Perio ch 6-9
Osseointegration is regarded as successful if there is:
Absence of gingival inflammation of peri-implant tissues
The portion of the implant that protrudes through the tissue into the mouth is called the:
Abutment post
In the photograph below, which of the following clinical signs indicate(s) that the patient has gingivitis? Tissue color Swollen marginal tissue Bleeding B and C
B and C
Calculus on implants is easy to remove because it does not interlock with the surface. Light pressure with a plastic instrument is all that is needed.
Both are true
In Stage II Grade B periodontitis, the gingival tissue may appear bright red or purplish. The clinical appearance of the tissues is not a reliable indicator of the presence or severity of chronic periodontitis.
Both are true
In both photographs shown below, the visual clinical appearance suggests a healthy periodontium. In the second photograph, the probe depth reading of 7 mm reveals periodontitis, even though the tissue appears clinically healthy.
Both are true
Connective tissue fibers run perpendicular to the implant surface. Junctional epithelium does NOT attach to the implant surface.
Both statements are false
Dental clinicians may be the first to suspect a patient may have leukemia because of an unusual odor emanating from the oral cavity. In leukemia, gingival tissues become keratinized and appear pale pink and very thick.
Both statements are false
One critical component of NPD is advanced age. NPD is more commonly found in the 40 year and older age group.
Both statements are false
Gingival recession is the most common mucogingival deformity. Absence of attached gingiva predisposes a person to gingival recession.
Both true
The biologic seal functions as a barrier between the implant and the oral cavity. A sulcus lined by sulcular epithelium surrounds the implant abutment post.
Both true
A patient who presents with marginal tissue recession which does not extend to the mucogingival junction is said to have which of the following Miller Classifications?
Class I
Three months ago, a patient with periodontitis was seen for a maintenance visit. Three months ago clinical attachment loss ranged 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 surface of tooth #20. How would you characterize the periodontal disease progression in this patient's mouth?
Disease progression is slow
A three month onset of pronounced overgrowth of the gingival tissue with a high prevalence in younger age groups. First seen in the papillae of the anterior sextants . are characteristic of which of the following periodontal diseases?
Drug-influenced gingival enlargement
A disorder of the skin and or oral mucosa. Oral involvement occurs in 25-60% of cases manifesting as blisters and progressing to ulcers
Erythema multiforme
All of the following are common sources for intraoral allergic reactions EXCEPT: Cinnamon flavoring in chewing gum Carvone in toothpaste Spearmint flavoring in mouthwash Fluoride embedded in dental floss
Fluoride embedded in dental floss
By far the most common type of periodontitis is:
Generalized periodontitis
The dental clinician notes the following clinical signs during the periodontal assessment of an young female teenager: 90 % Plaque free score with generalized moderate to severe marginal gingivitis.
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
Gingival disease characterized by a bacterial infection of the gingiva by a specific bacterium that is NOT commonly found in bacterial plaque biofilm is known as a:
Gingival disease of specific bacterial origin
By far the most common type of periodontal disease is:
Gingivitis associated with dental plaque only
Disease sites that have not responded successfully to treatment are characterized by:
Increasing clinical attachment loss
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 periodontitis
In the photograph below, which of the following indicate that the disease has progressed to periodontitis in the mandibular anterior teeth? Tissue color change Cratered papilla Loss of alveolar bone Loss of stippling
Loss of alveolar bone
All of the following are characteristics of periodontitis EXCEPT: Radiographic evidence of horizontal bone loss Can be modified by cigarette smoking Most common in adults who are younger than age 35 years Disease progresses at a slow to moderate rate
Most common in adults who are younger than age 35 years
All of the following statements about NG are FALSE EXCEPT: NG is rarely seen in children living in developing countries NG develops in young people who have an excess of protein in their diets NG is seen more in people of Asian descent than any other race group NG is seen more in people with high levels of emotional and personal stress
NG is seen more in people with high levels of emotional and personal stress
Necrotizing periodontal diseases include all of the following EXCEPT: Necrotizing stomatitis Necrotizing mucogingiva Necrotizing periodontitis Necrotizing gingivitis
Necrotizing mucogingiva
All of the following statements are true about probing an implant EXCEPT: No probing is recommended as a part of implant maintenance Probing measurements are taken from a fixed reference point Too much pressure will cause the probe to penetrate the biologic seal A metal probe may be used if there is light pressure
No probing is recommended as a part of implant maintenance
A patient presents with: Pink gingival tissues CEJ slightly coronal to the JE 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 periodontitis
Gingival diseases of specific bacterial origin would be considered:
Nonplaque-induced gingival disease
Dental implants should be checked radiographically at least __________.
Once a year
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
The tissues that surround the implant are termed the:
Peri-implant tissues
The term for periodontitis in the tissues surrounding an osseointegrated dental implant, resulting in loss of alveolar bone is called ______________.
