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Questions and Answers
What defines a secondary local factor in periodontal disease?
Which of the following is NOT considered a natural developmental local factor?
Why can dental calculus exacerbate periodontal disease?
Which factor is considered an iatrogenic local factor in periodontal disease?
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What type of local factor might arise from trauma to the oral tissues?
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Which of the following is about local factors occurring through disease?
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A dental hygienist can eliminate or modify secondary local factors by:
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Which characteristic is typical of supragingival calculus compared to subgingival calculus?
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What principle underlies the need to manage secondary local factors in periodontal disease?
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What are some common causes of resorption cavities in dental tissues?
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Which factor is considered iatrogenic in dentistry?
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How can oral piercings potentially exacerbate periodontal disease?
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What is a crucial consideration when advising patients with partial dentures?
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What is one role a clinician can play in helping patients achieve optimal plaque control?
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Which type of denture is more likely to harbor plaque accumulation?
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What effect do previous periodontitis and gingival recession have on oral health?
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What is a common misconception about the use of oral jewellery?
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What type of oral hygiene routine might be required for patients with significant gingival margins covered by appliances?
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Which of the following is NOT a contributing factor to plaque accumulation?
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Which dental anomaly is primarily found on the upper lateral incisors?
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What is the relationship between the depth of a groove and its prognosis?
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Which malpositioned tooth issue is characterized by the dental arch being misaligned?
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Which of the following conditions is least likely to be associated with malpositioned teeth?
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What percentage of molars is usually associated with enamel pearls?
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Which condition is a potential consequence of incomplete lip seal and mouth breathing?
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Which term refers to the abnormal positioning of teeth within the dental arch?
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What anatomical structure is typically affected by radicular grooves?
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Which type of tooth anomaly is commonly associated with impacted teeth?
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Which factor negatively impacts the prognosis of tooth grooves?
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What is one method dental hygienists use to ensure optimal plaque control?
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What is a conventional bridge in dentistry primarily used for?
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Which dental restoration method is typically used for not only its mechanical strength but also aesthetics?
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What is a key factor contributing to periodontal diseases?
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What is the role of a dental therapist during a patient's first appointment?
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How should dental appliances be maintained for optimal hygiene?
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Which type of bridge does not involve the complete removal of adjacent teeth?
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What should be prioritized if a local factor cannot be eliminated by the dental hygienist?
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What is one potential benefit of dental implants?
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What does the assessment and recording of the BPE code depend on?
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What is the primary purpose of early identification of secondary local factors in periodontal health?
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Why is tailored oral hygiene instruction important for periodontal health?
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What is a key benefit of modifying contributing factors like poorly fitting restorations?
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What type of factors should be corrected to minimize risks induced by iatrogenic issues?
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Which specialized cleaning technique is particularly useful for patients with orthodontic appliances?
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How can advice on developmental factors assist patients in maintaining oral hygiene?
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What is an important consideration for managing risks associated with oral piercings?
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In cases where secondary local factors cannot be managed solely through hygiene, what action should be taken?
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What is the significance of long-term maintenance and follow-up in periodontal care?
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What is a potential consequence of failing to manage secondary local factors in periodontal disease?
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Study Notes
Secondary Local Factors
- Secondary Local Factors in periodontal disease increase the risk of periodontal disease by providing areas for microorganisms to colonize through plaque retention, making it difficult for patients to achieve optimal plaque control.
- Exacerbation: A patient with susceptibility to periodontal disease who cannot reach areas where plaque is building up is at increased risk of developing the condition.
Plaque Retentive Factors
- Developmental, Due to disease or trauma, and Iatrogenic are categories of plaque retentive factors.
Natural/Developmental Local Factors
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Dental Calculus is a significant plaque retentive factor:
- Provides a large, irregular surface area for microorganisms to harbor and thrive.
- Hamper patients' oral hygiene efforts
- Toxic substances leach out of the calculus over time.
