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S09 Perio
Final
64
Other
Professional
07/27/2009

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Cards

Term
Phenytoin (anticonvulsant), Nifedipine (calcium channel blocker), cyclosporin (immunosuppressant)
Definition
What are the three medications that may cause gingival overgrowth?
Term
False! It is only useful in protection of tissues
Definition
T/F: Coe-Pak has curative properties.
Term
mucoperiosteal flap
Definition
A full thickness flap is also known as a ____ flap. It includes the periosteum and is achieved by blunt dissection with an elevator.
Term
sharp dissection
Definition
Patial thickness flap is achieved by ___ dissection with a blade.
Term
envelope flap
Definition
The ___ flap has no vertical releasing incisions and is esthetically more predictable. It is usually a full thickness incision.
Term
1-2 vertical releasing incisions, must be placed at line angles and papilla/mid-cervical areas should be avoided
Definition
How many vertical releasing incisions does a released/relaxed/pedicle flap have and where must they be placed on the papilla? This offers flexibility in access.
Term
Gingevectomy
Definition
___ is the excision of soft tissue wall and can be done to eliminate suprabony pockets as long as there is enough keratinized tissue.
Term
0.5-0.8mm, 0.5-1.35mm, 1.0-1.8mm
Definition
What are the average biological widths of the following: sulcus, junctional epithelium, connective tissue fibers.
Term
epithelial attachment, connective tissue attachment
Definition
The biologic width should only include ___ attachment and ___ ___ attachment which would make the average biologic width 2mm.
Term
osteoplasty, ostectomy
Definition
___ is the removal of non-supporting bone. ___ is the removal of supporting bone.
Term
True!
Definition
T/F: Infrabony defects are classified by how many walls remain. Ex: 3-wall defect means 3 walls are still remaining.
Term
3-wall
Definition
___-wall infrabony defects are usually located in the interdental region and are also called intrabony defects.
Term
Regenerative = additive, resective = subtractive
Definition
Regenerative is (additive/subtractive) osseous surgery. Resective is (additive/subtractive) osseous surgery.
Term
palate
Definition
In the maxilla, defects are ramped towards the ___.
Term
lingual
Definition
Mandibular defects are ramped towards the ___.
Term
Positive/negative
Definition
____ architecture is when the radicular bone is apical to the interdental bone. ___ architecture is when the interdental bone is more apical than the radicular bone.
Term
mandible / maxilla
Definition
Success rates are higher in the ___ than the ___.
Term
I
Definition
In type ___ bone quality, almost entire jaw comprises homogenous cortical bone.
Term
II
Definition
In type ___ bone quality, a thick layer of cortical bone surrounds a core of dense trabecular bone.
Term
III
Definition
In type ___ bone quality, a thin layer of cortical bone surrounds a core of dense trabecular bone of favorable strength.
Term
IV
Definition
In type ___ bone quality, a thin layer of cortical bone surrounds a core of low density trabecular bone.
Term
I and IV
Definition
Higher implant failure rates seem to be associated with which type of bone?
Term
7mm MD, 10-12mm vertically
Definition
MD dimension of __mm and minimum vertical dimension of __-__mm needed for prospective implant site.
Term
True!
Definition
T/F: Bone loss is often greater in posterior region after extraction.
Term
1. initial angiogenic stage, 2. new bone formation (3rd week), 3. bone growth stage (4-5 wks), 4. bone reorganization (6 wks)
Definition
What are the 4 stages of wound healing after an extraction?
Term
corticocancellous
Definition
___ graft is taken from mandibular symphysis, body of mandible or ramus.
Term
Distraction osteogenesis
Definition
___ osteogenesis is a process by which bone is gradually lengthened by the action of an appliance following the creation of sectioning osteotomy at the anatomic area at which additional bone is desired.
Term
inflammation
Definition
___ in wound healing is when blood fills the wound and platelets degranulate to activate clotting cascade.
Term
inflammation
Definition
In the ___ stage of wound healing, platelets adhere to macromolecules and form a hemostatic plug. They then stimulate coagulation pathway and a fibrin clot forms to reinforce platelet plug.
Term
vasodilation
Definition
In inflammation, bradykinin and prostaglandins cause ___, leading to pain/swelling.
Term
macrophages
Definition
___ release growth factors and cytokines when the immune system is activated in wound healing.
Term
day 2
Definition
Angiogenesis begins at day ___ in wound healing.
Term
12-24hrs, 0.5mm/day, 2 weeks
Definition
Gingival epithelial cells begin to migrate by ___-___ hours at a rate of ___mm/day. Wounds generally take ___wks to keratinize.
