The reader is encouraged to keep up with dental and medical research through the many peer-reviewed journals available to verify information found here and to determine the best treatment for each individual patient. Food impaction—forcing food such as pieces of tough meat between teeth during chewing, trapping the food in the interdental area. Please check all that apply Pregnant Nursing Osteoporosis Taking birth control pills Females can be at increased risk for gum disease at different points in their life. Open-ended questions—questions that cannot be answered with a simple yes or no response. Refractory disease—destructive periodontitis in a patient who, when monitored over time, exhibits additional attachment loss at one or more sites, despite appropriate, repeated professional periodontal therapy and a patient who practices satisfactory self-care and follows the recommended program of periodontal maintenance visits. One of the possible side effects of these drugs is osteonecrosis of the jaws following their extended use. Osteogenesis—the production of new bone; in periodontal surgery, osteogenesis is the potential for new bone cells and new bone to form following bone grafting.
It is normally not appropriate to use the term periodontal maintenance for patients treated for other conditions such as those treated for the various types of gingivitis. The evidence-based approach to periodontal care emphasizes use of research as the foundation for clinical decision making. Is patient covered by another dental plan? Necrotizing ulcerative periodontitis can be accompanied by the formation of bone sequestra. Allografts—bone replacement grafts taken from individuals that are genetically dissimilar to the donor i. Cementum—a mineralized layer of connective tissue that covers the root of the tooth; anatomically, cementum is part of the tooth; however, it also part of the periodontium. Doxycycline at low doses is used as a host-modulating agent to inhibit part of the destruction that occurs in periodontitis. Yes No Do you like the appearance of your smile? Also see ostectomy and osteoplasty.
Any particular reason why missing teeth have not been replaced? Odontoblastic process—a thin tail of cytoplasm from a cell in the tooth pulp called an odontoblast. The key terms list assists students in this task by identifying important terminology and facilitating the study and review of terminology in each chapter. Chronic gingivitis—long-lasting gingivitis; gingivitis may exist for years without ever progressing to periodontitis. Buy with confidence, excellent customer service!. Tobacco use is the most significant risk factor for gum disease. Also see alveolar bone loss and horizontal bone loss. Spine creases, wear to binding and pages from reading.
Learning Objectives and Key Terms. Gingival embrasure space—the small triangular open space apical to the contact area between the curved proximal surfaces of two teeth. May contain limited notes, underlining or highlighting that does affect the text. Pellicle—a thin, bacteria-free membrane that forms on the surface of the tooth during the late stages of eruption. Yes No Have you had any of these warning signs of diabetes? Monocytes—phagocytic leukocytes located in the bloodstream. Karn 642 Section 2 Fictitious Patient Case 2: Mr. Also see innocuous and pathogenic.
Also see necrotizing periodontal diseases and necrotizing ulcerative periodontitis. Comprehensive and easy-to-understand, Foundations of Periodontics for the Dental Hygienist, 5th Edition equips dental hygiene students with up-to-date, evidence-based coverage of periodontal anatomy, the periodontal disease process, and classifications of periodontal disease. Bone replacement graft—a periodontal surgical procedure used to encourage the body to rebuild alveolar bone that has been lost usually as a result of periodontal disease. Periodontal osseous surgery—see osseous resective surgery. Bleeding gums during toothbrushing Red, swollen, or tender gums Gums that have pulled away from the teeth Persistent bad breath Pus between the teeth and gums Loose or separating teeth Change in the way your teeth fit together Food catching between teeth Yes Is it important to you to keep your teeth as long as possible? Chapter 36 Comprehensive Patient Cases Section 1 Fictitious Patient Case 1: Mr.
Gingivoplasty—a periodontal surgical procedure used to reshape the surface of the gingiva to create a natural form and contour to the gingiva. If you quit, what year? Doxycycline—an antibiotic drug that is used to treat a variety of infections. Gram-positive bacteria—bacteria with thick, single cell walls that show a purple stain under the microscope; most of the bacteria associated with a healthy periodontium are Gram-positive. Insurance codes—numeric codes used by insurance companies and the government to classify different dental procedures. Acute periodontal conditions—periodontal conditions that are commonly characterized by a rapid onset and rapid course, that are frequently accompanied by pain and discomfort, and that may be unrelated to the presence of preexisting gingivitis or periodontitis.
With the slightest amount of gum inflammation, bacteria from the mouth can enter the bloodstream and cause a serious infection of the heart muscle or your artificial joint. Plastic surgery—see periodontal plastic surgery. Also see comprehensive periodontal assessment and periodontal screening examination. Anaerobic bacteria—bacteria that cannot live in the presence of oxygen. Biologic equilibrium—a state of balance in the internal environment of the body. I Immune system—a collection of responses that protects the body against infections by bacteria, viruses, fungi, toxins, and parasites; the immune system defends the body against invading microorganisms, as well as toxins in the environment.
Have you noticed any of the following signs of gum disease? Also see functional crown lengthening and esthetic crown lengthening. Opsonization—coating of the surface of a microorganism by complement components to facilitate the engulfment and destruction by phagocytes. This edition has approximately 200 new illustrations, including new full-color clinical photographs. B lymphocytes can further differentiate into one of the two types of cells: plasma B cells and memory B cells. No Do you like the appearance of your smile? Family history of heart disease High cholesterol Untreated gum disease can increase your risk for heart attack and stroke.
U Ulceration—the loss of the epithelium normally covering underlying connective tissue. Removable prosthesis—an appliance used to replace missing teeth that the patient can remove for cleaning and before going to bed; commonly called a partial denture. Atherosclerosis—a process characterized by a thickening of artery walls. Note: the access codes that come in the textbook provide students with access to the full online text and chapter review questions only. Vertical tooth mobility is the ability to depress the tooth in its socket.
If the free gingival groove is not visible clinically, determine the apical boundary of the free gingiva by inserting a probe to the base of a sulcus on an anterior tooth. Best practices—are clinical practices, treatments, and interventions that result in the best possible outcome for the patient. Horizontal tooth mobility is the ability to move the tooth in a facial-lingual direction in its socket. Basal lamina—a thin, tough sheet that separates the epithelial cells from the underlying connective tissue. Chapter Review Questions provide a quick review of chapter content.