NONSURGICAL PERIODONTAL THERAPY AND
ADJUNCTIVE THERAPY (WILKINS CHAPTER
39) EXAM QUESTIONS WITH 100% SOLVED
ANSWERS!!
What is the "gold standard" for initial therapy in inflammatory gingival and
periodontal infections? Answer - Periodontal debridement
What are some therapeutic interventions in initial periodontal therapy?
Answer - -Management or elimination of modifiable risk factors
-Patient education for preventive strategies
-Nonsurgical periodontal therapy (NSPT)
-Administration of antimicrobial or antibiotic agents
-Elimination of local factors• Re-evaluation of initial therapy
What are some examples of eliminating local factors contributing to
periodontal disease? Answer - -Overhanging margins of restorations.
-Unfinished, poorly contoured, or unpolished restorations.
-Carious lesions.
-Ill-fitting prosthetic devices.
-Occlusal trauma.
What outcomes come from JUST nonsurgical periodontal therapy? Answer - -
Reduction in inflammation & infection
-Reduction of pocket depth
, -Gains in clinical attachment
What are some adjunctive therapies with nonsurgical periodontal therapy?
Answer - -Systemic subantimicrobial doxycycline
-Chlorhexidine gluconate (CHX) chips
-Photodynamic therapy w/ laser
The _____ goals of periodontal therapy are to manage or eliminate plaque
biofilm and risk factors for periodontitis in order to stop progression of disease
and maintain oral health Answer - Therapeutic
Long term success of nonsurgical periodontal therapy depends on what
factors? Answer - -Control of the dental biofilm by the patient on a daily basis.
-Management of modifiable periodontal risk factors.
-Regular periodontal maintenance based on risk factors and disease control.
-A skilled clinician to provide definitive debridement initially and on an ongoing
basis.
List the aims and expected outcomes of nonsurgical periodontal therapy:
Answer - -Interrupt or arrest the progress of the disease
-Create an environment to encourage healing
-Induce positive changes in quality and quantity of subgingival bacteria
-Provide initial preparation for surgical periodontal therapy in advanced
diseases
-Educate and motivate the patient
T/F: Before instrumentation, the predominant microorganisms are anaerobic,
gram- negative, motile forms with many spirochetes and rods, high counts of
all types of microorganisms, and many leukocytes. Answer - True
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