Perio Quiz 3

The dental hygienist records the following findings for a mandibular central incisor:• Total width of the attached gingiva = 7 mm• Probing depth = 6 mm What is the width of the attached gingiva for this tooth? a) 1 mm b) -1 mm c) 13 mm d) -13 mm

a) 1 mm

The connection between stress and periodontal disease is that stress can cause: a) A patient to neglect self-care b) An increase in hormone levels c) An exaggerated response to plaque biofilm d) An increase in a number of systemic diseases

a) A patient to neglect self-care

According to the American Academy of Periodontology guidelines, all of the following are examples of patients who only should be treated by a periodontist, EXCEPT: a) A patient with probing depths >5 mm at the time of re- evaluation b) A patient with furcation involvement c) A patient with rapidly progressing periodontitis d) A patient with vertical (angular) bony defects of the alveolar bone

a) A patient with probing depths >5 mm at the time of re- evaluation

All of the following medications can cause gingival overgrowth EXCEPT: a) Alprazolam b) Cyclosporine c) Nifedipine d) Phenytoin

a) Alprazolam

All of the following medications can cause gingival overgrowth EXCEPT: a) Alprazolam b) Cyclosporine c) Nifedipine d) Phenytoin

a) Alprazolam

As plaque biofilm matures it becomes more pathogenic. Some local factors can allow plaque biofilm to mature and increase in pathogenicity. 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

a) Both statements are true

Bleeding on gentle probing represents bleeding from the soft tissue wall of the periodontal pocket where the wall of the pocket is ulcerated due to disease. When assessing for bleeding, an alert hygienist will observe each site for a few seconds before moving on to the next site. 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

a) Both statements are true

Bone loss can be caused by the encroachment of a restoration on the biologic width. Biologic width includes the junctional epithelium and gingival fiber bundles. 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

a) Both statements are true

Periodontitis may be the source of inflammation that triggers release of C-reactive protein. Bacteria contribute to the development of atheromatous lesions. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

a) Both statements are true

Periodontitis may be the source of inflammation that triggers release of C-reactive protein. Bacteria contribute to the development of atheromatous lesions. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

a) Both statements are true

Primary trauma from occlusion is excessive occlusal forces on a sound (healthy) periodontium. Secondary trauma from occlusion is normal occlusal forces on an unhealthy periodontium previously weakened by periodontitis. 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

a) Both statements are true

Radiographs reveal the bone remaining rather than the amount of bone lost. The amount of bone loss can be roughly estimated on a radiograph as the difference between the level of the remaining bone and normal bone height. 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

a) Both statements are true

Radiographs usually show more interradicular bone between roots of the teeth than what is actually present. Facial and lingual bones can be superimposed over a furcation. 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

a) Both statements are true

The majority of research studies show a positive relationship between stress and periodontal disease. One behavioral change when under stress that can increase risk for periodontal disease is neglecting to brush and floss. 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

a) Both statements are true

The majority of research studies show a positive relationship between stress and periodontal disease. One behavioral change when under stress that can increase risk for periodontal disease is neglecting to brush and floss. 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

a) Both statements are true

The periodontal health status of former smokers is not as good as that of never smokers.The periodontal health status of former smokers is better than that of current smokers. 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

a) Both statements are true

All of the following diseases have a STRONG documented association with periodontal disease EXCEPT: a) COPD b) Diabetes c) Hospital-acquired pneumonia d) ACVD

a) COPD

How do calculus deposits adversely impact the health of the periodontium? a) Calculus deposits always have a layer of living plaque biofilm b) The surface of a calculus deposit is rough and can scratch the gingiva c) Calculus is unattractive leading many patients to avoid dental care d) Calculus deposits release enzymes into the oral cavity that irritate the gingiva

a) Calculus deposits always have a layer of living plaque biofilm

Signs of leukemia-associated gingivitis include all of the following EXCEPT: a) Candida albicans b) Swollen, glazed spongy tissue c) Red to deep purple gingival color d) Gingival enlargement beginning at interdental papilla followed by marginal and attached gingiva

