Perio Exam 2

For a patient with plaque induced gingivitis the hygienist usually may expect to record any of the following probing depths except?

6 mm

A bacterial infection of the periodontium that causes rapid attachment loss or poor response to periodontal therapy is?

Aggressive periodontal disease

Healthy tissue consistency includes all the following except?

Attached gingiva that attaches to underlying enamel

Gingivitis is distinguished from periodontitis by which of the following characteristics?

Attachment loss

Hygienist should be alert for signs of dental inflammation. Which sign of inflammation usually is the first sign seen clinically?

Bleeding on gentle probing

Gingivitis is inflammation of the gingiva and is reversible. Periodontitis is inflammation of the entire periodontium and is irreversible.

Both statements are true

In chronic periodontitis the gingival tissue may appear bright red or purple-ish. The clinical appearance of the tissues is not a reliable indicator of the presence or severity of chronic periodontitis.

Both statements are true

Refractory chronic periodontitis occurs despite good self-care and appropriate therapy and regular maintenance visits. Recurrent chronic periodontitis occurs because the patient did not control the bacterial plaque biofilm and/or the periodontal disease was not adequately treated.

Both statements are true

True or false? Is it possible for a patient to have gingivitis that is not caused by bacterial plaque. Gingivitis can be caused from an allergic reaction or fungal infection.

Both statements are true

Gingival papillae that are enlarged and expand out of the innerproximal spaces are described as?

Bulbous papilla

Your patient is 40 years old. A periodontal assessment shows the following: purpleish, swollen gingiva, recession of the gingival margin, generalized loss of attachment that has not progressed from one year ago, patient reports gums that bleed during brushing, but no pain. Which of the following is the most likely disease classification for this patient?

Chronic periodontitis

Three months ago, a patient with periodontitis was seen for a maintenance visit. Three months ago clinical attachment loss range from 4 to 6 mm. Today, he returns for a maintenance visit and the hygienist notes that there is no additional attachment loss in most areas of the mouth. The one exception is a 2 mm increase in clinical attachment loss on the distal proximal service of tooth #20. How would you characterize the periodontal disease progression in the patient's mouth?

Disease progression is slow

A GENERALIZED, pronounced overgrowth of gingival tissue, first seen in the papilla of the anterior sextants is a common clinical characteristic of which of the following periodontal diseases?

Drug influence gingival enlargement

The extent and severity of chronic Periodontitis related to all of the following except?

Gender

The hygienist notes the following clinical signs during the periodontal assessment of a young female teenager: A small amount plaque biofilm present at the gingival margin, gingival tissues appear bright red and soft, bleeding seen on slight provocation, bleeding upon gentle probing, gingival margin slightly coronal to the CEJ, probing depths of 2 to 3 mm, an inflammatory response that seems exaggerated given the small amount of plaque biofilm. Which of the following types of periodontal disease should the hygienist suspect for this patient?

Gingival disease associated with endocrine system and fluctuations in sex hormones

Diabetes associated gingivitis is an example of?

Gingival disease modified by a systemic factor

A gingival disease characterized by a bacterial infection of the gingiva by a specific bacterium that is not a common component of bacterial plaque biofilm is known as a?

Gingival disease of a specific bacterial origin

Your assessment findings for a patient include: red, swollen gingiva, Moderate plaque biofilm, and probing depths of 2 to 3 mm. How would you classify her disease status?

Gingivitis

By far the most common type of periodontal disease is?

Gingivitis associated with dental plaque only

The hygienist notes the following clinical signs during the periodontal assessment of a young male teenager: Moderat plaque biofilm present at the gingival margin, gingival redness and tenderness, bleeding on gentle probing, gingival margin slightly coronal to the CEJ, probing depths of 2 to 3 mm, an inflammatory response that seems appropriate given the amount of plaque biofilm. Which of the following types of periodontal disease should a hygienist suspect for this patient?

Gingivitis associated with dental plaque only

Healthy gingival tissue in the human population:

Maybe pigmented, may be various shades of pink, will have to papilla that come to a point and fill the spaces between teeth.

All of the following are characteristics of chronic periodontitis except?

Most common in adults who are younger than age 35

A patient presents with: pink gingival tissues, gingival margin slightly coronal to the CEJ, no visible change in tissue contour, no visible change in tissue consistency. The hygienist classifies this periodontal disease as gingivitis associated with plaque only. Does she have enough information to make this decision?