- Supragingival vs. Subgingival Calculus: Supragingival calculus forms above the gum line and subgingival calculus below the gum line. Calculus can also form on other surfaces, such as implants, dentures, and orthodontic appliances
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Tooth Anomalies: Refer to developmental anomalies in teeth that create areas difficult to clean.
- Root grooves/concavities: Often found on upper lateral incisors, these can be deep and extend apically.
- Palatal grooves (radicular grooves): Can worsen prognosis.
-
Malpositioned teeth: Difficult to clean and can lead to periodontal disease.
- Crowding
- Over-eruption
- Poor contact points
- Poor position in the arch
- Tilting
- Rotation
- Impacted teeth
- Traumatic overbite
- Enamel Pearls: These anomalies are usually associated with furcations and found on approximately 5% of molars.
- Incomplete lip seal & mouth breathing: Saliva plays a crucial role in oral hygiene, and an incomplete lip seal and mouth breathing can alter its flow, increasing the risk of plaque buildup.
Iatrogenic Factors
- Damage or disease caused by the clinician's intervention.
-
Examples of Iatrogenic Factors:
- Restorations or appliances with areas where plaque can harbor.
- Dentures, particularly acrylic types with substantial coverage of gingival margins.
Dental Restorations
- Amalgam, Composite, GI, and crowns can be plaque retentive and contribute to secondary local factors.
Bridges
- Conventional and Adhesive bridges can create areas where plaque can harbor, making oral hygiene more difficult.
Orthodontic Appliances
- Can contribute to secondary local factors, making oral hygiene more challenging, requiring patient education on thorough cleaning of both teeth and the device..
Implants
- Implants can also contribute to secondary local factors. Plaques can accumulate around implants and contribute to peri-implantitis.
Role of Dental Therapists and Hygienists
- Efficient assessment and recognition: When patients initially visit and at reassessments, dental therapists and hygienists need to identify secondary local factors, using methods like the BPE system.
- Eliminate or modify secondary local factors: Key role of dental therapists and hygienists is to assist patients in managing optimal plaque control. This may involve removing calculus, recommending oral hygiene techniques, or referring patients for specialist treatment.
Comprehensive Assessment and Early Identification
- Early detection of local factors that contribute to periodontal disease allows for timely intervention and prevents more severe problems.
Tailored Oral Hygiene Instruction
- Personalized advice helps patients address specific problem areas like malpositioned teeth or orthodontic appliances.
- This makes daily plaque control more effective.
Modification of Contributing Factors
- Removing or modifying factors like dental calculus or adjusting poorly fitting restorations reduces plaque retention.
- This helps prevent the worsening of periodontal disease.
Iatrogenic Factors
- Identifying and correcting clinician-induced factors (e.g., improper restorations) minimizes the risk of plaque retention and subsequent periodontal disease.
Specialized Cleaning Techniques for Appliances
- Orthodontic and other dental appliances make cleaning difficult.
- Recommending tools like interdental brushes or water flossers ensures better plaque removal.
Advice on Developmental Factors
- Providing patients with strategies to clean around developmental anomalies like deep grooves or malpositioned teeth helps prevent plaque buildup in hard-to-reach areas.
Addressing Oral Piercings and Trauma
- Removing or advising on the risks of oral piercings reduces the risk of localized trauma and subsequent plaque retention.
- This prevents periodontal disease around these areas.
Collaboration for Surgical Solutions
- When secondary local factors, such as misaligned teeth, cannot be managed with hygiene alone, referral to a dentist for corrective procedures may be necessary.
- This ensures long-term periodontal health.
Long-Term Maintenance and Follow-Up
- Regular reassessment allows for monitoring of plaque control and identification of any new secondary local factors.
- This ensures continuous periodontal health management.
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Description
Test your knowledge on the secondary local factors that contribute to periodontal disease. Understand how plaque retention and calculus influence oral health and the challenges they pose for patients in maintaining proper hygiene. Dive into the categories of plaque retentive factors and their implications in periodontal conditions.