a) Candida albicans

The structure that forms a smooth, intact surface between adjacent teeth with only the width of the periodontal ligament space separating it from the adjacent root surface is called the: a) Crestal bone contour b) Alveolar crest c) Cortical bone d) Horizontal crest contour

a) Crestal bone contour

Which of the following interdental cleaning devices is effective in a type I embrasure space? a) Dental floss b) Wooden wedge c) Interdental brush d) End-tufted brush

a) Dental floss

Dental hypersensitivity is associated with: a) Exposed dentin b) Exposed cementum c) Cementum that overlaps the enamel of the crown d) Residual calculus deposits

a) Exposed dentin

Dental hypersensitivity is associated with: a) Exposed dentin b) Exposed cementum c) Cementum that overlaps the enamel of the crown d) Residual calculus deposits

a) Exposed dentin

The typical appearance of gingival tissue of a smoker may include: a) Fibrotic gingival tissue b) Edematous tissue c) Inflamed gingival tissue d) Heavy bleeding upon probing

a) Fibrotic gingival tissue

The typical appearance of gingival tissue of a smoker may include: a) Fibrotic gingival tissue b) Edematous tissue c) Inflamed gingival tissue d) Heavy bleeding upon probing

a) Fibrotic gingival tissue

The common act of chewing causes ______________ occlusal forces. a) Functional b) Parafunctional c) Primary d) Secondary

a) Functional

Individuals with HIV/AIDS are at increased risk for: a) Infections and certain cancers b) Osteoporosis c) Diabetes mellitus d) Hormonal variations

a) Infections and certain cancers

An example of a radiolucent area on a radiograph is the: a) Periodontal ligament space b) Tooth enamel c) Bone levels d) Overhanging restoration

a) Periodontal ligament space

HIV/AIDS associated linear gingival erythema includes all of the following EXCEPT: a) Pyogenic granuloma b) 2- to 3-mm band of intense redness in free gingiva c) Most commonly affects entire dentition d) Conventional plaque control and instrumentation therapy is ineffective

a) Pyogenic granuloma

Which of the following is the proper way to calculate the width of the attached gingiva? a) Subtract the probing depth from the total width of gingiva b) Subtract the width of attached gingiva from the probing depth c) Measure from the free gingival margin to the mucogingival junction d) Measure from the CEJ to the free gingival margin.

a) Subtract the probing depth from the total width of gingiva

Which of the following structures is NOT included in the biologic width? a) Sulcular epithelium b) Gingival connective tissue fibers c) Junctional epithelium d) Both A and B

a) Sulcular epithelium

Which of the following statements is TRUE about cone beam computed tomography? a) There is limited evidence to support routine use of CBCT for diagnosis and treatment planning for periodontally affected individuals b) When calibrated correctly, CBCT emits LESS absorbed radiation doses to patients compared to conventional radiography c) CBCT imaging is able to provide more discernable types of soft connective tissues such as junctional epithelium d) Performance of CBCT technology far surpasses the ability to detect interproximal bone loss compared to conventional radiography

a) There is limited evidence to support routine use of CBCT for diagnosis and treatment planning for periodontally affected individuals

The rate of development of periodontal disease in diabetic patients is ______ times greater than that of patients without diabetes. a) Two to three b) five to 10 c) 30 to 50 d) 100

a) Two to three

An end-tufted brush cleans effectively in all of the following situations EXCEPT: a) Type I embrasure b) Distal surface of last tooth in the arch c) Lingual surface of crowded mandibular anterior teeth d) Exposed furcation areas

a) Type I embrasure

An end-tufted brush cleans effectively in all of the following situations EXCEPT: a) Type I embrasure b) Distal surface of last tooth in the arch c) Lingual surface of crowded mandibular anterior teeth d) Exposed furcation areas

a) Type I embrasure

A patient has a 9 mm of attachment loss on a maxillary first molar. The hygienist applies moderate pressure against the occlusal surface in an upward direction. The hygienist is assessing the tooth for: a) Vertical tooth mobility b) Horizontal tooth mobility c) Fremitus d) Furcation involvement

