perio M2 knowledge check
For a patient with plaque-induced gingivitis, the hygienist usually may expect to record any of the following probing depths, EXCEPT: a) 1 mm b) 3 mm c) 4 mm d) 6 mm
6 mm
Gingival recession is the most common mucogingival deformity. Absence of attached gingiva predisposes a person to gingival recession.
a) Both statements are true
Gingivitis may cause tissue margins to move in what direction? Group of answer choices a) Coronal b) Apical c) Lateral d) Labial
a) Coronal
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? Group of answer choices a) Disease progression is slow b) Disease progression is rapid c) Slight periodontitis d) Moderate periodontitis
a) Disease progression is slow
By far the most common type of periodontal disease is: Group of answer choices a) Gingivitis associated with dental plaque only b) Gingival disease modified by systemic factors c) Allergy-induced gingivitis d) Nonplaque-induced gingivitis
a) Gingivitis associated with dental plaque only
Which of the following statements is correct regarding gingival tissues for a patient who has received treatment for periodontitis and presents with generalized 4 mm of recession, blunted papillae, tissue pink in color and no bleeding on probing? Group of answer choices a) In spite of the periodontal treatment, gingival tissues are healthy b) Once a periodontitis diagnosis is given, tissues are never considered healthy c) Tissues can't be considered healthy because of the generalized recession d) Tissues can't be considered healthy because of the blunted papillae
a) In spite of the periodontal treatment, gingival tissues are healthy
Disease sites that have not responded successfully to treatment are characterized by: Group of answer choices a) Increasing clinical attachment loss b) Plaque levels compatible with healthy gingiva c) White fibrotic gingival tissue d) Pain in the localized area
a) Increasing clinical attachment loss
All of the following tissue descriptions describe gingivitis EXCEPT: Group of answer choices a) Light pink with scalloped margins b) Dark pink with irregular scalloped margins c) Generalized light pink with localized area of redness in posterior interproximals d) Shiny pink with localized areas of cratered papillae
a) Light pink with scalloped margins
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? Group of answer choices a) Localized periodontitis b) Redundant periodontitis c) Recurrent periodontitis d) Refractory periodontitis
a) Localized periodontitis
Associated symptoms of NPD include all of the following EXCEPT: Group of answer choices a) Pigmented gingiva b) Fetid odor c) Excessive salivation d) Swollen lymph nodes
a) Pigmented gingiva
Which of the following is considered a dental plaque--induced gingival disease with a modifying factor? Group of answer choices a) Pregnancy-associated gingivitis b) Primary herpetic gingivostomatitis c) Erythema multiforme d) Linear gingival erythema
a) Pregnancy-associated gingivitis
Increased fluid in inflamed gingival tissue can cause the tissue to be characterized by: Group of answer choices a) Soft, spongy, and nonelastic tissue b) Firm and fibrotic tissue c) Tissue that is red to purplish-red in color d) Gingival tissue with blunted papillae
a) Soft, spongy, and nonelastic tissue
As long as stippling is clinically present in maxillary anterior teeth, tissues are considered healthy even with slight bleeding upon probing. If there is no tissue stippling, tissues are unhealthy. Group of answer choices a) Both statements are true b) Both statements are false c) The first statement is true; the second false d) The first statement is false; the second true
b) 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.
b) Both statements are false
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? Group of answer choices a) Class 0 b) Class I c) Class II d) Class III
b) Class I
The yellow-white or grayish tissue slough covering affected gingival tissues in NPD is called: Group of answer choices a) Gingival halo b) Fibrin c) Pseudomembrane d) Gingival derma
c) Pseudomembrane
A patient who exhibits loss of interproximal attachment associated with horizontal bone loss is said to have which Cairo Classification? Group of answer choices a) RT0 b) RT1 c) RT2 d) RT3
c) RT2
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? Group of answer choices a) Periodontitis b) Redundant periodontitis c) Recurrent periodontitis d) Refractory periodontitis
c) Recurrent periodontitis
Acute Gingivitis has a brief duration that is improved with good self-care. Chronic gingivitis lasts a long time and always develops into periodontitis. Group of answer choices a) Both statements are true b) Both statements are false c) The first statement is true; the second is false d) The first statement is false; the second is true
c) 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.
c) 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.
