Secondary Local Factors Quiz (ODS Learning Outcomes)
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Questions and Answers

What role does calculus play in the progression of periodontal disease?

  • Calculus acts as a barrier preventing bacteria from accessing tooth surfaces.
  • Calculus provides a smooth surface for bacterial growth.
  • Calculus harbors plaque bacteria, complicating plaque control efforts. (correct)
  • Calculus is primarily responsible for tooth decay.

Which of the following describes enamel pearls' effect on periodontal health?

  • They promote faster connective tissue growth.
  • They enhance the effectiveness of oral hygiene measures.
  • They interfere with connective tissue attachment and promote plaque retention. (correct)
  • They enable stronger bonding between tooth and gums.

Which of the following is a characteristic of anatomical tooth anomalies contributing to periodontal disease?

  • Root grooves that harbor bacteria. (correct)
  • Smooth tooth surfaces without grooves.
  • Minimal contact points leading to less plaque accumulation.
  • Perfectly aligned teeth.

What defining feature characterizes secondary local factors related to periodontal disease?

<p>They provide areas for microorganism colonization. (C)</p> Signup and view all the answers

How can iatrogenic local factors exacerbate periodontal disease?

<p>By damaging tissues during treatment. (B)</p> Signup and view all the answers

Which of the following describes how mouth breathing affects periodontal health?

<p>It can lead to a lack of proper lip seal contributing to gingival issues. (D)</p> Signup and view all the answers

What kind of local factor is caused by previous periodontitis?

<p>Resorption cavities and furcation involvement. (B)</p> Signup and view all the answers

Which of the following local factors contributes to poor oral hygiene efforts due to its structure?

<p>Calculus providing an irregular surface for bacteria. (D)</p> Signup and view all the answers

What is an effective way for dental hygienists to address secondary local factors?

<p>Providing tailored oral hygiene coaching. (C)</p> Signup and view all the answers

Flashcards

Secondary Local Factors

Factors that increase the risk of gum disease by providing places for bacteria to build up and making it harder to clean teeth.

Calculus

Hardened plaque that can form on teeth, creating a rough surface where bacteria can thrive and make cleaning difficult.

Anatomical Tooth Anomalies

Tooth anatomy that makes it harder to clean, such as grooves, pits, or extra teeth.

Malpositioned Teeth

Teeth that are out of position, such as crowded, tilted, or impacted teeth.

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Enamel Pearls

A small, hard deposit of enamel that can form on teeth, providing a surface for bacteria to attach.

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Incomplete Lip Seal & Mouth Breathing

A condition that occurs when the lips don't seal properly, allowing dry air to enter the mouth and making it more difficult to keep teeth clean.

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Carious Lesions

Cavities in teeth that can harbor bacteria and make it difficult to clean.

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Resorption Cavities

Damage to the tooth structure that can create areas where bacteria can hide.

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Iatrogenic local factors

Dental work that is not done properly, such as fillings with overhangs or poorly placed crowns, can create places where bacteria can gather.

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Dental Hygienist Role

A dental hygienist can provide tailored advice and treatment to help patients adjust to and maintain good oral hygiene.

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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.

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