a) Vertical tooth mobility

Increased gingival inflammation in a patient who is pregnant happens: a) When the patient had gingivitis before becoming pregnant b) During the second trimester c) Before the patient even knows she is pregnant d) In all patients who are pregnant

a) When the patient had gingivitis before becoming pregnant

Increased gingival inflammation in a patient who is pregnant happens: a) When the patient had gingivitis before becoming pregnant b) During the second trimester c) Before the patient even knows she is pregnant d) In all patients who are pregnant

a) When the patient had gingivitis before becoming pregnant

Members of the dental team usually schedule an appointment for the re-evaluation of Stage II periodontitis __________ after the completion of nonsurgical periodontal therapy. a) 2 weeks b) 4 to 6 weeks c) 8 to 12 weeks d) 6 months

b) 4 to 6 weeks

During a periodontal assessment, the hygienist records the following findings on the periodontal chart for the facial aspect of a tooth:• Gingival margin level = -2 mm• Probing depth measurement = 9 mm.What is the clinical attachment loss for the facial surface of the tooth? a) 2 mm b) 7 mm c) 9 mm d) 12 mm

b) 7 mm

An odontoblastic process is: a) Part of the connective tissue matrix of dentin b) A living part of an odontoblast c) Also called an enamel pearl d) A calcified tubular structure that extends throughout the dentin

b) A living part of an odontoblast

A hypothesis that explains how periodontitis may relate to hospital-acquired pneumonia states: a) Host immune response to periodontal pathogens could mistakenly be directed at the lungs causing inflammation b) A patient that has potential respiratory pathogens (PRPs) colonizing the mouth and oropharynx is at increased risk for hospital-acquired pneumonia c) Periodontal pathogens invade the air sacs in the lungs and cause inflammation d) Both B and C

b) A patient that has potential respiratory pathogens (PRPs) colonizing the mouth and oropharynx is at increased risk for hospital-acquired pneumonia

All of the following can act as a protected environment that allows a plaque biofilm to flourish and grow, EXCEPT: a) A root concavity b) A smooth enamel surface c) Untreated dental decay d) A palatogingival groove

b) A smooth enamel surface

The periodontal concern about cough drops and syrups is that: a) Both contain chemicals that can burn periodontal tissues b) Both contain sugar that can cause dental caries, which can lead to plaque biofilm retention c) Both can cause a dry mouth, which can lead to plaque biofilm retention d) Both can dry out gingival tissues, which allows for quicker bacterial penetration

b) Both contain sugar that can cause dental caries, which can lead to plaque biofilm retention

Dental team members should have a high degree of suspicion that all female patients of child-bearing age are pregnant since it is considered invasive to ask outright. Although it is safe to provide preventive therapy during pregnancy, it is unsafe to provide periodontal therapeutic therapy after the first trimester. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

b) Both statements are false

Dental team members should have a high degree of suspicion that all female patients of child-bearing age are pregnant since it is considered invasive to ask outright. Although it is safe to provide preventive therapy during pregnancy, it is unsafe to provide periodontal therapeutic therapy after the first trimester. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

b) Both statements are false

Plaque that attaches to the pellicle in the first 3 days is more pathogenic than plaque accumulating over a period of weeks. Gram-positive bacteria are more pathogenic than gram-negative bacteria. 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

b) Both statements are false

Subgingival calculus deposits are always generalized throughout the mouth. Supragingival deposits are always localized to areas that are difficult to clean. 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

b) Both statements are false

A cervical enamel projection is a normal landmark on the CEJ. The flat, triangular shaped projection points away from the furcation. a) Both statements are true. b) Both statements are false. c) The first statement is true, the second statement is false. d) The first statement is false, the second statement is true.

b) Both statements are false.

A cervical enamel projection is a normal landmark on the CEJ. The flat, triangular shaped projection points away from the furcation. a) Both statements are true. b) Both statements are false. c) The first statement is true, the second statement is false. d) The first statement is false, the second statement is true.

b) Both statements are false.

