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Questions and Answers
What condition can exacerbate periodontal disease related to oral hygiene?
How can iatrogenic factors contribute to periodontal disease?
Which type of denture is most likely to trap plaque and lead to periodontal issues?
What is a key consideration in managing a patient's oral hygiene in relation to iatrogenic factors?
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Which of the following oral piercings is least likely to affect periodontal health?
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What is a common effect of carious lesions on oral tissues?
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Which of these factors can contribute to periodontal disease due to the use of oral jewellery?
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What aspect of denture care is crucial for preventing periodontal disease?
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What defines a secondary local factor in periodontal disease?
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What role does dental calculus play in periodontal disease?
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Which of the following is NOT a type of secondary local factor?
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How can iatrogenic local factors contribute to periodontal disease?
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Which of the following local factors arises due to a disease or trauma?
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What happens when a patient cannot reach areas with plaque buildup?
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What is a significant effect of dental calculus over time?
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What is the key focus of a dental hygienist regarding secondary local factors?
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Which type of bridges can be utilized in dental restorations?
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What is essential for maintaining oral hygiene with orthodontic appliances?
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Which of the following is NOT a method to eliminate or modify secondary local factors in dental care?
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The role of the dental therapist and dental hygienist includes which of the following?
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What is a key consideration for optimal plaque control in patients?
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What is a major aspect of the British Periodontology Society's guidelines?
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In what situation should a dental hygienist consider referring a patient?
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Which of the following statements is accurate regarding plaque control?
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What is the significance of the depth of grooves in lateral incisors?
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Which of the following is NOT a common malposition of teeth?
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What percentage of molars are typically associated with enamel pearls?
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Which of the following conditions can contribute to poor tooth positioning in the arch?
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Which of the following anomalies is characterized by the presence of a groove primarily on upper lateral incisors?
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Study Notes
Local Risk Factors in Periodontal Disease
- Secondary local factors exacerbate periodontal disease by providing areas for microorganism colonization through plaque retention, making it difficult to achieve optimum plaque control.
- Secondary local factors can be categorized as:
- Developmental
- Due to disease or trauma
- Iatrogenic
Developmental Local Factors
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Dental Calculus - a large irregular surface area that encourages the growth of microorganisms.
- Calculus can hamper oral hygiene efforts.
- Toxic substances leach out of calculus over time.
- Calculus can form supragingivally or subgingivally.
- Calculus is commonly found on teeth and other surfaces.
- Calculus harbors a high concentration of microorganisms.
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Tooth Anomalies are developmental variations in tooth morphology.
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Root grooves and concavities
- Found on lateral incisors and other surfaces.
- Prognosis worsens as the groove deepens and extends apically.
- Can hold plaque and are difficult to clean.
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Palatal grooves
- Primarily found on the upper lateral incisors.
- Also referred to as radicular grooves.
- These grooves present a challenge for oral hygiene.
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Root grooves and concavities
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Malpositioned teeth contribute to plaque retention.
- Conditions include crowding, over-eruption (overbite), poor contact points, poor position in the arch, tilting, rotation, impacted teeth, and traumatic overbites.
- These conditions are difficult for patients to clean effectively due to the irregular surfaces.
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Enamel pearls are small, enamel-like nodules found on the cervical third of teeth, often associated with furcations.
- They are commonly found in molars (5% of population).
- These structures can make cleaning difficult
Local Factors Due to Disease or Trauma
- Carious lesions and resorption cavities create irregular surfaces that make cleaning difficult.
- Previous periodontitis and gingival recession can expose root surfaces, which are more susceptible to plaque accumulation and disease progression.
Iatrogenic Local Factors
- Dental restorations, including amalgam, composite, glass ionomer, crowns, and bridges, can create difficult-to-clean areas.
- Orthodontic appliances create retention areas for plaque.
- Dentures, especially partial dentures with acrylic and extensive coverage of gingival margins, can harbor plaque.
- Implants can also become sites for plaque accumulation.
- Oral piercings can exacerbate periodontal disease.
The Role of the Dental Therapist & Hygienist
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Recognition and assessment — assess patients during initial and follow-up appointments for local risk factors.
- Utilize proper methods to assess, including the Basic Periodontal Examination (BPE).
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Eliminate or modify secondary local factors - guide patients to achieve optimal plaque control.
- This may involve advising on oral hygiene techniques, recommending professional cleaning, or referring to other healthcare professionals.
- Education- educate patients on plaque control and the relationship between oral hygiene and periodontal disease.
- Proactive approach- encourage a personalized approach to oral hygiene, addressing individual needs and adapting techniques to specific challenges.
- Collaboration- collaborate with other healthcare professionals, as necessary to address specific local risk factors.
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Description
This quiz delves into the secondary local factors that exacerbate periodontal disease, focusing on developmental considerations like dental calculus and tooth anomalies. Understanding these factors is crucial for effective plaque control and improved oral hygiene management. Test your knowledge of how these local risk factors contribute to periodontal health.
