Exam 17: Periodontal Maintenance and Prevention

During Phase _____ of periodontal therapy,corrective surgical and restorative procedures are performed as indicated.

Periodontal disease is a causative factor in the development of root caries.Almost one half of all patients in periodontal maintenance treatment exhibit root caries.

Fluoride therapy has proven to be an important protective factor in the caries balance.Most protective aspects of fluoride occur via systemic absorption during tooth development.

Hyperensitivity occurs in many patients when root surfaces are exposed from periodontal therapy,malpositioned teeth,or improper toothbrushing techniques.Normal aging contributes to the exposure of root surfaces and may result in root sensitivity.

Periodontitis is always preceded by gingivitis.

The effectiveness of periodontal therapy can be measured by:

Treating dentinal hypersensitivity with 1.1% neutral sodium fluoride (NaF)is effective because it reduces the patient's susceptibility to root caries.

Phase _______ of periodontal therapy is initiated immediately after re-evaluation to ensure the stability of results attained during the initial phase.

Untreated periodontal disease results in:

Phase _____ of periodontal therapy consists of individualized oral hygiene instruction and supragingival and subgingival débridement of plaque biofilm and calculus.

Phase _____ of periodontal therapy includes a review of the medical history; dental and periodontal examinations; caries detection; plaque biofilm,calculus,and stain removal; fluoride therapy; and a referral to specialists as indicated.

Most patients in periodontal maintenance are best maintained at which recall interval?

Some patients will simply not comply with the recommended plaque biofilm control during maintenance.What effect can regular maintenance visits with the dental hygienist have on these noncompliant patients?

Hypersensitivity in teeth is a common problem estimated to occur in:

Use the following case description to complete the following exercises. Mr.JTM, a 70-year-old man with a complex medical history and moderate-to-advanced periodontitis and extensive restorative dental treatment, reports to the dental hygienist for his annual dental checkup.During the clinical assessment, the dental hygienist notices moderate plaque biofilm accumulation.The patient reports that a few teeth are sensitive and that he has a "dry mouth." The patient is less than enthusiastic about discussing his daily home care protocol and wants to know how long the appointment will take. -The most likely cause of Mr.JTM's dry mouth is:

What strategy should be tried in treating dentinal hypersensitivity?

An environment for opportunistic reinfection by pathogenic microbes,possibly resulting in disease progression,can be fostered by the:

Dental hygienists are essential providers of preventive services during Phases I and IV of periodontal maintenance care.

The dental hygienist must collaborate with the dentist to ensure the success of the periodontal maintenance program.The dental hygienist must partner with the patient to develop a personalized and successful maintenance program.

Periodontal disease is always preceded by gingivitis.Gingivitis always leads to periodontal disease.