Metabolic Syndrome includes a combination of all of the following diseases/conditions EXCEPT: a) Body fat around the waist b) Chronic allergies c) Hypertension d) Hypercholesteremia

b) Chronic allergies

Increased levels of hormones during puberty can cause a(n) ________ response to plaque biofilm. a) Decreased b) Exaggerated c) Typical d) Optimal

b) Exaggerated

One of the most common side effects of phenytoin is: a) Decrease in salivary production b) Gingival overgrowth c) Widening of the PDL d) Red band along the gingival margin

b) Gingival overgrowth

A patient has a 9 mm of attachment loss on a maxillary first molar. The hygienist applies moderate alternating pressure in a facial-- lingual direction against the tooth, first against the facial surface of the tooth, then from the lingual surface of the tooth. The hygienist is assessing the tooth for: a) Vertical tooth mobility b) Horizontal tooth mobility c) Fremitus d) Furcation involvement

b) Horizontal tooth mobility

Mrs. J. is a new patient in your dental practice, the hygienist begins with a fact-gathering process designed to provide the hygienist with a comprehensive picture of Mrs. J's periodontal health status. The procedure the hygienist is performing is termed a: a) Periodontal screening examination b) Thorough intraoral inspection c) Comprehensive periodontal assessment d) Mucogingival examination

c) Comprehensive periodontal assessment

Mrs. J. is a new patient in your dental practice, the hygienist begins with a fact-gathering process designed to provide the hygienist with a comprehensive picture of Mrs. J's periodontal health status. The procedure the hygienist is performing is termed a: a) Periodontal screening examination b) Thorough intraoral inspection c) Comprehensive periodontal assessment d) Mucogingival examination

c) Comprehensive periodontal assessment

All of the following are examples of local contributing factors for periodontal disease, EXCEPT: a) Dental caries b) Occlusal trauma c) Crevicular fluid d) Tooth morphology

c) Crevicular fluid

All of the following are examples of local contributing factors for periodontal disease, EXCEPT: a) Dental caries b) Occlusal trauma c) Crevicular fluid d) Tooth morphology

c) Crevicular fluid

AGE--RAGE interaction is associated with which of the following diseases/disorders? a) HIV/AIDS b) Leukemia c) Diabetes Mellitus d) Down Syndrome

c) Diabetes Mellitus

All of the following statements are TRUE about enamel pearls EXCEPT: a) Enamel pearls can contribute to development of a furcation involvement b) Enamel pearls appear as a radiopaque mass c) Enamel pearls have a predilection for forming on the facial of canines d) Enamel pearls contribute to the retention of plaque

c) Enamel pearls have a predilection for forming on the facial of canines

Which of the following auxiliary cleaning aids is useful for cleaning furcation areas? a) Toothpick in a holder (Perio-aid) b) Power dental flosser c) End-tufted brush d) A and C

c) End-tufted brush

Your patient has 5 mm of recession of the gingival margin on the maxillary second premolar. The probing depths for this tooth range from 2 to 3 mm. The proximal surfaces are experiencing continued attachment loss. Clinically, you see heavy plaque on the proximal surfaces of the roots of this tooth. The patient flosses daily. What could be the cause of these problem areas? a) The patient is not really flossing on a daily basis; no patients actually use floss b) There must be calculus under that plaque biofilm c) Floss will not disrupt plaque biofilm in root concavities d) Perhaps food is impacting into the proximal spaces

c) Floss will not disrupt plaque biofilm in root concavities

Miss A. is very concerned about her maxillary right canine. The hygienist places his gloved index finger against the facial surface of the crown and asks Miss A. to tap her teeth together. The hygienist is assessing the tooth for: a) Vertical tooth mobility b) Horizontal tooth mobility c) Fremitus d) Furcation involvement

c) Fremitus

Tobacco smoking may have any of the effects on the periodontium listed below, EXCEPT: a) Changes in the pocket environment resulting in different bacterial pathogens b) Reduced bleeding due to decreased vascularization of the periodontium c) Increased effectiveness of PMN and monocyte--macrophage defensive functions d) Less inflammation of the periodontium than that seen in nonsmokers

