? |
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Definition
the control of plaque induced gingivitis or chronic periodontitis by implementing professional instrumentation and daily homecare |
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Term
What are the objectives of nonsurgical periodontal therapy? (3) |
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Definition
1.eliminate inflammatory disease in the periodontium 2.return the periodontium to a state of health 3.maintain health with professional and daily self care |
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Term
What should our treatment plan control or eliminate? |
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Definition
-primary etiologic factors -local risk factors -systemic risk factors |
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Term
What are some forms of pain management in the dental office? |
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Definition
1.local anesthesia 2.nitrous oxide 3.oraquix |
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Term
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Definition
2.5% lidocaine or prilocaine |
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Term
What is the onset and duration like for oraquix? What is the maximum dosage? |
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Definition
-30 sec onset, 20 min duration -5 caetridges |
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Term
What are some different ways to administer chemotherapeutics? |
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Definition
-antimicrobials -local delivery antibiotics -systemic devlivery |
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Term
What is a type of local anibiotics? |
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Definition
arestin(minocycline hydrochloride microspheres) |
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Term
What do local antibiotics reduce? |
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Definition
-p gingivalis (Mr. Perio) -T denticola -T. forsythia |
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Term
What is an example of a local antibiotic? |
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Definition
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Term
Do people with aggresive perio go through nonsurgical periodntal therapy? |
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Definition
no they are sent straight to the periodontitis |
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Term
What is the evlauation after nonsurgical periodontal therapy done for? |
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Definition
to see if surgery is needed |
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Term
Are hand or power instruments preferred for nonsurgical periodontal therapy? |
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Definition
power instruments are the first choice |
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Term
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Definition
instrumentation of the crown and root surfaces |
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Term
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Definition
the intentional removal of cementum |
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Term
What is periodontal debridement? |
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Definition
-removes/disrupts bioilm and calculus on the crown and root surface -does NOT include deliberate removal of the cementum |
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Term
Does bone, cementum, or your PDL reform/grow after NSPT? |
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Definition
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Term
When is the reval appt for NSPT? |
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Definition
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Term
What are the 3 tissue changes to instrumentation? |
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Definition
1.shrinkage 2.readaptation of the JE 3.little change in the level of soft tissues resulting in a residual periodontal pocket |
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Term
What is considered primary healing after NSPT? |
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Definition
the formation of a long JE |
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Term
What are nonresponsive sites? |
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Definition
areas that show further attachment loss and inflammation in spite of therapy |
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Term
Does plaque associated gingivitis usually require surgical therapy? |
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Definition
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Term
Is surgery indicated for slight chronic perio? |
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Definition
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Term
Is surgery indicated for moderate chronic perio? |
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Definition
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Term
Is surgery indicated for severe chronic perio? |
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Definition
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Term
What are some exceptions so some thngs where periodontal surgery is indicated? |
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Definition
-gingival enlargement recontour -slight chronic with localized severe recession |
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Term
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Definition
-one who may benefit from dentist and periodontitis -comanagement between dentist and periodonitits |
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Term
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Definition
those who would likely benefit from comanagement by reffering to dentist and periodontitis |
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Term
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Definition
those who should be treated by a periodontitis |
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Term
What is an example of some patients who would be AAP level 1? |
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Definition
pts with inflammation and... -diabetes -pregnant -cardio disease -COPD OR patients getting.. -cancer therapy -heart surgery -joint replacement -organ transplant |
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Term
Who would be AAp level 3? |
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Definition
-severe chronic perio -significant root exposure -perio implant disease -etc. |
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Term
Does hypersensitivity go away? |
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Definition
yes, most cases go away on their own |
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Term
What should the description of the periodontium include? |
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Definition
-describe entire periodontium (Generlaized, localized) -severity(slight, moderate, severe) -AAP classification(8 classes) |
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