Secondary Local Factors in Periodontal Disease
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Questions and Answers

What is an example of a secondary local factor in periodontal disease that increases plaque biofilm accumulation?

  • Calculus (correct)
  • Tongue piercing
  • A traumatic overbite
  • A Maryland bridge
  • Which of the following is NOT considered a secondary local risk factor for periodontal disease?

  • Root grooves
  • Dens in dente
  • Poor oral hygiene habits (correct)
  • Amalgam overhang
  • Why is a Maryland bridge considered a secondary local risk factor for periodontal disease?

  • It can cause excessive tooth wear due to abnormal bite.
  • It can cause gum recession due to its design.
  • It traps food particles and makes plaque removal difficult. (correct)
  • It often leads to tooth decay near the bridge.
  • What is the main reason why a traumatic overbite might be a secondary local risk factor for periodontal disease?

    <p>It can cause gum recession and make it difficult to clean.</p> Signup and view all the answers

    In a patient with a fixed orthodontic appliance, which of the following areas should be emphasized during oral hygiene coaching?

    <p>Cleaning around the brackets and in the 'gum-to-tooth' area.</p> Signup and view all the answers

    Which of the following is a secondary local factor that can cause gum recession?

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

    What is the main aetiological factor for periodontal disease?

    <p>Plaque bacteria</p> Signup and view all the answers

    Which of the following is a developmental secondary local risk factor for periodontal disease?

    <p>Root grooves</p> Signup and view all the answers

    Study Notes

    Secondary Local Factors in Periodontal Disease

    • Secondary local factors are those that exacerbate periodontal disease, increasing plaque accumulation or making oral hygiene difficult.
    • Examples of secondary local factors include factors that increase plaque biofilm accumulation, or make maintaining effective oral hygiene challenging.
    • Aetiological factor in periodontal disease: Plaque bacteria.

    Developmental Secondary Local Risk Factors

    • Developmental factors are those present from the time of tooth development.
    • Examples of developmental secondary local risk factors include dens in dente and root grooves.

    Iatrogenic Secondary Local Risk Factors

    • Iatrogenic factors are those resulting from dental procedures.
    • Examples of iatrogenic secondary local risk factors include amalgam overhangs and Maryland bridges.

    Calculus as a Secondary Local Factor

    • Calculus is a secondary local factor due to its rough surface and porous nature. This allows for plaque retention, furthering the problem.

    Traumatic Overbite and Plaque Retention

    • Traumatic overbite can cause plaque retention due to direct gingival trauma.

    Trauma as a Secondary Local Risk Factor

    • Factors like tongue piercing, lip piercing, or traumatic overbite can cause trauma which, in turn, can be secondary local risk factors for periodontal disease.

    Oral Hygiene Coaching for Patients with Fixed Orthodontic Appliances

    • Focus areas when coaching a patient with fixed orthodontic appliances, include cleaning between teeth using interdental brushes; cleaning above and below brackets, and focusing on the gum line; and cleaning both inside and outside surfaces.

    Root Grooves and Dental Prognosis

    • A root groove detected during a BPE (Basic Periodontal Examination) on tooth 12 (UR2) does not automatically mean a poor prognosis if the groove extends to the apical portion of the root.

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    Description

    Explore the various secondary local factors that contribute to the exacerbation of periodontal disease. This quiz covers developmental, iatrogenic, and calculus-related factors that increase plaque accumulation and impact oral hygiene. Gain a deeper understanding of how these elements interact in the context of periodontal health.

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