c) Increased effectiveness of PMN and monocyte--macrophage defensive functions

Which of the following interdental cleaning devices would be the most effective in removing plaque biofilm from an interproximal root concavity? a) Dental floss b) Wooden wedge c) Interdental brush d) End-tufted brush

c) Interdental brush

The continuous white line around the tooth root as seen on radiographs is referred to as the: a) Alveolar crest b) Periodontal ligament space c) Lamina dura d) Cementum

c) Lamina dura

Which of the following conditions does not respond to periodontal instrumentation and daily oral self-care control? a) Necrotizing ulcerative gingivitis b) Necrotizing ulcerative periodontitis c) Linear gingival erythema d) Down associated periodontitis

c) Linear gingival erythema

A dental hygienist is reviewing the periodontal chart for a patient that is scheduled for tomorrow. The periodontal chart indicates that all the probing depths are between 1 and 3 mm. The periodontal chart does not indicate the position of the gingival margin or any clinical attachment readings. Can the dental hygienist assume that this patient has a healthy periodontium? a) Yes, probing depths between 1 and 3 mm are considered normal b) If the patient is scheduled with the hygienist, the patient probably has gingivitis c) No, because the chart provides no way to tell if the patient has attachment loss d) Yes, because there is only one hour scheduled for this patient

c) No, because the chart provides no way to tell if the patient has attachment loss

During a periodontal assessment, the hygienist notes no bleeding on probing. In a smoker does this finding always indicate a healthy periodontium? a) Yes, no bleeding on probing is a sign of a healthy periodontium b) Yes, no bleeding on probing means that no gingivitis is present c) No, in smokers the clinical signs of inflammation are suppressed d) No, it is not possible to know that periodontium is healthy without knowing if the tissue is red and swollen

c) No, in smokers the clinical signs of inflammation are suppressed

The apical margin of a dental restoration extends into the area of the tooth that is normally occupied by the junctional epithelium and connective tissue attachment fibers. Is this restoration good for the health of the periodontium? a) Yes, removal of decay will permit better self-care in this area b) Yes, the design of this restoration presents no problems for the periodontium c) No, this restoration violates the biologic width d) No, because to extend subgingivally in this manner, the margin of the restoration must not be well adapted to the tooth surface

c) No, this restoration violates the biologic width

Mr. R. comes to the office every 6 months. Today the dental hygienist performs an efficient periodontal screening to determine IF she needs to complete a comprehensive periodontal assessment on Mr. R. This efficient periodontal screening examination is termed a: a) Complete mouth radiographic series b) Full periodontal charting c) Periodontal screening and recording (PSR) d) A and C

c) Periodontal screening and recording (PSR)

The goal of periodontal instrumentation is best stated as to: a) Remove the outer layer of toxin-containing cementum from root surfaces b) Instrumentation of tooth roots until they are as smooth and hard as glass c) Render root surface and pocket space acceptable to tissue so healing occurs d) Remove calculus and deplaque all sulci

c) Render root surface and pocket space acceptable to tissue so healing occurs

According to the ADA Procedure Code, what term is used to define the act of "removing rough cementum or dentin that is impregnated with calculus or toxins?" a) Scaling b) Deplaquing c) Root planning d) Subgingival curettage

c) Root planning

A patient with uncontrolled diabetes is more likely to have periodontal disease than a patient with well-controlled diabetes. A patient with well-controlled diabetes is more likely to have periodontal disease than a patient without diabetes. 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 is true

c) The first statement is true; the second false

Peri-implant bone loss is oral inflammation that affects soft tissue AND hard tissue around an implant. Radiographic evidence of a failing implant can be seen as radiopaque around the section implanted in bone. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

c) The first statement is true; the second statement is false

Peri-implant bone loss is oral inflammation that affects soft tissue AND hard tissue around an implant. Radiographic evidence of a failing implant can be seen as radiopaque around the section implanted in bone. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

c) The first statement is true; the second statement is false

Periodontal infections may modify certain systemic diseases. Dental hygiene therapy may increase the severity of systemic diseases. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

c) The first statement is true; the second statement is false

Periodontal infections may modify certain systemic diseases. Dental hygiene therapy may increase the severity of systemic diseases. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

