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NDAEB exam review 5.10 2024.
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NDAEB exam review 5.10 2024.Periodontics
is the dental specialty involved in the diagnosis and treatment of diseases of the supporting tissues.
In a periodontal practice, the dental assistant assists with _______ _________ and __________
_________ and provides ______ _____ _______ to the patient.
periodontal charting and periodontal surgeries and provides home care instructions to the patient.
Depending on the particular state's dental practice act, the dental assistant also may
place and remove periodontal dressings,
remove sutures,
perform coronal polishes,
take impressions for study models,
and administer topical fluoride applications.
A periodontal examination includes
the patient's medical and dental history,
radiographic evaluation,
examination of the teeth,
examination of the oral tissues and supporting structures, and periodontal charting.
Periodontal charting includes _______ _____,______,______ ______, _______, and ______ ________.
Clinical findings of the periodontal examination are recorded on the ______ _____
pocket readings, furcations, tooth mobility, exudate (pus), and gingival recession.
periodontal chart
The periodontist reviews the medical history to detect any systemic conditions that may influence
periodontal treatment. What are some Systemic diseases? , Lowered resistance makes periodontal
disease more severe and more difficult to treat.
such as acquired immunodeficiency syndrome (AIDS),
human immunodeficiency virus (HIV) infection, or diabetes, can lower resistance of the tissue to
infection.
What is the dental history used for?
The dental history is used to gather information about conditions that could indicate periodontal disease
What conditions could indicate periodontal disease?
patients with periodontal disease often complain of bleeding gums, loose teeth, or a bad taste. They may
describe a dull pain after eating or a burning sensation in the gingival tissue
Dental Examination what is included
, teeth mobility
Oral Tissues and Supporting Structures examination
Periodontal Probing
Bleeding Index
Occlusal Adjustment
Radiographic Analysis
Tooth Mobility
detected with the blunt ends of two instruments.
excessive mobility can be an important sign of periodontal disease
examination of _____ _____ and ______ ________ includes an assessment of amounts of plaque and
calculus, changes in gingival health and bleeding, and level of bone, as well as detection of periodontal
pockets
Oral Tissues and Supporting Structures
Periodontal probing
A normal sulcus measures 3 mm or less
The purpose of periodontal probing is to measure how much epithelial attachment has been lost to
disease. The greater the depth of the periodontal pocket, the greater is the loss of epithelial attachment
and bone, and therefore, the more severe is the periodontal disease
A periodontal pocket occurs when
disease causes the gingival sulcus to become deeper than normal.
which one (A or B) shows a periodontal pocket?
Dental Conditions That Contribute to Periodontal Disease
Pathologic migration
Clenching or grinding
Defective restorations or bridgework
Mobility
Occlusal interferences
A shift in the position of the teeth is caused by loss of periodontal support.
Pathologic migration
places excessive biting forces on the teeth and may accelerate bone loss.
Clenching or grinding (bruxism)
may retain plaque and increase the risk of periodontal disease
Defective restorations or bridgework
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