Spring Perio Exam 1 Pt II QUESTIONS AND ANSWERS
1. Gingival abscesses may be caused by or : bacteria carried into the gingival tissue or foreign bodies (popcorn hull, toothbrush bristle, etc)
2. What is a common predisposing factor for acute periodontal abscesses?: -
poorly controlled diabetes
...
1. Gingival abscesses may be caused by or : bacteria carried into the
gingival tissue or foreign bodies (popcorn hull, toothbrush bristle, etc)
2. What is a common predisposing factor for acute periodontal abscesses?: -
poorly controlled diabetes
3. T/F: Teeth associated with acute periodontal abscesses are often nonvital-
: False
teeth are vital!
4. What are the indications for antiobiotic therapy in a pt with an acute pe- riodontal abscess?:
cellulitis, deep/inaccessible pocket, fever, lymphadenopathy, immunocompromised pt
5. What are the results of a vitality test for lesions of periodontal vs pulpal origin?: periodontal =
positive (vital)
pulpal = negative (nonvital)
6. What are the results of a percussion test for lesions of periodontal vs pulpal origin?: periodontal
= somewhat severe pain
pulpal = VERY severe pain
7. What is considered a primary pulpal/secondary periodontal l sistent infection inesion?:
the pulp tissue leads to secondary infection and b periodontium per-
8. What is considered a primary periodontal/secondary pulpal le reakdown
perio disease may initiate changes in pulp sion?:
severe
9. What is considered a truly combined lesion?: primary pulpal and perio in- fections occur
simultaneously with continuous lesion from alveolar crest to apex (conditions/lesions
combine)
10.What is considered a concomitant pulpal-perio lesion?: both disease states/lesions exist
but there is no evidence they have influenced one another
11.Patients with a primary perio/secondary pulpal lesion often have pockets with a depth of mm: 6-
8mm
12.What are the possible routes of communication for pulpal and periodontal lesions?: apical
foramen, lateral/accessory canals, dentinal tubules
13. With combined pulpal-
periodontal lesions, the communicates with the
: periodontal pocket, apical root lesion
14.How do you treat a combined lesion?: RCT FIRST, then periodontal treatment
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, Spring Perio Exam 1 Pt II QUESTIONS AND ANSWERS
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