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Secondary Local Factors in Periodontal Disease
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Secondary Local Factors in Periodontal Disease

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Questions and Answers

What defines a secondary local factor in periodontal disease?

  • A factor that has no impact on the severity of periodontal disease.
  • A factor that enables microorganism colonization by facilitating plaque retention. (correct)
  • A factor that prevents patient access to oral hygiene tools.
  • A factor that directly causes bacteria to thrive.

    • Why might local factors exacerbate periodontal disease?

  • They encourage patients to avoid dental care.
  • They enhance the oral immune response.
  • They can make plaque control more difficult for patients. (correct)
  • They increase saliva production to flush out bacteria.

    • Which of the following best characterizes naturally occurring local factors?

  • Lifestyle choices that impact oral hygiene.
  • Factors created by dental treatments or procedures.
  • Developmental anomalies that affect oral structure. (correct)
  • Temporary factors resulting from oral infections.

    • Iatrogenic local factors generally arise from which of the following?

    <p>Dental procedures that inadvertently cause issues.</p> Signup and view all the answers

    How can a dental hygienist or therapist eliminate or modify secondary local factors?

    <p>By offering tailored oral hygiene instructions and techniques.</p> Signup and view all the answers

    Which of the following is NOT typically considered a secondary local factor in periodontal disease?

    <p>Genetic predisposition to periodontal disease.</p> Signup and view all the answers

    Which statement about the impact of secondary local factors is true?

    <p>They provide sites that support bacterial growth and plaque build-up.</p> Signup and view all the answers

    Which developmental factor may contribute to periodontal disease?

    <p>Poorly aligned teeth leading to plaque accumulation.</p> Signup and view all the answers

    What is a potential consequence of a patient not being able to clean their dental implants correctly?

    <p>Increased risk of implant failure</p> Signup and view all the answers

    During a patient's first appointment, what is a critical aspect for the dental therapist or hygienist to assess?

    <p>The patient's ability to perform interdental cleaning</p> Signup and view all the answers

    What should dental professionals ideally do during the reassessment of a patient?

    <p>Evaluate the effectiveness of previous interventions</p> Signup and view all the answers

    Which of the following is not a consideration for tailoring cleaning methods for patients with dental implants?

    <p>Patient's dental insurance coverage</p> Signup and view all the answers

    What does the abbreviation BPE in a dental context typically stand for?

    <p>British Periodontal Examination</p> Signup and view all the answers

    What might be a consequence of a patient being unable to access areas with plaque accumulation?

    <p>Progressive periodontal destruction</p> Signup and view all the answers

    Which of the following is considered a secondary local factor impacting plaque retention?

    <p>Iatrogenic factors such as restorations</p> Signup and view all the answers

    How does dental calculus contribute to periodontal disease?

    <p>It harbors bacteria due to its rough surface</p> Signup and view all the answers

    What role does the immune response play in patients susceptible to plaque buildup?

    <p>It may become ineffective leading to tissue destruction</p> Signup and view all the answers

    Which of the following best describes the nature of plaque as an etiological factor in periodontal disease?

    <p>Plaque is a primary and necessary factor for disease development</p> Signup and view all the answers

    What is a characteristic of calculus that enhances its ability to retain plaque?

    <p>It has a rough and larger surface area</p> Signup and view all the answers

    Which factor is NOT associated with the development of secondary local factors in periodontal disease?

    <p>Good oral hygiene practices</p> Signup and view all the answers

    What consequence could result from plaque buildup in areas difficult for the patient to reach?

    <p>Localized gum tissue damage</p> Signup and view all the answers

    Which factor would likely NOT contribute to plaque retention due to disease or trauma?

    <p>Regular dental cleanings</p> Signup and view all the answers

    What is one main reason why calculus is rarely found without plaque?

    <p>Plaque provides the necessary conditions for calculus formation</p> Signup and view all the answers

    What factor related to oral piercings can lead to an increase in plaque and bacteria accumulation?

    <p>Greater contact points to clean</p> Signup and view all the answers

    Which of the following is a potential consequence of iatrogenic factors in dental restorations?

    <p>Plaque accumulation in hard-to-clean areas</p> Signup and view all the answers

    What advice should be given to patients with oral jewelry to maintain oral health?

    <p>Ensure regular and thorough cleaning around the jewelry</p> Signup and view all the answers

    How can oral piercings exacerbate periodontal disease?