c) The first statement is true; the second statement is false

Traumatic tooth brushing can create a defect known as dehiscence. A dehiscence is a window in the bone on the root of a tooth. a) Both statements are true b) Both statements are false c) The first statement is true; the second statement is false d) The first statement is false; the second statement is true

c) The first statement is true; the second statement is false

Which risk factor most affects the progression of periodontal disease? a) Cardiovascular disease b) Diabetes c) Tobacco use d) Pregnancy

c) Tobacco use

Which risk factor most affects the progression of periodontal disease? a) Cardiovascular disease b) Diabetes c) Tobacco use d) Pregnancy

c) Tobacco use

A pipe cleaner can be recommended to clean in which type of embrasure space? a) Type I b) Type II c) Type III d) Type IV

c) Type III

A pipe cleaner can be recommended to clean in which type of embrasure space? a) Type I b) Type II c) Type III d) Type IV

c) Type III

Structures that resist the passage of radiation appear ___________ on a radiograph? a) Black b) Gray c) White d) Grainy

c) White

You are treating a patient today who has undergone nonsurgical periodontal therapy. There is no additional attachment loss in most areas of his mouth. One exception is the mesial surface of tooth #30. Tooth #30 has experienced 2-mm additional loss of attachment in a 3-month period. This area of continued attachment loss may be referred to as: a) A local factor for pathogenesis b) Pathogenicity c) An area of direct damage d) A disease site

d) A disease site

Your patient practices good daily self-care, including flossing. She complains, however, that she cannot floss between tooth #3 and #4. The floss simply shreds in this interproximal area and is impossible to use. What local factor might be causing this problem? a) Bacterial plaque biofilm b) Root concavities on the roots of these teeth c) A palatogingival groove d) A poorly contoured restoration

d) A poorly contoured restoration

Your patient practices good daily self-care, including flossing. She complains, however, that she cannot floss between tooth #3 and #4. The floss simply shreds in this interproximal area and is impossible to use. What local factor might be causing this problem? a) Bacterial plaque biofilm b) Root concavities on the roots of these teeth c) A palatogingival groove d) A poorly contoured restoration

d) A poorly contoured restoration

All of the following statements are true about viewing bone loss on radiographs EXCEPT: a) By the time bone loss is detectable on radiographs, it has usually progressed past the early stage b) Interseptal bony defects smaller than 3 mm are very difficult to see on radiographs c) Facial and lingual bone height is difficult to evaluate because teeth are superimposed on bone d) A radiograph can accurately display the shape and depth of bone deformities

d) A radiograph can accurately display the shape and depth of bone deformities

A hypothesis that explains how periodontitis may relate to adverse pregnancy outcomes states: a) Pregnant women with severe periodontitis may develop bacteremia more often b) More frequent bacteremia may expose the fetus to aggressive periodontal pathogens c) Host immune response to periodontal pathogens could trigger systemic inflammation, leading to adverse outcomes d) All of these

d) All of these

A hypothesis that explains how periodontitis may relate to cardiovascular disease states: a) Host immune response to periodontal pathogens could mistakenly be directed at blood vessels leading to vascular inflammation b) Periodontal pathogens stimulate clot formation by platelets, possibly leading to a blood clot c) Periodontal pathogens invade blood vessels leading to inflammation and atherosclerosis d) All of these

d) All of these

As you chat with Mary, a regular patient, she tells you excitedly that she and her husband are trying to "start a family." What helpful information relating to the health of her periodontium can you give to Mary? a) The importance of periodontal health before and during a pregnancy b) The importance of daily-self care c) The importance of routine professional care d) All of these

d) All of these

As you chat with Mary, a regular patient, she tells you excitedly that she and her husband are trying to "start a family." What helpful information relating to the health of her periodontium can you give to Mary? a) The importance of periodontal health before and during a pregnancy b) The importance of daily-self care c) The importance of routine professional care d) All of these

d) All of these

In combination with plaque biofilm, which of the following situations can lead to progression of periodontal disease? a) Dental caries on the facial of #3 b) A mesial root concavity on #12 c) Overhanging restoration on the distal of #7 d) All of these

