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Aluno:________________________________________________ Estudo Dirigido - Periodontia Equipe: Prof. Amanda Passatore Cabral e Prof. Raphaela Ribas 1- Como o periodonto é dividido? E quais as estruturas que compõem suas divisões? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 2- Quais as características clínicas de uma gengiva saudável? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 3- Defina os parâmetros clínicos periodontais a seguir. E como são obtidos: -Índice de Placa Visível: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Índice de Sangramento gengival: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Profundidade de Sondagem: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Nível Clínico de Inserção: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Sangramento à sondagem: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Supuração: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Mobilidade dental: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ -Furca: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4- Descreva a sequência do plano de tratamento periodontal: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5- Quais os procedimentos que integram a Terapia Periodontal Básica? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5- A raspagem e alisamento radicular tem como finalidade: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 6- A avaliação periodontal deve ocorrer em aproximadamente quanto tempo após o tratamento periodontal? Justifique: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 7- Descreva o plano de tratamento para pacientes com gengivite: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 8- Descreva o plano de tratamento para periodontite: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9- Faça a prescrição antibiótica para o paciente com periodontite estágios III e IV associada a fatores de risco: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 10- Quais os parâmetros a serem avaliados e procedimentos que contemplam a terapia de manutenção e suporte? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 11- Qual a relação entre diabetes e fumo com a doença periodontal? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________12- A cada quanto tempo devem ser os retornos do paciente em terapia de manutenção e suporte? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 13- Qual a técnica de escovação indicada para p paciente com doença periodontal? Descreva como deve ser realizada: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 14- Realize a prescrição do bochecho com Digluconato de Clorexidina: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Com base nos casos clínicos a seguir, classifique a doença periodontal dos pacientes: Caso clínico 1 Paciente do sexo feminino, 28 anos, sistemicamente saudável, não fumante. Relata sangramento gengival ocasional durante a escovação. Ao exame clínico observa-se acúmulo moderado de biofilme dental e cálculo supragengival. A paciente relata que realizou radiografias há 6 anos, e o padrão de perda óssea permaneceu praticamente estável. Exame periodontal: • Profundidade de sondagem: 3–4 mm em alguns sítios interproximais • Perda de inserção clínica interproximal: 2 mm no sítio mais afetado • Sangramento à sondagem presente em vários sítios • Ausência de mobilidade dentária • Nenhum dente perdido por periodontite Exame radiográfico: • Perda óssea limitada ao terço coronal da raiz (