    <p>Through abrasion and causing gingival recession</p> Signup and view all the answers

    What is a potential effect of dental restorations that harbor plaque?

    <p>Increased risk of periodontal disease</p> Signup and view all the answers

    What property of saliva helps reduce the bacterial load in the mouth?

    <p>Antibacterial properties</p> Signup and view all the answers

    What role should clinicians play in maintaining optimal plaque control for patients?

    <p>Providing tailored hygiene advice and devices</p> Signup and view all the answers

    What is a potential consequence of bacteria stagnation around teeth?

    <p>Formation of carious lesions</p> Signup and view all the answers

    Which of the following best describes iatrogenic factors in dentistry?

    <p>Diseases or damage to tissues caused by the clinician</p> Signup and view all the answers

    Which aspect of oral health can be impacted by disease or trauma?

    <p>Structure of periodontium</p> Signup and view all the answers

    What is a common consequence of gingival recession associated with oral piercings?

    <p>Increased plaque stagnation</p> Signup and view all the answers

    What effect does saliva have on plaque accumulation?

    <p>Washes away plaque</p> Signup and view all the answers

    Why is it important to educate patients about maintaining hygiene around oral appliances?

    <p>To minimize the risk of plaque accumulation and periodontal disease</p> Signup and view all the answers

    Which of the following is a major concern with larger contact points in dentistry?

    <p>Less effective cleaning</p> Signup and view all the answers

    What can result from the destruction of periodontal structures due to disease?

    <p>Increased tooth sensitivity</p> Signup and view all the answers

    How does trauma affect the oral cavity on a microscopic level?

    <p>Causes resorption of structures</p> Signup and view all the answers

    Which of the following factors may contribute to secondary caries?

    <p>Restorative material deterioration</p> Signup and view all the answers

    What is one of the roles of saliva in relation to bacteria?

    <p>Dilution of bacteria</p> Signup and view all the answers

    What may occur microscopically when bacteria invade tooth structures?

    <p>Resorption of tooth structure</p> Signup and view all the answers

    Which finding best describes the impact of plaque on oral health?

    <p>Plaque is a precursor to caries</p> Signup and view all the answers

    Study Notes

    Secondary Local Factors in Periodontal Disease

    • Secondary local factors in periodontal disease are areas where plaque can accumulate, making it difficult for patients to achieve optimum plaque control.
    • These factors can increase the risk of periodontal disease by providing areas for microorganisms to colonize.

    Natural/Developmental Local Factors

    • Incomplete lip seal and mouth breathing can contribute to plaque accumulation due to reduced saliva flow.
    • Saliva plays a role in antibacterial properties and washes away plaque, as well as diluting bacteria.
    • Dental calculus, a hard mineral deposit, is a common local factor.
    • Calculus creates a rough surface that harbors plaque and bacteria.

    Factors Due to Disease or Trauma

    • Carious lesions and resorption cavities can provide areas for plaque accumulation, leading to stagnation and increased risk of periodontal disease.
    • Previous periodontal treatments, such as gingival recession, create larger contact points where food can get stuck and promote plaque accumulation.
    • Impact: plaque retention, increased biofilm, and greater risk of destruction.

    Iatrogenic Factors

    • Iatrogenic factors are caused by the clinician.
    • Examples include restorations, crown/bridge placements, dentures, and implants.
    • These factors can create areas where plaque can easily accumulate and lead to periodontal disease.
    • Role of the Dental Hygienist/Therapist: To advise patients on how to maintain optimal plaque control and adapt their oral hygiene routines to address these factors.

    Oral Piercings

    • Oral piercings can contribute to periodontal disease due to recession caused by abrasion.
    • They can also create an additional area for plaque to build up.

    The Role of the Dental Hygienist/Therapist

    • The dental hygienist/therapist plays a crucial role in assessing, recognizing, and addressing secondary local factors.
    • They should note these factors at the patient's first appointment and at reassessments to see if they have improved.
    • They need to advise the patient on appropriate cleaning techniques.
    • The BPE code should accurately reflect the presence and severity of secondary local factors.

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    Secondary Local Factors in Periodontal Disease GN PDF

    Description

    This quiz explores the secondary local factors that influence periodontal disease, particularly how plaque accumulation can lead to increased risks. It covers natural and developmental factors like lip seal and saliva, as well as complications arising from disease or trauma. Test your understanding of these critical concepts and their impact on oral health.

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