d) All of these

Systemic conditions that may be impacted by periodontal disease are: a) Cardiovascular disease b) Pneumonia c) Diabetes mellitus d) All of these

d) All of these

Systemic conditions that may be impacted by periodontal disease are: a) Cardiovascular disease b) Pneumonia c) Diabetes mellitus d) All of these

d) All of these

The measures for nonsurgical therapy are carried out by the: a) Dentist b) Dental hygienist c) Patient d) All of these

d) All of these

A new patient comes to your dental office. Significant findings from the patient assessment include a history of poorly controlled diabetes and chronic periodontitis. The patient explains that he gets very nervous before an appointment with a physician. The patient states that: "I always get this long lecture about my poorly controlled diabetes. So, I go a long time in between visits and sometimes run out of diabetes medication." Regarding his periodontal health status, the patient says: "I am so concerned about my teeth; I really want to have a healthy mouth. I have not had regular dental care in the past, but now I have dental insurance. I am really ready to do whatever I need to do to have a healthy mouth." What helpful information can the hygienist give to this patient who seems ready to take action to improve his oral health? a) The effects of poorly controlled diabetes on the periodontium b) The effects of chronic periodontitis on glycemic control c) A suggestion that he find another physician d) Both A and B

d) Both A and B

Which of the following structures is NOT included in the biologic width? a) Sulcular epithelium b) Gingival connective tissue fibers c) Junctional epithelium d) Both A and B

d) Both A and B

A long-time patient, June, tells you that her elderly father is in the hospital after surgery for a broken hip. June expects that he will be in the hospital for some time as he has not responded well to the surgery and is bedridden. What helpful information can you give June? a) The suspected link between poor oral hygiene and hospital- acquired pneumonia b) The suspected link between poor oral hygiene and hospital- acquired heart disease c) Instruction and practice on how to clean her father's teeth while he is unable to do so for himself d) Both A and C

d) Both A and C

All of the following statements about RAGE expression are true EXCEPT: a) Enhanced RAGE expression in periodontium leads to exaggerated inflammation b) Enhanced RAGE expression in periodontium leads to impaired repair c) Enhanced RAGE expression can accelerate severe periodontal destruction d) Enhanced RAGE expression in a result of normal glycation

d) Enhanced RAGE expression in a result of normal glycation

What is the primary pattern of healing after periodontal instrumentation? a) Formation of new cementum on roots b) Regeneration of lost alveolar bone c) Reattachment of periodontal ligament fibers to the root surface d) Formation of a long junctional epithelium

d) Formation of a long junctional epithelium

What is the primary pattern of healing after periodontal instrumentation? a) Formation of new cementum on roots b) Regeneration of lost alveolar bone c) Reattachment of periodontal ligament fibers to the root surface d) Formation of a long junctional epithelium

d) Formation of a long junctional epithelium

Which of the following best describes the shape of supragingival calculus deposits? a) Localized, flattened deposits that are beneath the gingival margin b) Irregular large deposits are beneath the gingival margin c) Localized, flattened deposits that are coronal to the gingival margin d) Irregular large deposits that are coronal to the gingival margin

d) Irregular large deposits that are coronal to the gingival margin

Radiographs can show periodontal disease activity by: a) Revealing the extent of furcation involvement in a multirooted tooth b) Revealing the extent of attachment loss a tooth has suffered c) Depth of periodontal pocketing present d) None of these, radiographs cannot show periodontal disease activity

d) None of these, radiographs cannot show periodontal disease activity

All of the following are true about detecting calculus deposits on a radiograph EXCEPT: a) Only large calculus deposits usually are evident on radiographs b) Deposits on the facial or lingual can be seen when severe bone loss is present c) The ability to see the calculus depends on the degree of mineralization of the deposit d) Radiographic evidence of calculus is an accurate assessment tool for the detection of all calculus deposits

d) Radiographic evidence of calculus is an accurate assessment tool for the detection of all calculus deposits

A radiograph provides a three-dimensional image of a complex structure. On a radiograph, one structure can obscure a clear view of a second structure. 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