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Periodontal Surgery and Post-Scaling Evaluation

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40 Questions

What is the primary reason for periodontal surgery in cases where non-surgical therapy is insufficient?

To improve accessibility for plaque and calculus removal

What is the minimum time recommended before reevaluation after scaling and root planning?

4 weeks

Why is it essential to control active inflammation before restorative treatment?

To ensure successful long-term restorative outcomes

What is the suggested sequence of treatment when non-surgical periodontal therapy is insufficient?

Periodontal surgery followed by orthodontic therapy

What is the purpose of preparing the periodontium before restorative treatment?

To ensure successful long-term restorative outcomes

What is the primary rationale for establishing stable gingival margins before tooth preparation?

To allow for a more predictable restorative and esthetic result

What is the primary goal of periodontal surgery in the pre-prosthetic phase?

To manage mucogingival problems and preserve the ridge after tooth extraction

What is the consequence of not resolving inflammation before restorative therapy?

Increased tooth mobility and discomfort

What is the sequence of treatment for periodontal disease management?

Emergency treatment, extraction of hopeless teeth, scaling and root planning, reevaluation, periodontal surgery, adjunctive orthodontic therapy

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

It acts as a structural defense factor against restorative and orthodontic therapy

What is the primary reason surgical periodontal correction is performed before orthodontic treatment?

To allow for the advantages of positive bone changes that orthodontic tooth movement could provide

What is the primary purpose of gingival augmentation in pre-prosthetic periodontal surgery?

Root coverage for purposes of comfort and esthetics

What is the recommended period of healing after soft tissue grafting procedures before initiating restorative dentistry?

At least 2 months

What is the primary goal of removing secondary local etiological factors in periodontal disease management?

To prevent the loss of bone on adjacent teeth

What is the sequence of treatment for managing periodontal disease?

Emergency treatment, extraction of hopeless teeth, oral hygiene measures, scaling and root planning, reevaluation, periodontal surgery

What is the primary indication for pre-prosthetic periodontal surgery?

Before restoration for prosthetic reasons

In which scenario would oral hygiene measures be insufficient for periodontal disease management?

When periodontal pockets are deeper than 5mm

What is the primary purpose of extraction of hopeless teeth in periodontal disease management?

To prevent the loss of bone on adjacent teeth

What is the primary tool used in scaling and root planning for periodontal disease management?

Ultrasonic device

What is the primary goal of emergency treatment in periodontal disease management?

To control acute infections

What is the primary goal of alveolar ridge reconstruction after tooth loss?

To provide adequate anatomic dimensions for both pontic and implant placement

What is the main purpose of crown lengthening in patients with excessive gingival display?

To esthetically correct gummy smile

What type of reconstruction is required for larger defects or sites receiving dental implants?

Hard + soft tissue reconstruction

Which of the following is a indication for functional crown lengthening?

Excessive gingival display or gingival overgrowth

What is the sequence of treatment that involves pre-prosthetic periodontal surgery, followed by alveolar ridge reconstruction and then bone + soft tissue augmentation before implant placement?

Pre-prosthetic periodontal surgery, followed by alveolar ridge reconstruction and then bone + soft tissue augmentation before implant placement

What is the main advantage of using a modified ridge-lap pontic design?

It allows for better oral hygiene access on the facial aspect of the ridge

What is the primary consideration for managing the interproximal embrasures during restorative treatment?

The size and shape of the gingival embrasure

What is the consequence of not respecting the biologic width during restorative treatment?

Inflammation and tissue damage

What is the primary goal of crown lengthening during periodontal surgery?

To create a biologic width for the restoration

What is the rationale for integrating orthodontic therapy into periodontal disease management?

To enhance the overall health and integrity of the periodontium

What is the minimum distance required from the restoration margin to the alveolar bone crest?

3 mm

What is the primary cause of gingival inflammation?

Subgingival debris

What is the minimum amount of keratinized attached gingiva required to protect the attachment?

2 mm

What determines the papillary height?

All of the above

What is the minimum amount of sound tooth structure required for retention of the restoration?

1 mm

What is the consequence of not removing subgingival debris?

Gingival inflammation

What is the primary goal of managing interproximal embrasures?

Maintaining gingival health

What is the primary consideration in provisional restorations?

Biologic considerations

What is the purpose of a flatter contour?

Always acceptable

What is the primary goal of managing periodontal disease?

Reducing gingival inflammation

Evaluate the effectiveness of scaling and root planning, and understand the purposes of periodontal surgery in treating active disease and preparing for restorative treatment. Learn about the importance of pocket depth reduction and inflammation control.

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