No because the tissues can have these characteristics in chronic periodontitis

Gingival diseases of specific bacterial origin would be considered?

Non-plaque induced gingival disease

All of the following are typical warning signs of chronic periodontitis except?

Pain

Localized plus that forms around periodontal tissue is termed a(n):

Periodontal abscess

Your assessment findings for a patient include: pink gingiva, Moderate plaque biofilm, and probing depths of 6 to 8 mm how would you classify his disease status?

Periodontitis

Which of the following is a classification of periodontal disease that involves infection or death of dental pulpal tissues?

Periodontitis associated with endodontic lesions

A LOCALIZED, mushroom shaped gingival mass projecting from the gingival papilla is a common clinical characteristic of which of the following. Periodontal diseases?

Pregnancy associated gingivitis

Which of the following is considered a dental plaque induced gingival disease with a modifying factor?

Pregnancy associated gingivitis

A severe reaction to the initial infection with the herpes simplex type 1-virus. Clinical manifestations include fiery red marginal gingiva, pain, and small clusters of vesicles throughout the mouth for which of the following periodontal diseases?

Primary herpetic gingivostomatitis (PHG)

A patient was successfully treated for chronic periodontitis two years ago, but today presents with a reappearance of the signs of symptoms of periodontitis. The hygienist notices that the patient's self-care is NOT adequate. Which of the following is the most likely disease classification for this patient?

Recurrent chronic periodontitis

A patient has undergone repeated, appropriate. Periodontal therapy over the past five years. Today, the hygienist notes additional attachment loss at several sites. The patient practices satisfactory self-care and follows the recommended program of periodontal maintenance visits. Which of the following is the most likely disease classification for this patient?

Refractory chronic periodontitis

Your patient is 10 years of age. A periodontal assessment shows the following: plaque biofilm that is consistent with the amount of information, swelling and redness of the gingiva, bleeding on probing, generalized loss of attachment. Which of the following is most likely disease classification for this young patient?

Refractory chronic periodontitis

Three months ago, a patient with periodontitis was seen for a maintenance visit. Today, he returns for another maintenance visit and the hygienist notes that there is no additional attachment lost in most areas of the mouth. The one exception is a 2 mm increase in clinical attachment loss on the distal proximal surface of tooth #20. The area on tooth #20 is described as?

Site-specific disease

Increased fluid and inflamed gingival tissue can cause the tissue to be characterized by?

Soft, spongy, and non-elastic tissue

All of the following are differences between chronic periodontitis and aggressive periodontitis are true except?

The amount of tissue destruction is consistent with the presence of etiologic factors in aggressive periodontitis and is inconsistent with the presence of etiologic factors and chronic periodontitis.

All of the following are true of chronic periodontitis except?

The disease progresses at a rapid rate

The clinical signs of inflammation seen in pediatric patients are not as intense as that seen in a young adult patient with the same quality of plaque biofilm. Likewise, the clinical signs of inflammation seen in geriatric patients are not as intense as that seen in a young adult patient with the same quantity of plaque biofilm.

The first statement is true; the second statement is false

True or false: Gingivitis and periodontitis are categories of periodontal disease

True

A disorder of the mucous membranes due to an allergic reaction or infection that includes swollen lips with extensive crust formation is termed?

erythema multiforme

A disease of the mucous membranes in which there may be interlacing white lines on the buccal mucosa, red gingiva, and raised white lesions in plaque like configurations is termed?

oral lichen planus

All of the following bacterial species are associated with gingivitis except?

Aggregatibacter actinomycetemcomitans

The most frequently occurring form of periodontitis is?

Chronic periodontitis

Gingivitis may cause tissue margins to move in what direction?

Coronal

Gingival papillae with a concave appearance are described as?

Cratered papilla

Chronic gingival inflammation include all the following except?

Increased bone loss

Disease sites that have not responded successfully to treatment are characterized by?

Increasing clinical attachment loss

Which of the following statements best describes diffuse inflammation?

Inflammation that includes the gingival margin, papilla, and attached gingiva

When describing distribution of gingivitis, all the following may be applied except?

Lingual

A 50-year-old patient presents with 1 mm of attachment loss in most of the mouth, however there is 6 mm of attachment loss present on the proximal surfaces of the maxillary first and second molars. Which of the following is the most likely disease classification for this patient?

Localized chronic periodontitis