c) 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
c) The first statement is true; the second statement is false
In the photograph below, all of the following statements are true EXCEPT: Group of answer choices a) Texture of the tissue is fibrotic b) Bone loss is clinically evident c) Tissues appear pink and healthy d) Papilla appear flat in wide interdental spaces
c) Tissues appear pink and healthy
In the photograph below, which of the following clinical signs indicate(s) that the patient has gingivitis? Group of answer choices a) Tissue pigmentation b) Swollen marginal tissue c) Bleeding d) B and C
d) B and C
All of the following statements are considerations of healthy gingiva EXCEPT: a) Physiologic pigmentation b) Flat papillae in area of diastema c) Gingival margin apical to CEJ but no bleeding upon probing d) Flaccid gingival margin
d) Flaccid gingival margin
Diabetes-associated gingivitis is an example of: Group of answer choices a) Dental plaque--induced gingival disease b) Gingival disease modified by malnutrition c) Gingival disease of genetic origin d) Gingival disease modified by a systemic factor
d) Gingival disease modified by a systemic factor
All of the following statements about NG are FALSE EXCEPT: Group of answer choices a) NG is rarely seen in children living in developing countries b) NG develops in young people who have an excess of protein in their diets c) NG is seen more in people of Asian descent than any other race group d) NG is seen more in people with high levels of emotional and personal stress
d) NG is seen more in people with high levels of emotional and personal stress
All of the following are typical warning signs of periodontitis EXCEPT: Group of answer choices a) Bad taste in the mouth b) Loose teeth c) Red, swollen gingiva d) Pain
d) Pain
In the photograph below, which of the following indicate that the disease has progressed to periodontitis? Group of answer choices a) Tissue color change b) Cratered papilla c) Loss of alveolar bone d) Loss of stippling
c) Loss of alveolar bone
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. Which of the following is the most likely disease classification for this patient? Group of answer choices a) Plaque-induced gingivitis b) Nonplaque-induced gingival disease c) Periodontitis d) Refractory periodontitis
c) Periodontitis
The dental clinician notes the following clinical signs during the periodontal assessment of an young female teenager: • A small amount plaque biofilm present at the gingival margin • Gingival tissues appear bright red and soft • 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? Group of answer choices a) Plaque-induced gingivitis b) Gingival disease associated with endocrine system and fluctuations in sex hormones c) Drug-influenced gingival enlargement d) Gingival diseases of a specific bacterial origin
b) Gingival disease associated with endocrine system and fluctuations in sex hormones
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: Group of answer choices a) Primary herpetic gingivostomatitis (PHG) b) Gingival disease of specific bacterial origin c) Erythema multiforme d) Oral lichen planus
b) Gingival disease of specific bacterial origin
When describing distribution of gingivitis, all of the following may be applied EXCEPT: Group of answer choices a) Papillary b) Lingual c) Diffuse d) Marginal
b) Lingual
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? Group of answer choices a) Yes, because the tissues have a normal color, contour, and consistency b) No, because the tissues can have these characteristics in periodontitis
b) No, because the tissues can have these characteristics in periodontitis
Gingival diseases of specific bacterial origin would be considered: Group of answer choices a) Dental plaque--induced gingival disease b) Nonplaque-induced gingival disease c) Gingival disease modified by medication d) Gingival disease modified by systemic factors
b) Nonplaque-induced gingival disease
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: Group of answer choices a) Refractory disease b) Site-specific disease c) Recurrent disease d) Generalized disease
b) Site-specific disease
A disorder of the mucous membranes due to an allergic reaction or infection that includes swollen lips with extensive crust formation is termed: Group of answer choices a) Primary herpetic gingivostomatitis (PHG) b) Gingival disease of specific bacterial origin c) Erythema multiforme d) Oral lichen planus
c) Erythema multiforme
Chronic gingival inflammation includes all of the following EXCEPT: a) Increased numbers of leukocytes attracted to the gingival tissues b) Increased blood flow to the gingival tissues c) Increased bone loss d) Bleeding on gentle probing
c) Increased bone loss
Which of the following statements best describes diffuse inflammation? Group of answer choices a) Inflammation that includes the interdental papilla b) Inflammation that includes both the gingival margin and papilla c) Inflammation that includes the gingival margin, papilla, and attached gingiva d) Inflammation that includes the gingival margin, papilla, attached gingiva, and alveolar mucosa
c) Inflammation that includes the gingival margin, papilla, and attached gingiva
All of the following bacterial species are associated with increased intensity of gingivitis in adolescents, EXCEPT: Group of answer choices a) Actinomyces b) Gram-negative diplococci spirochetes c) Leptotrichia d) Selenomonas
c) Leptotrichia
