Periodontal Disease: Local Factors

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary role of secondary local factors in periodontal disease?

They help in the regeneration of periodontal tissues.

They reduce the risk of plaque retention.

They provide nutrients for bacteria.

They increase areas for microorganism colonization. (correct)

Which of the following correctly describes naturally occurring local factors?

Lifestyle choices that affect oral health.

Anatomical variations that predispose to plaque accumulation. (correct)

Factors that arise from previous dental procedures.

Factors that develop due to trauma.

How can a dental hygienist help to manage secondary local factors in periodontal health?

By recommending regular dental visits.

By conducting surgical interventions only.

By eliminating or modifying the factors causing plaque retention. (correct)

By providing systemic antibiotics.

What is one example of an iatrogenic local factor in periodontal disease?

Incorrect placement of dental restorations. Signup and view all the answers

Why is it important to recognize secondary local factors in periodontal disease?

They can significantly hinder optimal plaque control. Signup and view all the answers

Which of the following is NOT considered a factor that may exacerbate periodontal disease?

Regular brushing and flossing. Signup and view all the answers

What is the consequence of plaque retention due to secondary local factors?

Increased susceptibility to periodontal infections. Signup and view all the answers

Which of the following is a common misconception regarding local factors in periodontal disease?

They can be ignored if one maintains good overall health. Signup and view all the answers

Which type of groove is primarily found on upper lateral incisors?

Palatal grooves Signup and view all the answers

What consequence does plaque retention due to tooth anomalies lead to?

Increased risk of caries Signup and view all the answers

Which factor associated with malpositioned teeth can contribute to plaque buildup?

Poor contact points Signup and view all the answers

How does the depth of the groove affect the prognosis of root canal treatment (RCT)?

The prognosis becomes worse with deeper grooves Signup and view all the answers

Which condition is NOT mentioned as a developmental anomaly that may be seen with lateral incisors?

Parafunctional habits Signup and view all the answers

Which developmental configuration is likely to harbor bacteria leading to dental decay?

Root concavities Signup and view all the answers

What is a likely consequence of tooth crowding?

Increased risk of stagnation Signup and view all the answers

What is a potential impact of tilting of teeth?

Increased risk of plaque accumulation Signup and view all the answers

Which of the following factors could lead to greater bacteria harboring in the oral cavity?

Poor contact points Signup and view all the answers

What can be a major risk associated with deeper root grooves?

Quick passage of pathogens Signup and view all the answers

What is a primary role of a clinician in ensuring gingival health?

Show effective communication with the patient. Signup and view all the answers

What should be done if a local factor cannot be eliminated during treatment?

Inform the patient and explain the limitations. Signup and view all the answers

Which factor can affect the treatment plan for a patient?

The patient's previous education on oral health. Signup and view all the answers

What is essential for optimal plaque control during treatment?

Active involvement and guidance from the clinician. Signup and view all the answers

When should a clinician refer a patient to a specialist?

If the local factor is beyond the clinician's scope of practice. Signup and view all the answers

What is the primary reason for advising patients to remove dentures at night?

To prevent the build-up of calculus and bacteria Signup and view all the answers

Where is plaque most likely to accumulate on dentures?

Along the gingival margin and interproximal clasps Signup and view all the answers

What can be one consequence of plaque accumulation on dentures?

Bacterial stagnation leading to gingival inflammation Signup and view all the answers

What type of dental restoration has been mentioned as needing tailored cleaning advice due to its construction?

Veneers Signup and view all the answers

What is a potential problem associated with dental restorations that have defective margins?

They can leave behind ledges of bacterial plaque. Signup and view all the answers

What is a consequence of gingival inflammation caused by plaque on dental restorations?

Periodontal destruction Signup and view all the answers

What is a diligent cleaning method advised for patients with acrylic dentures?

Regular brushing with a soft-bristled toothbrush Signup and view all the answers

What type of factors can lead to plaque retention in dental restorations?

Retentive factors within the denture's design Signup and view all the answers

Which of the following is not a type of dental restoration mentioned?

Implants Signup and view all the answers

What should patients be advised to monitor in relation to their dentures?

Signs of gum irritation or inflammation Signup and view all the answers

What is a major concern if a patient cannot clean an implant effectively?

Increased risk of infection Signup and view all the answers

Why is it important to tailor cleaning methods to individual patients?

Patients have different interdental gaps Signup and view all the answers

What is the role of a dental therapist in relation to secondary local factors?

Recognize and assess these factors at initial and follow-up appointments Signup and view all the answers

What might indicate the need for reassessment in a patient’s dental care?

A steady increase in plaque levels observed Signup and view all the answers

Which method is likely to be used for assessing intraoral conditions of patients?

Standard BPE coding Signup and view all the answers

What can be inferred about the cleaning of implants and its relation to interdental brushing?

Larger gaps may necessitate specific types of brushes Signup and view all the answers

What should be the focus when assessing plaque levels at initial appointments and follow-ups?

Evaluating whether optimal plaque control has improved Signup and view all the answers

What is typically a characteristic of patients with implant-supported structures?

Often present with large interdental gaps Signup and view all the answers

What is a common misconception about cleaning implants?

Flossing alone is sufficient for implant care Signup and view all the answers

Study Notes

Secondary Local Factors in Periodontal Disease

Secondary local factors in periodontal disease are anything that can increase the risk of periodontal disease by providing areas where microorganisms can colonize, making optimal plaque control difficult.
Secondary local factors can be developmental, iatrogenic, or related to disease/trauma.

Naturally Occurring (Developmental) Local Factors

Tooth Anomalies: Anomalies like root grooves or concavities can harbor plaque and increase the risk of periodontal disease.
- Palatal grooves, mainly on upper lateral incisors, are particularly susceptible to plaque accumulation.
Malpositioned Teeth: crowding or over-eruption of teeth can create spaces where plaque accumulates.
- Poor contact points between teeth allow food, plaque, and calculus to become trapped.
Enamel Pearls: These rounded enamel deposits at the tooth root can lead to plaque retention and inflammation.
- They are most common on the root furcation of molars.

Local Factors Occurring Through Disease or Trauma

Calculus: Calculus buildup on teeth can harbor bacteria and lead to gingival inflammation and periodontal destruction.
- The hygienist can advise patients on removing calculus and promote good oral hygiene.

Iatrogenic Local Factors

Dental Restorations: Overhanging restorations, poorly-fitting crowns, or defective margins can create areas where bacteria can accumulate, leading to inflammation.
- Proper restoration placement, maintenance, and patient education are essential for optimal hygiene.
Implants: Implants can be difficult to clean, leaving gaps between the implant and surrounding teeth where plaque can accumulate, leading to peri-implantitis.
- Regular maintenance, cleaning, and patient education are essential to reduce the risk of peri-implantitis.
Dentures: Poorly fitting dentures can harbor bacteria and contribute to gingival inflammation and plaque accumulation.

Role of the Dental Hygienist and Dental Therapist

As an oral health professional, you must assess and recognize secondary local factors at the initial appointment and during follow-up appointments.
Patient education and tailored hygiene instructions are essential for managing secondary local factors.
If a local factor exceeds your scope of practice, refer the patient to a clinician or specialist.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Explore the secondary local factors contributing to periodontal disease, including developmental anomalies and iatrogenic influences. Understand how these factors can create conditions for plaque accumulation and complicate periodontal health. This quiz will test your knowledge on the nature and impact of these factors.