Longitudinal Study on Periodontal Health

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Questions and Answers

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?

<p>Supportive Periodontal Therapy (B)</p> Signup and view all the answers

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

<p>Through optimal oral hygiene practices (A)</p> Signup and view all the answers

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

<p>To support the patient's control of periodontal infections and prevent re-infections (C)</p> Signup and view all the answers

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

<p>Bacteria interaction with keratinocytes (A)</p> Signup and view all the answers

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

<p>As a result of fast disease progression with increasing age (A)</p> Signup and view all the answers

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

<p>Control periodontal infections and prevent re-infections (C)</p> Signup and view all the answers

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

<p>Interaction between bacteria and keratinocytes (D)</p> Signup and view all the answers

What is one of the key findings regarding teeth survival rates in relation to inflammation?

<p>Decreased survival rate for teeth with no bleeding on probing (A)</p> Signup and view all the answers

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

<p>It is a precursor to periodontitis (C)</p> Signup and view all the answers

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

<p>By advocating for regular supportive therapy (D)</p> Signup and view all the answers

What role do healthy gingiva play in determining tooth longevity?

<p>Important prognosis for tooth longevity (B)</p> Signup and view all the answers

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

<p>Eliminating gingival inflammation (A)</p> Signup and view all the answers

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

<p>Reduced pocket depth (D)</p> Signup and view all the answers

How can the recurrence of periodontitis be prevented or limited?

<p>Regular SPT and optimal personal plaque control (A)</p> Signup and view all the answers

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

<p>Depth of the pocket (D)</p> Signup and view all the answers

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

<p>Microscopic aggregates of residual calculus (A)</p> 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?

<p>Low microbial deposits and high host response (C)</p> Signup and view all the answers

What is a key difference between CDT code 4910 and code 1110 for insurance reimbursement?

<p>Code 4910 is for periodontal maintenance, while code 1110 is for regular recall (C)</p> Signup and view all the answers

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

<p>Because code 4910 involves a more comprehensive examination and treatment (D)</p> Signup and view all the answers

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

<p>It guides the necessity of scaling and root planing procedures (C)</p> Signup and view all the answers

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

<p>Gingival inflammation has a significant role in disease pathogenesis (A)</p> 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?

<p>To ensure proper communication between healthcare providers (A)</p> Signup and view all the answers

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

<p>Monitoring and limiting recurrent periodontitis (B)</p> Signup and view all the answers

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

<p>The frequency of supportive periodontal therapy (SPT) (C)</p> Signup and view all the answers

How can recurrent periodontitis be limited or prevented?

<p>By maintaining optimal oral hygiene (D)</p> Signup and view all the answers

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

<p>Reviewing the patient's medical history (A)</p> Signup and view all the answers

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

<p>Changes in caries history or CAMBRA (B)</p> Signup and view all the answers

What happens to the granulation tissue after scaling and root surface debridement (RSD)?

<p>It is not yet mature and continues to be repaired for four to eight weeks. (A)</p> Signup and view all the answers

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

<p>Eight to twelve weeks post-procedure. (A)</p> 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?

<p>To monitor the success of the treatment outcome accurately. (B)</p> Signup and view all the answers

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

<p>Emphasizing patient education and optimal oral hygiene maintenance. (A)</p> Signup and view all the answers

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

<p>Being actively involved in plaque control and optimal oral hygiene practices. (D)</p> Signup and view all the answers

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

<p>To avoid subgingival microbial recolonization post-scaling and RSD. (A)</p> Signup and view all the answers

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

<p>Granulation tissue maturation. (D)</p> Signup and view all the answers

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

<p>Potential disease recurrence without improved plaque control. (C)</p> Signup and view all the answers

What is a risk associated with long intervals between supportive periodontal therapy (SPT) visits?

<p>Possibility for disease recurrence and lack of support for oral hygiene adherence. (A)</p> Signup and view all the answers

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

<p>Individualization based on patient's risk of disease progression. (C)</p> Signup and view all the answers

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