PERIO EXAM 5 QUESTIONS & ANSWERS
A term used to describe the many non surgical steps used to eliminate inflammation in
the periodontium of a patient with periodontal disease in an attempt to return the
periodontium to a healthy state than can then be maintained by a combination of both
professional care and patient self-care. - answer -nonsurgical therapy
Penetrate the dentin like long, miniature tunnels extending throughout the thickness of
the dentin. - answer -dentinial tubules
Defined as the removal or disruption of plaque biofilm, its by-products, and biofilm-
retentive calculus deposits from the coronal tooth surfaces and tooth root surfaces to
the extent needed to reestablish periodontal health and restore a balance between the
bacterial flora and the host's response. - answer -periodontal instrumentation
Thin tail of cytoplasm from a cell in the tooth pulp called odontoblast. - answer -
odontoblastic process
Refers to crystalline debris from the tooth surface that covers or plugs the dentinal
tubules during the instrumentation; this smear layer blocks the tubules, inhibits fluid
flow, and prevents development of sensitivity. - answer -smear layer
Conditions that may require periodontal surgery to correct include gingival recession
And gingival overgrowth.
True or false - answer -true
Most patients with chronic periodontitis can benefit from undergoing nonsurgical
Therapy prior to periodontal surgical intervention.
True or false - answer -true
A patient with aggressive periodontitis would benefit from nonsurgical periodontal
Therapy.
True or false - answer -false not necessarily the best therapy
Most subgingival biofilm within pockets cannot be reached by brushes, floss, or
Antibacterial rinses.
True or false - answer -true
What is the purpose of nonsurgical periodontal therapy? - answer -to return the
periodontium to a healthy state that can be maintained by a combination of both
professional care and patient self-care.
What are some other terms used to describe/explain/identify initial periodontal
treatment? - answer -nonsurgical periodontal therapy
B. Initial periodontal therapy
,C. Initial periodontal therapy
D. Hygiene therapy
E. Anti-infective phase
F. Cause-related therapy
G. Phase i treatment
H. Soft tissue management
What 3 factors constitute a "sensible" plan for nonsurgical periodontal therapy? -
answer -control, eliminate, or minimize:
primary etiologic factors for periodontal disease
local risk factors for periodontal disease
systemic risk factors for periodontal disease
Why/how can patients with chronic periodontitis benefit from nonsurgical therapy prior to
periodontal surgical intervention? - answer -nonsurgical perio therapy is frequently
successful in minimizing the extent of any surgery subsequently needed; may improve
the outcomes of the perio surgery.
Identify the 4 goals of nonsurgical periodontal therapy. - answer -to minimize the
bacterial challenge to the patient.
to eliminate or control local environment risk factors for periodontal disease.
To minimize the impact of systemic risk factors for periodontal disease.
To stabilize the attachment level by eliminating inflammation.
Identify the 2 procedures used to minimize the bacterial challenge to the patient. -
answer -involves intensive education/training of the patient in appropriate techniques for
self-care.
Involves frequent professional care for removal of calculus deposits and bacterial
products.
Identify some local contributing factors for periodontal disease. - answer -calculus,
caries, poorly fitting removable prosthesis, poorly contoured restorations, bulky crowns,
tooth grooves or concavities, tooth morphology, furcations.
A diagnosis of plaque-induced gingivitis means that the patient does not need
Periodontal surgery.
True or false - answer -false periodontal surgery is sometimes needed to correct other
existing problems of gingivitis
Surgical periodontal therapy is the primary type of care provided for most patients
With plaque-induced gingivitis.
True or false - answer -false nonsurgical
, Thorough nonsurgical therapy can normally bring plaque-induced gingivitis under
Control and bring it to a point that periodontal health can be maintained by both the
professional and the patient self-care.
True or false - answer -true
Identify some systemic factors that can increase the risk of developing periodontitis. -
answer -diabetes mellitus, leukemia, hiv infection, linear gingival erythema, hormonal
fluctuations during puberty, pregnancy, and menopause, genetic factors - cyclic
neutropenia, down syndrome, medications - anticonvulsant, anti anxiety,
antihypertensive, calcium blockers, immunosuppressive, smoking, alcohol consumption.
How does nonsurgical periodontal therapy stabilize the level of attachment? - answer -
involves control of all bacterial, systemic, and local contributing factors.
Patient education.
List the types of procedures included in nonsurgical therapy. - answer -customized
(individualized) self-care instructions.
-mechanical plaque biofilm control.
-chemical plaque biofilm control.
Periodontal instrumentation of tooth surfaces.
Use of antimicrobial agents.
Correction of local contributing factors.
Correction of systemic risk factors.
Modulation of host defenses.
What is the objective of instrumentation during nonsurgical therapy? - answer -the
objective of the mechanical removal of calculus and plaque biofilm is the physical
removal of microorganisms and their products to prevent and treat periodontal infections
What is the most effective mechanism of control of periodontal disease? - answer -
physical removal of plaque biofilm
What role does calculus play in the periodontal disease process? - answer -harbor
living bacterial biofilms; thus, if the calculus remains, so do the bacteria, making it
impossible to reestablish periodontal periodontal health.
