40 Questions
What is the main purpose of supportive periodontal therapy?
To provide therapeutic measures to support patient's own efforts in controlling periodontal infection
What is the preventive effect of regular supportive periodontal therapy on tooth loss?
Reduces the risk of tooth loss
Who is primarily responsible for maintaining optimal periodontal health according to the text?
Both patients and dental professionals
What does SPT stand for in the context of periodontal care?
Supportive Periodontal Therapy
How can recurrent periodontitis be limited or prevented as mentioned in the text?
Through optimal oral hygiene practices
What is the purpose of Supportive Periodontal Therapy (SPT)?
To support the patient's control of periodontal infections and prevent re-infections
What contributes to the up-regulation of IL-8 and ICAM-1 expression in the gingival epithelium?
Bacteria interaction with keratinocytes
Why is continued loss of attachment inevitable in the absence of plaque control?
As a result of fast disease progression with increasing age
What role does the patient play in maintaining supportive periodontal therapy?
Control periodontal infections and prevent re-infections
What leads to the infiltration of neutrophils into the gingiva of periodontally healthy individuals?
Interaction between bacteria and keratinocytes
What is one of the key findings regarding teeth survival rates in relation to inflammation?
Decreased survival rate for teeth with no bleeding on probing
What is the significance of gingival inflammation according to the text?
It is a precursor to periodontitis
How does the text emphasize the importance of maintaining periodontal health?
By advocating for regular supportive therapy
What role do healthy gingiva play in determining tooth longevity?
Important prognosis for tooth longevity
What has a high chance of keeping teeth for a lifetime?
Eliminating gingival inflammation
What is a key benefit of regular Supportive Periodontal Therapy (SPT) according to the text?
Reduced pocket depth
How can the recurrence of periodontitis be prevented or limited?
Regular SPT and optimal personal plaque control
What factor influences the amount of pocket reduction and attachment level gain achieved during periodontal therapy?
Depth of the pocket
What is a challenge in achieving complete removal of subgingival calculus during periodontal therapy?
Microscopic aggregates of residual calculus
In maintaining periodontal health, what balance needs to be achieved between microbial deposits and the patient's host response?
Low microbial deposits and high host response
What is a key difference between CDT code 4910 and code 1110 for insurance reimbursement?
Code 4910 is for periodontal maintenance, while code 1110 is for regular recall
Why does insurance generally reimburse more for CDT code 4910 compared to code 1110?
Because code 4910 involves a more comprehensive examination and treatment
What role does periodontal pathogen testing play in the context of supportive periodontal therapy?
It guides the necessity of scaling and root planing procedures
In the context of periodontal health, what has been increasingly recognized regarding gingival inflammation?
Gingival inflammation has a significant role in disease pathogenesis
Why is it important to schedule the patient's next appointment with both their general practitioner and periodontist after supportive periodontal therapy?
To ensure proper communication between healthcare providers
What is the key role of supportive periodontal therapy (SPT) in preventing periodontal diseases?
Monitoring and limiting recurrent periodontitis
Which factor is inversely related to tooth loss according to the text?
The frequency of supportive periodontal therapy (SPT)
How can recurrent periodontitis be limited or prevented?
By maintaining optimal oral hygiene
What is the initial step in the supportive periodontal therapy (SPT) process?
Reviewing the patient's medical history
Which factor is crucial for determining the periodontal maintenance schedule according to the text?
Changes in caries history or CAMBRA
What happens to the granulation tissue after scaling and root surface debridement (RSD)?
It is not yet mature and continues to be repaired for four to eight weeks.
When should probing depths and clinical attachment levels be re-evaluated after scaling and root surface debridement (RSD)?
Eight to twelve weeks post-procedure.
Why is it important to wait eight to twelve weeks before re-evaluating probing depths and clinical attachment levels?
To monitor the success of the treatment outcome accurately.
What is one of the essential aspects of supportive periodontal therapy (SPT) mentioned in the text?
Emphasizing patient education and optimal oral hygiene maintenance.
What is the role of the patient in maintaining periodontal health?
Being actively involved in plaque control and optimal oral hygiene practices.
Why is maintenance of optimal oral hygiene crucial in supportive periodontal therapy?
To avoid subgingival microbial recolonization post-scaling and RSD.
What biological process continues for four to eight weeks post-scaling and root surface debridement (RSD)?
Granulation tissue maturation.
What could happen if subgingival microbial recolonization occurs post-scaling and RSD?
Potential disease recurrence without improved plaque control.
What is a risk associated with long intervals between supportive periodontal therapy (SPT) visits?
Possibility for disease recurrence and lack of support for oral hygiene adherence.
What is an important consideration when tailoring a perio maintenance plan?
Individualization based on patient's risk of disease progression.
Test your knowledge on a classic longitudinal study that explores the relationship between gingival health, tooth survival, and periodontal diseases. Learn about factors like gingival inflammation, subgingival calculus, bleeding on probing, and tooth loss.
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