Podcast
Questions and Answers
What is the primary objective of root planing?
What is the primary objective of root planing?
- To remove exclusively extrinsic stains from the enamel surface.
- To remove only supragingival calculus.
- To smooth root surfaces by removing dental plaque, calculus, and affected cementum or dentine. (correct)
- To perform a gross scale of built-up plaque.
Which procedure involves the removal of the soft tissue lining of a periodontal pocket using a curette?
Which procedure involves the removal of the soft tissue lining of a periodontal pocket using a curette?
- Prophylaxis
- Root Planing
- Scaling
- Curettage (correct)
What is the key characteristic that differentiates 'fine scale' from 'gross scale'?
What is the key characteristic that differentiates 'fine scale' from 'gross scale'?
- Gross scale is appropriate for patients with minimal bleeding sites.
- Gross scale is only used for patients who have had regular professional cleaning.
- Fine scale is more suited for removing remaining build-up and stains, especially when bone involvement and probing depths are minimal. (correct)
- Fine scale is used exclusively on patients with heavy supragingival deposits.
What is the intended outcome of 'gross scale'?
What is the intended outcome of 'gross scale'?
For which type of patient is prophylaxis most appropriate?
For which type of patient is prophylaxis most appropriate?
What does Supra PMPR primarily involve?
What does Supra PMPR primarily involve?
What is the main goal of Supportive Periodontal Therapy (SPT)?
What is the main goal of Supportive Periodontal Therapy (SPT)?
Which of the following best describes scaling in periodontal instrumentation?
Which of the following best describes scaling in periodontal instrumentation?
Why is understanding the anatomical location of instrumentation techniques important?
Why is understanding the anatomical location of instrumentation techniques important?
What is a primary consideration when choosing between different periodontal instrumentation techniques?
What is a primary consideration when choosing between different periodontal instrumentation techniques?
Which of the following is a goal of periodontal instrumentation?
Which of the following is a goal of periodontal instrumentation?
In the context of periodontal instrumentation, what does 'Sub-gingival PMPR' refer to?
In the context of periodontal instrumentation, what does 'Sub-gingival PMPR' refer to?
Which of these is a key component of effective 'first step therapy' in periodontal care?
Which of these is a key component of effective 'first step therapy' in periodontal care?
What distinguishes root surface debridement from scaling and root planing?
What distinguishes root surface debridement from scaling and root planing?
What is the primary purpose of using power-driven devices in periodontal instrumentation?
What is the primary purpose of using power-driven devices in periodontal instrumentation?
What is the significance of monitoring bleeding sites as part of periodontal maintenance?
What is the significance of monitoring bleeding sites as part of periodontal maintenance?
Why is it important for clinicians to be familiar with both historic and contemporary terminology in periodontal instrumentation?
Why is it important for clinicians to be familiar with both historic and contemporary terminology in periodontal instrumentation?
What would be the most likely treatment for a patient presenting with heavy calculus deposits and infrequent dental cleanings?
What would be the most likely treatment for a patient presenting with heavy calculus deposits and infrequent dental cleanings?
Which procedure focuses on removing calculus and dental plaque, followed by smoothing of root surfaces?
Which procedure focuses on removing calculus and dental plaque, followed by smoothing of root surfaces?
Which stage of gum disease would benefit from Sub Gingival Scaling?
Which stage of gum disease would benefit from Sub Gingival Scaling?
Flashcards
Scaling
Scaling
Removal of dental plaque and calculus from tooth surfaces.
Root Planing
Root Planing
Removal of plaque, calculus, and smoothing of root surfaces, removing dentine or cementum.
Curettage
Curettage
Removal of the soft tissue lining of the periodontal pocket with a curette.
Subgingival Scaling
Subgingival Scaling
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Supragingival Scaling
Supragingival Scaling
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Fine Scale
Fine Scale
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Gross Scale
Gross Scale
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Prophylaxis
Prophylaxis
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Supra PMPR
Supra PMPR
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Root Surface Debridement
Root Surface Debridement
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Supportive Periodontal Therapy
Supportive Periodontal Therapy
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Study Notes
- The session focuses on understanding the principles of periodontal instrumentation.
- Students should become familiar with the terminology and objectives of various periodontal instrumentation techniques and their anatomical locations.
Periodontal Instrumentation Terminology
- Scaling is the removal of dental plaque and calculus.
- Root planing involves removing dental plaque, calculus, and smoothing root surfaces. It includes removing dentine or cementum
Curettage
- Curettage removes the soft tissue lining of the periodontal pocket with a curette, leaving only a gingival connective tissue lining. Gingival curettage concept was designed to promote new connective tissue attachment by removing pocket lining and junctional epithelium.
Sub and Supra Gingival Scaling
- Subgingival scaling addresses areas below the gumline.
- Supragingival scaling deals with areas above the gumline.
Fine Scale
- Is used to remove remaining build-up and stains. It is suited for patients with heavy deposits and minimal bone involvement, with probing depths less than 3mm.
Gross Scale
- Gross scale is common for patients who have not had their teeth professionally cleaned for a long time. It allows for evaluation and facilitates home cleaning.
Non-Surgical Periodontal Instrumentation
- Prophylaxis is for patients with healthy gum tissue to remove plaque, calculus, and extrinsic stains to maintain a healthy mouth, with <10% bleeding sites
Supra Professional Mechanical Plaque Removal (PMPR)
- Is a first-step therapy. This includes personalized oral hygiene advice, patient education on risk factors, removal of stain and plaque and cleaning the gingival crevice. This is done by hand or power driven devices
Root Surface Debridement and Sub-Gingival Instrumentation
- Root surface debridement and sub-gingival PMPR is a second step therapy.
Supportive Periodontal Therapy/Care
- Supportive periodontal therapy reduces the probability of re-infection, controls the disease ensures no pain, prevent teeth mobility/infection and prevent related oral diseases.
Key Considerations
- Familiarity with instrumentation terms.
- The appropriateness of instrumentation.
- Challenges for clinicians and patients.
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