Instrumentation of the crown & root surfaces to remove plaque biofilm, calculus, etc. -
answer -scaling
A term used to describe the many non surgical steps used to eliminate inflammation in
the periodontium of a patient with periodontal disease in an attempt to return the
periodontium to a healthy state than can then be maintained by a combination of both
professional care and patient self-care. - answer -nonsurgical therapy
Penetrate the dentin like long, miniature tunnels extending throughout the thickness of
the dentin. - answer -dentinial tubules
Defined as the removal or disruption of plaque biofilm, its by-products, and biofilm-
retentive calculus deposits from the coronal tooth surfaces and tooth root surfaces to
the extent needed to reestablish periodontal health and restore a balance between the
bacterial flora and the host's response. - answer -periodontal instrumentation
Thin tail of cytoplasm from a cell in the tooth pulp called odontoblast. - answer -
odontoblastic process
Refers to crystalline debris from the tooth surface that covers or plugs the dentinal
tubules during the instrumentation; this smear layer blocks the tubules, inhibits fluid
flow, and prevents development of sensitivity. - answer -smear layer
Conditions that may require periodontal surgery to correct include gingival recession
And gingival overgrowth.
True or false - answer -true
Most patients with chronic periodontitis can benefit from undergoing nonsurgical
Therapy prior to periodontal surgical intervention.
True or false - answer -true
A patient with aggressive periodontitis would benefit from nonsurgical periodontal
Therapy.
True or false - answer -false not necessarily the best therapy
Most subgingival biofilm within pockets cannot be reached by brushes, floss, or
Antibacterial rinses.
True or false - answer -true
What is the purpose of nonsurgical periodontal therapy? - answer -to return the
periodontium to a healthy state that can be maintained by a combination of both
professional care and patient self-care.
What are some other terms used to describe/explain/identify initial periodontal
treatment? - answer -nonsurgical periodontal therapy
B. Initial periodontal therapy
,C. Initial periodontal therapy
D. Hygiene therapy
E. Anti-infective phase
F. Cause-related therapy
G. Phase i treatment
H. Soft tissue management
What 3 factors constitute a "sensible" plan for nonsurgical periodontal therapy? -
answer -control, eliminate, or minimize:
primary etiologic factors for periodontal disease
local risk factors for periodontal disease
systemic risk factors for periodontal disease
Why/how can patients with chronic periodontitis benefit from nonsurgical therapy prior to
periodontal surgical intervention? - answer -nonsurgical perio therapy is frequently
successful in minimizing the extent of any surgery subsequently needed; may improve
the outcomes of the perio surgery.
Identify the 4 goals of nonsurgical periodontal therapy. - answer -to minimize the
bacterial challenge to the patient.
to eliminate or control local environment risk factors for periodontal disease.
To minimize the impact of systemic risk factors for periodontal disease.
To stabilize the attachment level by eliminating inflammation.
Identify the 2 procedures used to minimize the bacterial challenge to the patient. -
answer -involves intensive education/training of the patient in appropriate techniques for
self-care.
Involves frequent professional care for removal of calculus deposits and bacterial
products.
Identify some local contributing factors for periodontal disease. - answer -calculus,
caries, poorly fitting removable prosthesis, poorly contoured restorations, bulky crowns,
tooth grooves or concavities, tooth morphology, furcations.
A diagnosis of plaque-induced gingivitis means that the patient does not need
Periodontal surgery.
True or false - answer -false periodontal surgery is sometimes needed to correct other
existing problems of gingivitis
Surgical periodontal therapy is the primary type of care provided for most patients
With plaque-induced gingivitis.
True or false - answer -false nonsurgical
, Thorough nonsurgical therapy can normally bring plaque-induced gingivitis under
Control and bring it to a point that periodontal health can be maintained by both the
professional and the patient self-care.
True or false - answer -true
Identify some systemic factors that can increase the risk of developing periodontitis. -
answer -diabetes mellitus, leukemia, hiv infection, linear gingival erythema, hormonal
fluctuations during puberty, pregnancy, and menopause, genetic factors - cyclic
neutropenia, down syndrome, medications - anticonvulsant, anti anxiety,
antihypertensive, calcium blockers, immunosuppressive, smoking, alcohol consumption.
How does nonsurgical periodontal therapy stabilize the level of attachment? - answer -
involves control of all bacterial, systemic, and local contributing factors.
Patient education.
List the types of procedures included in nonsurgical therapy. - answer -customized
(individualized) self-care instructions.
-mechanical plaque biofilm control.
-chemical plaque biofilm control.
Periodontal instrumentation of tooth surfaces.
Use of antimicrobial agents.
Correction of local contributing factors.
Correction of systemic risk factors.
Modulation of host defenses.
What is the objective of instrumentation during nonsurgical therapy? - answer -the
objective of the mechanical removal of calculus and plaque biofilm is the physical
removal of microorganisms and their products to prevent and treat periodontal infections
What is the most effective mechanism of control of periodontal disease? - answer -
physical removal of plaque biofilm
What role does calculus play in the periodontal disease process? - answer -harbor
living bacterial biofilms; thus, if the calculus remains, so do the bacteria, making it
impossible to reestablish periodontal periodontal health.
Instrumentation of the crown & root surfaces to remove plaque biofilm, calculus, etc. -
answer -scaling