Peri-implantitis
Your patient has had infrequent visits to the dentist. A periodontal assessment shows the following: Plaque biofilm that is consistent with the amount of inflammation Swelling and redness of the gingiva Bleeding on probing Generalized loss of attachment. Plaque-induced gingivitis Nonplaque-induced gingival disease Periodontitis Refractory periodontitis
Periodontitis
Your patient is 40 years old. A periodontal assessment shows the following: Purplish, swollen gingiva Recession of the gingival margin Generalized loss of attachment that has not progressed (worsened) from 2 years ago Patient reports gums that bleed during brushing, but no pain Which of the following is the most likely disease classification for this patient? Plaque-induced gingivitis Nonplaque-induced gingival disease Periodontitis Refractory periodontitis
Periodontitis
Associated symptoms of NPD include all of the following EXCEPT: Pigmented gingiva Fetid odor Excessive salivation Swollen lymph nodes
Pigmented gingiva
The dental clinician notes the following clinical signs during the periodontal assessment of an young male teenager: 10% Plaque Free index generalized moderate -severe marginal gingivitis.
Plaque-induced gingivitis by bacteria only
A LOCALIZED, mushroom-shaped granuloma 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 Primary herpetic gingivostomatitis Erythema multiforme Linear gingival erythema
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)
The difference in severity between Stage II periodontitis and Stage III periodontitis is that:
Probing depths in Stage II periodontitis do not measure more than 4 mm whereas in Stage III periodontitis they measure equal to or over 5 mm
The yellow-white or grayish tissue slough covering affected gingival tissues in NPD is called:
Pseudomembrane
A patient was successfully treated for periodontitis 2 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 periodontitis
The therapeutic endpoints of periodontal therapy include all of the following EXCEPT: Reduction of periodontal pockets by 3 mm Elimination of microbial etiology Preserving teeth and periodontium in a state of health Preventing reoccurrence of periodontal disease
Reduction of periodontal pockets by 3 mm
All of the following are optimal treatment modalities in treating periodontal disease EXCEPT: Periodontal instrumentation to remove microbial etiology Removing diseased cementum during root scaling Periodontal surgery Repairing overhanging margins on restorations
Removing diseased cementum during root scaling
Which of the following scalers is best for instrumenting around implants?: Sickle scaler constructed of plastic Universal ultrasonic tip A gold-tipped curette Scaler made of titanium
Scaler made of titanium
Self-care around the implant can be accomplished using any of the following cleaning aids EXCEPT a(n): Soft bristle brush Implant floss Standard wire interproximal brush End-tufted brush
Standard wire interproximal brush
All of the following are true of periodontitis, EXCEPT: Gingival bleeding is a common clinical finding Signs may include periodontal pockets and tooth mobility The disease always progresses at a rapid rate Host response plays an important role in pathogenesis
The disease always progresses at a rapid rate
The same bacteria that are pathogenic to natural teeth can be detrimental to dental implants. Smoking is not an additional risk factor in implant failures.
The first statement is true; the second is false
A palatolingual groove can enhance plaque retention thereby contributing to initiation of periodontal disease. Poorly fitting orthodontic appliances have been known to initiate periodontal disease. Both statements are true Both statements are false The first statement is true; the second statement is false The first statement is false; the second statement is true
The first statement is true; the second statement is false
Necrotizing periodontal diseases is characterized by papillae that appear cratered. Although tissues in NPD appear fiery red, they are not painful.
The first statement is true; the second statement is false
The main difference between NG and NP is that NP leads to attachment and bone loss. The main difference between NG and NP is that NP involves the tongue and buccal mucosa as well as gingiva and alveolar bone
The first statement is true; the second statement is false
All of the following are true about dental implants, EXCEPT: Gingival fibers and periodontal ligaments do not attach to the titanium surface of the implant Periodontal pathogens destroy bone more rapidly along a dental implant than natural tooth There is keratinized tissue around the dental implant, as in a natural tooth The implant is surrounded by junctional epithelium, connective tissue, and alveolar bone
There is keratinized tissue around the dental implant, as in a natural tooth
A patient who presents with clear, thin delicate gingiva is said to have which periodontal biotype?
Thin scalloped
In the photograph below, all of the following statements are true EXCEPT: Texture of the tissue is fibrotic Bone loss is clinically evident Tissues appear pink and healthy Papilla appear flat in wide interdental spaces
Tissues appear pink and healthy
Acute Gingivitis has a brief duration that is improved with good self-care. Chronic gingivitis lasts a long time and always develops into periodontitis.
first statement is true, second is false
All of the following are typical warning signs of periodontitis EXCEPT: Bad taste in the mouth Loose teeth Red, swollen gingiva Pain
pain
A patient has undergone repeated, appropriate periodontal therapy over the past 5 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 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 loss 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