Term
1 wk, 2 wks
Definition
The junctional epithelium reforms by ___ wk(s) and becomes more resistant by ___ wk(s).
Term
48hrs, 4 days, 30 days, 3 months
Definition
Connective tissue forms a fibrin clot in ___hrs. New connective tissue formation begins at __days and continues over next ___days. It matures over next ___months.
Term
2-10 days, 10-28 days
Definition
The osteoclastic phase of cone healing is from ___-___days. The osteoblastic phase is from ___-___ days and continues over next year.
Term
1.2mm, 0.4mm, 0.8mm
Definition
Initial bone loss is ___mm followed by bone apposition of ___mm leading to an overal crestal bone loss of ___mm.
Term
0-4 days
Definition
Adaptation stage is from __-__ days. Fibrin clot forms with PMNs between flap and bone.
Term
4-21 days, 1mm
Definition
Proliferation stage is from __-__ days. Granulation tissue invades clot, fibroblasts are present on root surface and epithelium migrates apically. __mm of crestal bone resorption.
Term
21-28 days
Definition
Attachment stage is from __-__ days. Collagen formation, cementrum formation and bone formation peaks.
Term
28-180 days
Definition
Maturation stage is from ___-___ days. New PDL fibers and new attachment.
Term
2-3 weeks
Definition
Attachment of flap to underlying bone is usually complete by __-__ weeks.
Term
6 weeks
Definition
It is advisable to wait a minimum of ___ weeks after the completion of surgical procedure to begin dental restorations.
Term
1. new attachment, 2. long junctional epithelium, 3. root resorption/ankylosis, 4. recurrence of pocket
Definition
What are the 4 possible outcomes of periodontal therapy?
Term
Autograft, Allograft, Alloplast, Xenograft
Definition
___graft is when a tissue is transferred from one position to another on same person. ___graft is a graft btwn genetically dissimilar members of same species. ___ is a synthetic graft or inert foreign body implanted into tissue. ___graft is a graft taken from a donor of another species.
Term
osteoconductive, osteoinductive
Definition
Undecalcified freeze-dried bone is considered to be osteo____. Decalcified freeze-dried bone is considered to be osteo___.
Term
Class I (100% root coverage with soft tissue grafting)
Definition
Class __ according to Miller's classification is when the marginal tissue recession does not extend to mucogingival junction. There is no loss of interdental bone or soft tissue.
Term
Class II (100% root coverage with soft tissue grafting)
Definition
Class __ according to Miller's classification is when marginal tissue recession extends to/beyond the mucogingival junction. No loss of interdental bone/soft tissue.
Term
Class III (partial root coverage)
Definition
Class __ according to Miller's classification is when marginal tissue recession extends to/beyond mucogingival junction. Loss of interdental bone but still is coronal to apical extent of marginal tissue recession.
Term
Class IV (no root coverage anticipated - may consider increasing amount of keratinized tissue)
Definition
Class __ according to Miller's classification is when marginal tissue recession extends to/beyond mucogingival junction. Loss of interdental bone apical to extent of marginal tissue recession.
Term
Mucogingival defect
Definition
___ ___ is the insufficient amount or lack of attached gingiva.
Term
1. root coverage, 2. increase keratinized tissue
Definition
What are the two goals of soft tissue grafting?
Term
1.5-2mm
Definition
Grafts for a free gingival (epithelial) graft should have a thickness of ___-___mm. There is no connective tissue between the recipient site and donor area.
Term
47 degrees C for 1 min.
Definition
Thermal osteonecrosis occurs at ___ degrees C for 1 min.
Term
750-1250rpm
Definition
What is the optimal drill speed to prevent thermal osteonecrosis?
Term
CO2 / Nd:YAG
Definition
___ and ___ lasers were first approved and are most common for soft tissue in dentistry.
Term
Er:YAG
Definition
With ___ lasers, very little heat is given off.
Term
Diode
Definition
__ lasers do not interact with dental hard tissues. They are used to cut/coagulate gingiva/oral mucosa and caries detection.
Term
Laser assisted new attachment procedure
Definition
What does LANAP stand for?
Term
ENAP (Excisional New attachment procedure)
Definition
(LANAP/ENAP) may not remove all pocket epithelium.
Term
PD reduction of 0.03mm and loss of attachment of 0.34mm
Definition
Initial PD = 1-3mm, what can you expect from S/RP?
Term
PD reduction of 1.29mm and 0.55mm gain in attachment
Definition
Initial PD = 4-6mm, what can you expect from S/RP?
Term
PD reduction 2.16mm, 1.19mm gain of attachment
Definition
Initial PD = >7mm, what can you expect from S/RP?
Term
True!
Definition
T/F: Insurance companies cover the procedure of laser treatment, not the method.
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