Secondary Local Factors in Periodontal Disease
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Questions and Answers

What best defines a secondary local factor in periodontal disease?

  • A condition that promotes healing of the periodontal tissue.
  • A factor that solely occurs due to systemic conditions.
  • An external influence that improves oral hygiene practices.
  • A situation that can lead to microorganism colonization and plaque retention. (correct)
  • Which of the following is a consequence of unresolved plaque retention at a local site?

  • Inflamed gingiva potentially leading to periodontal disease. (correct)
  • Decreased levels of bacteria, promoting a healthy environment.
  • Increased salivary flow that cleanses the area.
  • Enhanced immune response leading to rapid healing.
  • What are iatrogenic local factors in periodontal disease?

  • Lifestyle choices that influence periodontal health.
  • Naturally occurring development conditions.
  • Genetic predispositions to oral health issues.
  • Factors occurring as a result of treatment or dental procedures. (correct)
  • Which local factor type includes conditions that result from disease or trauma?

    <p>Pathological factors.</p> Signup and view all the answers

    How can dental hygienists or therapists manage secondary local factors?

    <p>By eliminating or modifying factors contributing to plaque retention.</p> Signup and view all the answers

    Which of the following factors can contribute to the retention of plaque?

    <p>Poor dental hygiene</p> Signup and view all the answers

    What type of local factors can be attributed to developmental issues?

    <p>Malpositioned teeth</p> Signup and view all the answers

    How does dental calculus affect oral hygiene efforts?

    <p>It provides an irregular surface area for microorganisms.</p> Signup and view all the answers

    Which of the following would NOT be considered a secondary local factor in plaque retention?

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

    What is the potential effect of toxic substances leaching from calculus?

    <p>To contribute to systemic health issues</p> Signup and view all the answers

    What role do iatrogenic factors play in dental health?

    <p>They can cause disease due to treatment.</p> Signup and view all the answers

    Which type of dental calculus forms above the gum line?

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

    Which factor is NOT a natural or developmental local factor affecting plaque retention?

    <p>Poorly fitting dentures</p> Signup and view all the answers

    What is one potential contribution of oral jewellery to dental health issues?

    <p>Enhanced plaque accumulation</p> Signup and view all the answers

    Which of the following factors is classified as iatrogenic?

    <p>Plaque accumulation from dental appliances</p> Signup and view all the answers

    What is a common issue with partial dentures, especially those made of acrylic?

    <p>They can trap food more effectively</p> Signup and view all the answers

    What role does a clinician play in maintaining optimal plaque control for patients?

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

    What type of dental restoration is associated with significant plaque accumulation due to design flaws?

    <p>Fillings that have areas allowing plaque buildup</p> Signup and view all the answers

    What is the main consequence of deeper root grooves in lateral incisors?

    <p>Worsened prognosis for dental health</p> Signup and view all the answers

    Which statement regarding gingival recession is evidenced by abrasion to gingiva?

    <p>Mechanical forces can lead to gingival recession</p> Signup and view all the answers

    Which of the following is NOT associated with malpositioned teeth?

    <p>Acidic erosion</p> Signup and view all the answers

    What is a likely consequence of inadequate oral hygiene with dentures?

    <p>Increased dental caries</p> Signup and view all the answers

    What factor is essential to prevent plaque accumulation around dentures?

    <p>Regular cleaning and care</p> Signup and view all the answers

    Enamel pearls are primarily associated with which specific area of the teeth?

    <p>Furcations of molars</p> Signup and view all the answers

    Which condition could result from incomplete lip seal and mouth breathing?

    <p>Potential dental anomalies</p> Signup and view all the answers

    Which of the following conditions is most likely to occur due to plaque retention associated with malpositioned teeth?

    <p>Increased dental caries risk</p> Signup and view all the answers

    What is the primary role of the dental therapist and dental hygienist?

    <p>Educating patients</p> Signup and view all the answers

    Which method is recommended for assessing periodontal health during patient evaluations?

    <p>BPE code and 6 point pocket charting</p> Signup and view all the answers

    What is crucial for tailoring oral hygiene instructions (OHI) to an individual?

    <p>Patient knowledge</p> Signup and view all the answers

    What should be done if a dental professional cannot eliminate local factors impacting oral health?

    <p>Refer to the appropriate person</p> Signup and view all the answers

    Why is it important to eliminate or modify secondary local factors in dentistry?

    <p>To optimize plaque control</p> Signup and view all the answers

    What does optimal plaque control depend on?

    <p>Patient's knowledge and engagement</p> Signup and view all the answers

    What is a key element in effective oral hygiene education?

    <p>Demonstrating proper techniques</p> Signup and view all the answers

    What is one way to manage optimal plaque control as a dental professional?

    <p>Conduct thorough assessments and education</p> Signup and view all the answers

    Study Notes

    Secondary Local Factors in Periodontal Disease

    • Secondary local factors are conditions that increase the risk of periodontal disease by providing areas for bacteria to build up, making it difficult for patients to maintain optimal plaque control.
    • Plaque is a sticky film that accumulates on teeth and harbors bacteria, which can lead to inflammation and periodontal disease.
    • Natural/developmental local factors are present from birth or develop over time and contribute to plaque accumulation.
      • Dental calculus is a hard, calcified deposit that forms on teeth and provides a surface for bacteria to thrive.
      • Tooth anomalies like root grooves, concavities, and palatal grooves can be hard to clean and increase the risk of plaque accumulation.
      • Malpositioned teeth like crowding, overeruption, poor contact points, tilting, or rotation make cleaning difficult and create areas for bacteria to accumulate.
      • Enamel pearls are small, round enamel deposits found on teeth, mainly on the furcations of molars, and can trap plaque.
      • Incomplete lip seal and mouth breathing can lead to dryness of the mouth and contribute to plaque accumulation.
    • Local factors occurring through disease or trauma can create areas where plaque can accumulate and exacerbate periodontal disease.
    • Iatrogenic factors are conditions caused by dental treatment or procedures, such as dental restorations, appliances, or restorations with poor placement.
      • Dentures can harbor plaque, particularly partial dentures with substantial gingival coverage or clasps.
      • Dental restorations like amalgam, composite, glass ionomer, or crowns can create food traps and contribute to plaque accumulation.
      • Bridges can trap food and plaque, especially conventional bridges with poor placement.
      • Orthodontic appliances need careful cleaning to prevent plaque buildup.
      • Implants require specialized cleaning to prevent plaque accumulation and peri-implantitis.
    • The role of the dental hygienist/therapist is to educate patients on optimal plaque control, demonstrate cleaning techniques, and refer them to specialists when necessary.
    • To eliminate or modify secondary local factors, dental hygienists/therapists should conduct efficient assessments and use tools like the BPE and 6-point pocket charting to recognize and address issues.

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    Description

    Explore the various secondary local factors that contribute to the risk of periodontal disease. This quiz covers key topics like dental calculus, tooth anomalies, and malpositioned teeth and their impacts on plaque accumulation and oral health. Test your knowledge on how these factors can complicate plaque control.

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