Podcast
Questions and Answers
What is a secondary local factor in periodontal disease?
What is a secondary local factor in periodontal disease?
Which of the following best explains why local factors may worsen periodontal disease?
Which of the following best explains why local factors may worsen periodontal disease?
Which of the following is an example of a naturally occurring local factor?
Which of the following is an example of a naturally occurring local factor?
Which local factor occurs due to disease or trauma?
Which local factor occurs due to disease or trauma?
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How might a dental hygienist or therapist modify secondary local factors?
How might a dental hygienist or therapist modify secondary local factors?
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Which tooth anomalies are primarily associated with lateral incisors?
Which tooth anomalies are primarily associated with lateral incisors?
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What factors contribute to the worsening prognosis of root grooves?
What factors contribute to the worsening prognosis of root grooves?
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Which of the following is not a form of malpositioned teeth?
Which of the following is not a form of malpositioned teeth?
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Enamel pearls are typically associated with which dental structure?
Enamel pearls are typically associated with which dental structure?
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Which of the following best describes a common consequence of incomplete lip seal and mouth breathing?
Which of the following best describes a common consequence of incomplete lip seal and mouth breathing?
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What is a potential consequence if a patient with susceptibility cannot access areas where plaque is accumulating?
What is a potential consequence if a patient with susceptibility cannot access areas where plaque is accumulating?
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Which of the following is NOT considered a plaque retentive factor?
Which of the following is NOT considered a plaque retentive factor?
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How does dental calculus affect oral hygiene efforts?
How does dental calculus affect oral hygiene efforts?
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What potential effect can toxic substances leach out of calculus have over time?
What potential effect can toxic substances leach out of calculus have over time?
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Which type of calculus is likely to form in different areas of the mouth aside from supragingival?
Which type of calculus is likely to form in different areas of the mouth aside from supragingival?
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What is one primary role of the dental therapist during a patient's first appointment?
What is one primary role of the dental therapist during a patient's first appointment?
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What is a significant factor that dental professionals consider when managing periodontal diseases?
What is a significant factor that dental professionals consider when managing periodontal diseases?
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Which type of dental restoration is NOT typically mentioned in relation to dental restorations?
Which type of dental restoration is NOT typically mentioned in relation to dental restorations?
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What is a key method for improving a patient's plaque control?
What is a key method for improving a patient's plaque control?
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Which of the following is NOT a type of dental bridge?
Which of the following is NOT a type of dental bridge?
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In which scenario should a dental professional consider modifying local factors?
In which scenario should a dental professional consider modifying local factors?
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What is a necessary action if a dental therapist cannot eliminate local factors themselves?
What is a necessary action if a dental therapist cannot eliminate local factors themselves?
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Which of the following is essential during the reassessment of a patient's dental health?
Which of the following is essential during the reassessment of a patient's dental health?
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What can exacerbate periodontal disease among patients with oral piercings?
What can exacerbate periodontal disease among patients with oral piercings?
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What are iatrogenic factors in dentistry?
What are iatrogenic factors in dentistry?
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What type of dentures may particularly lead to plaque accumulation?
What type of dentures may particularly lead to plaque accumulation?
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Which of the following is a characteristic of carious lesions?
Which of the following is a characteristic of carious lesions?
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How should clinicians tailor oral hygiene for patients with specific conditions?
How should clinicians tailor oral hygiene for patients with specific conditions?
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What is a common misconception about the impact of gingival recession?
What is a common misconception about the impact of gingival recession?
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What role does plaque accumulation play in oral health?
What role does plaque accumulation play in oral health?
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What advice should be given to patients using dentures regarding plaque control?
What advice should be given to patients using dentures regarding plaque control?
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Flashcards
Secondary local factor
Secondary local factor
An element that increases the risk of periodontal disease by promoting plaque retention.
Exacerbate periodontal disease
Exacerbate periodontal disease
To worsen gum disease due to factors like plaque retention.
Iatrogenic factors
Iatrogenic factors
Local factors resulting from dental treatments that may worsen periodontal health.
