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Flashcards in Scaling Deck (19)
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1

Curettage: 2 types

Incidental and intentional

2

Periodontal debridement/root planning

Scaling above and below the gumline to remove plaque and calculus

3

Preparation for instrumentation

Medical history, supra and sub exams, radiographs

4

Sequence of scaling:

Treatment plan,
Based on individual needs,
Determine by assessment

5

Multiple appointments cleaning:

Always complete all surfaces of tooth, never leave a tooth partly finished.

6

Perio abscess

Margins tight and pocket closes, becomes rough and develops more build up

7

Healing is normally______
Clinic reassess is in_____

4-6 weeks
2-3 weeks

8

Control of pain:

Be honest with your patient,
Evaluate deposit removal and irrigate area with water,
Apply correct principles of instrumentation,
Do not avoid areas of bleeding,
Explain rationale,
Failure to scale sub is more harmful to patient,
Bleeding will be unavoidable when tissues inflame

9

Instrument on ______ of tooth to remove _____,____,____

Crown

Plaque calculus and stain

10

_____ ______ is the most important measure of success in periodontal debridement

Tissue response

11

Postop patient instructions for:

Gingival soreness
Bleeding
Oral hygiene instruction
Mouth rinses
Diet
Tooth hypersensitivity

12

Hypertonic salt solution

One tsp salt to 8 oz warm water

13

Primary reason for recall of 3 months:

To disrupt, through subgingival instrumentation, the colonized microbiota in areas that the patient does not have access to during daily oral physiotherapy

14

Subgingival instrumentation takes about ____ days without daily control for the plaque to recolonize
For that reason; patients with probe depths greater than ___ mm should be on a 3 month re call

42 days,
5 mm

15

Sextant 1- moderate sub and supra calculus around 2 and 3. Tissues loose and bleed easily. Probe depths are 5-6mm

Rigid gracey, post scaler, flexible gracey

16

Sextant 1: Light sub calculus around 4 and 5, tissues are loose with scattered areas of bleeding, probe depths are 3-4 mm

Posterior scaler

17

Sextant 2: No sub or supra calculus found. Tissues are 2-3mm firm and pink

Anterior scaler

18

Sextant 3: Light supra calculus 14,15. Tissues Red loose. Probe depth 3-4. No calc 12,13. Tissues firm and pink.

Gracey or univ and post scaler

19

Sextant 5: heavy sub and supra. Tissues red blue loose and bleed. Probe depths 3-4.

Anterior scaler, rigid gracey, flexible gracey