Secondary Local Factors in Periodontal Disease
29 Questions
0 Views

Secondary Local Factors in Periodontal Disease

Created by
@UserFriendlySagacity4401

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following conditions is primarily associated with upper lateral incisors?

  • Crowding of teeth
  • Enamel pearls
  • Palatal grooves (correct)
  • Over-eruption of molars

    • What prognosis is indicated with deeper grooves in lateral incisors?

  • Improved aesthetics
  • Worse prognosis (correct)
  • Increased enamel protection
  • Better root stability

    • Which of the following anomalies is associated with molars and occurs in about 5% of cases?

  • Enamel pearls (correct)
  • Impacted teeth
  • Radicular grooves
  • Root grooves

    • What is a common consequence of malpositioned teeth?

    <p>Traumatic overbite</p> Signup and view all the answers

    Which of the following is NOT typically a feature of malpositioned teeth?

    <p>Perfect occlusion</p> Signup and view all the answers

    What can exacerbate periodontal disease from oral hygiene practices?

    <p>Having oral piercings</p> Signup and view all the answers

    What are iatrogenic factors typically associated with in dental practices?

    <p>Unintentional disease or damage to tissues</p> Signup and view all the answers

    In what area is plaque likely to accumulate with the use of partial dentures?

    <p>Along the gingival margins</p> Signup and view all the answers

    Carious lesions and resorption are associated with which dental condition?

    <p>Gingival recession</p> Signup and view all the answers

    What should clinicians consider to optimize plaque control for their patients?

    <p>Tailoring oral hygiene practices to the individual needs of the patient</p> Signup and view all the answers

    Which of these is likely to be a result of previous periodontitis?

    <p>Gingival recession</p> Signup and view all the answers

    What is a common characteristic of acrylic partial dentures regarding hygiene?

    <p>They can retain plaque due to their gingival coverage</p> Signup and view all the answers

    Which of the following is NOT an example of iatrogenic factors in dentistry?

    <p>Properly executed dental cleaning</p> Signup and view all the answers

    What best defines a secondary local factor in periodontal disease?

    <p>A factor that provides areas of microorganism colonisation through plaque retention.</p> Signup and view all the answers

    Why do local factors exacerbate periodontal disease?

    <p>They create areas where plaque can accumulate, limiting effective oral hygiene.</p> Signup and view all the answers

    Which of the following is considered a naturally occurring (developmental) local factor?

    <p>Dental calculus</p> Signup and view all the answers

    What are iatrogenic local factors?

    <p>Factors resulting directly from dental treatments or interventions.</p> Signup and view all the answers

    How can dental hygienists or dental therapists modify secondary local factors?

    <p>By teaching proper oral hygiene techniques and providing preventive education.</p> Signup and view all the answers

    Which of the following best describes the impact of dental calculus on oral hygiene?

    <p>It can act as a surface for microorganisms, hampering hygiene efforts.</p> Signup and view all the answers

    What effect do toxic substances leaching from dental calculus have over time?

    <p>They can contribute to persistent inflammation and periodontal issues.</p> Signup and view all the answers

    Which of the following is NOT a local factor affecting periodontal disease?

    <p>Hormonal changes in the body</p> Signup and view all the answers

    What is the primary role of dental therapists and hygienists at a patient's first appointment?

    <p>To conduct an efficient assessment and recognition</p> Signup and view all the answers

    How should dental professionals approach the elimination of secondary local factors affecting oral health?

    <p>By employing various methods and patient involvement</p> Signup and view all the answers

    Which of the following is a method of plaque control that dental professionals can encourage for their patients?

    <p>Consistent brushing and flossing</p> Signup and view all the answers

    What does the BPE code record help assess in a dental context?

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

    What should be done if a dental professional cannot eliminate a local factor affecting a patient’s oral health?

    <p>Discuss alternative management strategies with the patient</p> Signup and view all the answers

    In the context of dentures, what key advice should be given to patients?

    <p>Seek regular dental care for adjustments</p> Signup and view all the answers

    What is one key function of a bridge in dental restoration?

    <p>To replace missing teeth</p> Signup and view all the answers

    What is a primary difference between conventional and adhesive bridges?

    <p>Adhesive bridges rely on adhesive for support</p> Signup and view all the answers

    Study Notes

    Secondary Local Factors in Periodontal Disease

    • Secondary local factors are things that increase the risk of periodontal disease by providing areas for microorganisms to colonise through plaque retention, making it hard for the patient to achieve optimum plaque control.
    • Plaque retentive factors can be developmental, due to disease or trauma, or iatrogenic.
    • Developmental local factors are naturally occurring, like dental calculus, tooth anomalies, and incomplete lip seal & mouth breathing.
    • Dental Calculus:
      • Provides a large irregular surface area for micro-organisms to thrive.
      • Hampered oral hygiene efforts.
      • Toxic substances can leach out over time.
      • Can form supragingivally or subgingivally.
    • Tooth Anomalies:
      • Root grooves/concavities, palatal grooves, mainly found on upper lateral incisors, also known as ‘radicular grooves’.
      • Root grooves create areas where plaque can build up easily and cause inflammation.
      • The deeper and further the groove, the worse the prognosis.
    • Malpositioned Teeth:
      • Crowding, over-eruption, poor contact points, poor position in the arch, tilting, rotation, impacted teeth, traumatic open bite.
      • Make it hard to clean properly, leading to plaque accumulation.
    • Enamel Pearls:
      • Usually associated with furcations.
      • Present on approximately 5% of molars.
      • Plaque can easily build up around enamel pearls, leading to inflammation.
    • Incomplete lip seal & mouth breathing:
      • Contributes to dryness of the mouth, which can lead to plaque retention.
    • Disease or Trauma Local Factors:
      • Can contribute to plaque retention, making it harder for the patient to maintain good oral hygiene.
      • Examples include:
        • Carious lesions and resorption
        • Previous periodontitis and gingival recession
        • Oral piercings
        • Oral jewelry
    • Iatrogenic Local Factors:
      • Damage or disease to tissues caused by the clinician.
      • Any restoration or appliance that has areas where plaque can harbour is a potential iatrogenic local factor.
      • Examples include:
        • Dentures
        • Dental restorations (amalgam/composite/GI/crowns)
        • Bridges
        • Orthodontic appliances
        • Implants
    • Dental Hygienists' and Therapists' Role:
      • Efficently assess and recognize local factors at the first appointment and at reassessments.
      • Methods used for assessment:
        • Thorough examination (including probing depths and bleeding on probing)
        • Oral hygiene instructions
        • Plaque disclosure
        • Radiographs
        • Periodontal charting
      • Ensure patients know about the impact of local factors and their role in preventative care.
      • Ensure patients can achieve optimal plaque control.
      • If a local factor cannot be eliminated, refer patient to a specialist for further advice.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Secondary Local Factors in Periodontal Disease PDF

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser