Longitudinal Study on Periodontal Health

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What is the main purpose of supportive periodontal therapy?

To remove all plaque and calculus from the teeth

To provide therapeutic measures to support patient's own efforts in controlling periodontal infection (correct)

To perform surgical procedures to treat periodontal diseases

To replace missing teeth with dental implants

What is the preventive effect of regular supportive periodontal therapy on tooth loss?

Reduces the risk of tooth loss (correct)

Is directly proportional to tooth loss

Is irrelevant to tooth loss prevention

Increases the risk of tooth loss

Who is primarily responsible for maintaining optimal periodontal health according to the text?

Dental professionals only

Both patients and dental professionals (correct)

Patients only

Oral health therapists

What does SPT stand for in the context of periodontal care?

Supportive Periodontal Therapy Signup and view all the answers

How can recurrent periodontitis be limited or prevented as mentioned in the text?

Through optimal oral hygiene practices Signup and view all the answers

What is the purpose of Supportive Periodontal Therapy (SPT)?

To support the patient's control of periodontal infections and prevent re-infections Signup and view all the answers

What contributes to the up-regulation of IL-8 and ICAM-1 expression in the gingival epithelium?

Bacteria interaction with keratinocytes Signup and view all the answers

Why is continued loss of attachment inevitable in the absence of plaque control?

As a result of fast disease progression with increasing age Signup and view all the answers

What role does the patient play in maintaining supportive periodontal therapy?

Control periodontal infections and prevent re-infections Signup and view all the answers

What leads to the infiltration of neutrophils into the gingiva of periodontally healthy individuals?

Interaction between bacteria and keratinocytes Signup and view all the answers

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 Signup and view all the answers

What is the significance of gingival inflammation according to the text?

It is a precursor to periodontitis Signup and view all the answers

How does the text emphasize the importance of maintaining periodontal health?

By advocating for regular supportive therapy Signup and view all the answers

What role do healthy gingiva play in determining tooth longevity?

Important prognosis for tooth longevity Signup and view all the answers

What has a high chance of keeping teeth for a lifetime?

Eliminating gingival inflammation Signup and view all the answers

What is a key benefit of regular Supportive Periodontal Therapy (SPT) according to the text?

Reduced pocket depth Signup and view all the answers

How can the recurrence of periodontitis be prevented or limited?

Regular SPT and optimal personal plaque control Signup and view all the answers

What factor influences the amount of pocket reduction and attachment level gain achieved during periodontal therapy?

Depth of the pocket Signup and view all the answers

What is a challenge in achieving complete removal of subgingival calculus during periodontal therapy?

Microscopic aggregates of residual calculus Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

Why does insurance generally reimburse more for CDT code 4910 compared to code 1110?

Because code 4910 involves a more comprehensive examination and treatment Signup and view all the answers

What role does periodontal pathogen testing play in the context of supportive periodontal therapy?

It guides the necessity of scaling and root planing procedures Signup and view all the answers

In the context of periodontal health, what has been increasingly recognized regarding gingival inflammation?

Gingival inflammation has a significant role in disease pathogenesis Signup and view all the answers

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 Signup and view all the answers

What is the key role of supportive periodontal therapy (SPT) in preventing periodontal diseases?

Monitoring and limiting recurrent periodontitis Signup and view all the answers

Which factor is inversely related to tooth loss according to the text?

The frequency of supportive periodontal therapy (SPT) Signup and view all the answers

How can recurrent periodontitis be limited or prevented?

By maintaining optimal oral hygiene Signup and view all the answers

What is the initial step in the supportive periodontal therapy (SPT) process?

Reviewing the patient's medical history Signup and view all the answers

Which factor is crucial for determining the periodontal maintenance schedule according to the text?

Changes in caries history or CAMBRA Signup and view all the answers

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. Signup and view all the answers

When should probing depths and clinical attachment levels be re-evaluated after scaling and root surface debridement (RSD)?

Eight to twelve weeks post-procedure. Signup and view all the answers

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. Signup and view all the answers

What is one of the essential aspects of supportive periodontal therapy (SPT) mentioned in the text?

Emphasizing patient education and optimal oral hygiene maintenance. Signup and view all the answers

What is the role of the patient in maintaining periodontal health?

Being actively involved in plaque control and optimal oral hygiene practices. Signup and view all the answers

Why is maintenance of optimal oral hygiene crucial in supportive periodontal therapy?

To avoid subgingival microbial recolonization post-scaling and RSD. Signup and view all the answers

What biological process continues for four to eight weeks post-scaling and root surface debridement (RSD)?

Granulation tissue maturation. Signup and view all the answers

What could happen if subgingival microbial recolonization occurs post-scaling and RSD?

Potential disease recurrence without improved plaque control. Signup and view all the answers

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. Signup and view all the answers

What is an important consideration when tailoring a perio maintenance plan?

Individualization based on patient's risk of disease progression. Signup and view all the answers