Podcast
Questions and Answers
What role does calculus play in the progression of periodontal disease?
What role does calculus play in the progression of periodontal disease?
Which of the following describes enamel pearls' effect on periodontal health?
Which of the following describes enamel pearls' effect on periodontal health?
Which of the following is a characteristic of anatomical tooth anomalies contributing to periodontal disease?
Which of the following is a characteristic of anatomical tooth anomalies contributing to periodontal disease?
What defining feature characterizes secondary local factors related to periodontal disease?
What defining feature characterizes secondary local factors related to periodontal disease?
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How can iatrogenic local factors exacerbate periodontal disease?
How can iatrogenic local factors exacerbate periodontal disease?
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Which of the following describes how mouth breathing affects periodontal health?
Which of the following describes how mouth breathing affects periodontal health?
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What kind of local factor is caused by previous periodontitis?
What kind of local factor is caused by previous periodontitis?
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Which of the following local factors contributes to poor oral hygiene efforts due to its structure?
Which of the following local factors contributes to poor oral hygiene efforts due to its structure?
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What is an effective way for dental hygienists to address secondary local factors?
What is an effective way for dental hygienists to address secondary local factors?
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Study Notes
Secondary Local Factors in Periodontitis
- Secondary local factors increase periodontal disease risk by providing areas for plaque buildup, hindering effective plaque control.
Factors Exacerbating Periodontal Disease
- Bacteria: Plaque is the primary cause of periodontal disease.
- Calculus: Often found with plaque, it harbors bacteria and impedes plaque removal, contributing to periodontitis progression.
Naturally Occurring Local Factors
- Calculus: Irregular surface supports extensive plaque accumulation; hinders oral hygiene and releases toxins.
- Anatomical Tooth Anomalies: Root grooves, concavities, dens in dente, and other irregularities are prone to plaque buildup.
- Malpositioned Teeth: Crowding, overeruption, poor contact points, tilting, rotation, impacted teeth, and traumatic overbites all exacerbate plaque retention.
- Enamel Pearls: Unique composition and morphology facilitate plaque retention and protect bacteria from oral hygiene measures.
- Incomplete Lip Seal & Mouth Breathing: Contribute to altered oral environment potentially increasing plaque accumulation.
Locally Acquired Factors
- Carious Lesions: Cavities create irregularities, supporting bacterial growth leading to worsening conditions of periodontitis.
- Resorption Cavities: Lesions create places for plaque and bacteria to accumulate
- Previous Periodontitis: Furcation involvement and recession from prior periodontitis worsen existing conditions.
- Oral Jewellery: Impacted materials create sites for plaque buildup.
Iatrogenic Local Factors
- Restorations: Overhang or subgingival margins provide ideal sites for plaque growth.
- Appliances: Partial dentures, orthodontic appliances, mouthguards, bridges, veneers, and other appliances can impede plaque control.
Eliminating/Modifying Secondary Local Factors (Dental Hygienist/Therapist Role)
- Oral Hygiene Instruction: Tailored guidance for natural teeth, restorations, and appliances.
- Diet Modification: Identifying sugar frequent intake and offering dietary advice
- Effective Communication: Building trust and understanding between dental professional and patient to optimize treatment.
- Deposit Removal: Elimination of calculus and plaque.
- Restorations Adjustment: Removal of overhangs at restorations.
- Referral when Necessary: Consulting specialized providers for cases beyond practice's expertise.
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Description
This quiz covers the secondary local factors that impact the risk of periodontal disease. It explores how bacteria, calculus, anatomical anomalies, and dental misalignments contribute to plaque buildup and disease progression. Test your knowledge on these crucial aspects of periodontal health.