Developmental local factors
Developmental local factors
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Dental hygienist's role
Dental hygienist's role
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Plaque Retentive Factors
Plaque Retentive Factors
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Natural/Developmental Local Factors
Natural/Developmental Local Factors
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Dental Calculus
Dental Calculus
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Supragingival vs Subgingival Calculus
Supragingival vs Subgingival Calculus
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Root grooves/concavities
Root grooves/concavities
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Malpositioned teeth
Malpositioned teeth
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Enamel pearls
Enamel pearls
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Traumatic overbite
Traumatic overbite
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Incomplete lip seal
Incomplete lip seal
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Carious lesions
Carious lesions
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Resorption cavities
Resorption cavities
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Periodontitis
Periodontitis
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Iatrogenic effects
Iatrogenic effects
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Plaque harboring restorations
Plaque harboring restorations
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Acrylic dentures
Acrylic dentures
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Gingival recession
Gingival recession
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Oral piercings
Oral piercings
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Dental Restorations
Dental Restorations
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Bridges
Bridges
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Conventional Bridges
Conventional Bridges
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Adhesive Bridges
Adhesive Bridges
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Implants
Implants
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Orthodontic Appliances
Orthodontic Appliances
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Dental Therapist
Dental Therapist
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Dental Hygiene Importance
Dental Hygiene Importance
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Study Notes
Secondary Local Factors in Periodontal Disease
- Secondary local factors increase the risk of periodontal disease by creating areas where microorganisms can thrive through plaque retention. This makes it harder for patients to control plaque effectively.
Aim
- Gain knowledge and recognize various local risk factors that can worsen periodontal disease.
- Understand the etiology and pathogenesis of oral diseases.
- Provide comprehensive preventive care and education to patients. Motivate self-care and patient motivation through communication.
Intended Learning Outcomes
- Define secondary local factors
- Explain why local factors exacerbate periodontal disease.
- List and describe naturally occurring local factors.
- List and describe local factors stemming from disease or trauma.
- List and describe iatrogenic local factors.
- Explain how a dental hygienist/therapist can eliminate or modify secondary local factors.
Risk Factors
- Factors are categorized as modifiable (e.g., smoking, poor diet) and non-modifiable (e.g., socioeconomic status, genetics).
- Anatomical factors (e.g., malpositioned teeth, furcations, root grooves).
- Acquired factors (e.g., plaque, calculus, overhanging restorations).
- Systemic factors (e.g., smoking, diabetes, nutritional deficiencies, medications).
Plaque Retentive Factors
- Developmental factors
- Factors arising from disease or trauma
- Iatrogenic factors
Dental Calculus
- Provides a large, irregular surface area for microorganisms to thrive.
- Hampers oral hygiene efforts.
- Can leach toxic substances over time.
Supragingival vs Subgingival
- Calculus can form on various tooth surfaces.
- Significance of calculus location needs to examined.
Tooth Anomalies
- Root grooves/concavities
- Palatal grooves (commonly found on upper lateral incisors), deep grooves worsen prognosis.
- Malpositioned teeth (crowding, over-eruption, poor contact points, poor arch position).
Malpositioned Teeth (cont.)
- Tilting
- Rotation
- Impacted teeth
- Traumatic overbites
Enamel Pearls
- Associated with furcations.
- Present in about 5% of molars.
Incomplete Lip Seal & Mouth Breathing
- The role of saliva in relation to the issue needs further investigation.
Due to Disease/Trauma
- Includes conditions like caries lesions and resorption cavities, and previous periodontitis leading to gingival recession.
Oral Piercings
- Potential for exacerbating periodontal disease needs further examination.
Oral Jewellery
- Potential for exacerbating periodontal disease needs further examination.
Iatrogenic Factors
- Clinically induced diseases or damage to tissues.
- Oral restorations or appliances can create areas where plaque accumulates.
- Examples include some types of dentures, dental restorations (amalgam, composite, crowns), bridges, and orthodontic appliances. Dental hygienists/therapists are tasked with minimizing any iatrogenic effects.
Dentures
- Partial dentures, especially acrylic ones with substantial gingival coverage.
- Plaque accumulation areas need to be pointed out.
- Advice to patients should be tailored based on individual cases.
Dental Restorations
- Amalgam, composite, and crown restorations.
- Potential complications and patient care.
Bridges
- Conventional and adhesive options.
- Maintaining oral hygiene around bridges.
Orthodontic Appliances
- Maintaining proper oral hygiene around orthodontic appliances is crucial.
Implants
- Maintaining oral hygiene around dental implants.
Role of Therapist and Hygienist
- Assessment and recognition of issues at patient appointments and reassessments.
- Methods for assessment.
- Use of appropriate BPE codes.
Eliminating or Modifying Iatrogenic Factors
- Dentist/hygienist's role in enabling patients to control plaque effectively.
- Addressing complications stemming from various interventions (iatrogenic effects).
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Description
This quiz focuses on understanding secondary local factors that contribute to periodontal disease. It covers the etiology, pathogenesis, and various risk factors that exacerbate oral diseases. You'll learn about prevention strategies and the role of dental professionals in managing these factors.