Periodontology Chapter 5 & 6 Practice Questions
12.If the alveolar crest of the bone is located 2mm apical to the CEJ of the teeth, this would indicate what? a. Health b. Mild Disease c. Progressing Disease d. Advanced Disease
A
16.The base of a suprabony pocket is located coronal to the alveolar crest. The base of an infrabony pocket is located below the alveolar crest. 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
20. Gingivitis is distinguished from periodontitis by which of the following characteristics? a. Attachment loss b. Red gingival tissues c. Swollen gingival tissues d. Patient complaints of pain
A
21. It is 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. 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
25. It is easier to evaluate a population for dental caries than periodontal disease. Multiple variable used to define periodontal disease make it more difficult to evaluate for periodontal disease. 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
26. Which of the following parameters is most commonly used to monitor tissue inflammation? a. Bleeding b. Color c. Contour d. Texture e. Mobility
A
41. In ______________________ bone loss, inflammation spreads through the tissues in this order: gingival connective tissue, alveolar bone, periodontal ligament. a. Horizontal or Suprabony b. Vertical or Infrabony
A
47. Dental plaque biofilm - induced gingivitis is reversible. Gingival healing occurs when bacterial plaque biofilm is removed regularly. a. Both statements are true b. Both statements are false c. The first statement is true and the second is false d. The first statement is false and the second is true
A
51. Periodontal diseases are considered a group of infections characterized by destruction of the periodontium. The direct effects of the bacteria and indirect effects by the body's own immune response are primarily responsible for the destruction. 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
13.Which of the following is the most common pattern of bone loss? a. Vertical bone loss b. Horizontal bone loss c. Interproximal bone loss d. Circumferential bone loss
B
15.Whereas in horizontal bone loss, inflammation spreads through tissue, ending in the _____________________ a. Periodontal ligament, alveolar bone b. Alveolar bone, Periodontal ligament c. Both paths end up in the alveolar bone d. Gingival connective tissue, periodontal ligament
B
18. Continued apical migration of the junctional epithelium indicates what? a. A pseudopocket b. A site of active disease c. A gingivitis d. An inflammation
B
23. A bacterial infection of the periodontium that causes rapid attachment loss and poor response to periodontal therapy is what? a. Necrotizing periodontal disease b. Aggressive periodontal disease c. Periodontal abscess d. Chronic periodontal disease
B
24. Prevalence is the number of NEW disease cases in a population occurring during a given time period. Incidence is All cases of disease identified within a specified population during a particular point in time. a. Both statements are true b. Both statements are false c. The first statement is true, the second statement is false
B
27. The statement "If disease is not prevented or controlled, the patient is at fault for failing at biofilm plaque control " is part of which etiology theory? a. Calculus theory b. Bacterial theory c. Host- bacterial interaction theory d. Continuous progression theory
B
33. ______________________refers to the number of all cases of a disease that can be identified within a specified population at a given point in time. a. Incidence b. Prevalence c. Epidemiology
B
35. A localized collection of pus: a. Periodontitis as Manifestation of Systemic Disease b. Periodontal Abscess c. Aggressive Periodontitis d. Necrotizing Periodontitis e. Chronic Periodontitis
B
38. In health, the crest of the alveolar bone is located approximately 2mm coronal to the cementoenamel junction. a. True Statement b. False Statement
B
40. In _________________bone loss, inflammation spreads through the tissue in this order: gingival connective tissue, periodontal ligament, alveolar bone. a. Horizontal or Suprabony b. Vertical or Infrabony
B
46. The scientific rationale for the dental hygienist to teach patients good plaque biofilm control is to a. Keep plaque in a mature state b. Keep plaque in an immature state c. Enhance self-cleansing mechanisms in the mouth d. Remove pellicle from teeth so that bacteria cannot adhere
B
48. Gingivitis and periodontitis share all the following characteristics EXCEPT which one. Which one is the EXCEPTION? a. Pocket formation b. Alveolar bone loss c. Tissue inflammation d. Collagen fiber destruction
B
Assesses severity of gingivitis based on color, consistency, and bleeding on probing a. Modified Gingival Index b. Gingival Index c. Community and Periodontal Index of Treatment Needs d. Periodontal Screening and Recording e. Eastman Interdental Bleeding Index
B
4.Gingivitis always progresses into a periodontal disease. Gingivitis can be observed clinically as soon as 2 days after cessation of oral self- care. 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
3.Your patient has not been to the dentist in 2 years. When examining the gingival tissues, you note that the gingival margin is swollen and covers the gingival third of the tooth crowns. In addition, there is marginal redness with slight bleeding on probing. Probing depths range from 1 to 4 mm. There is no bone loss present. How would you label the state of this patient's periodontium? a. Healthy, considering it has been 2 years since the patient's last maintenance visit b. Gingivitis c. Early periodontitis because some probing depths were over 3mm d. There is not enough information to make a determination
B. Gingivitis
5. Your patient experiences swollen gingiva and bleeding upon probing. Microscopically, the patient's junctional epithelium is attached to the enamel coronal to the cementoenamel junction. Which of the following is the state of her periodontium? a. Health b. Gingivitis c. Periodontal Disease d. Periodontitis
B. Gingivitis
28. Which of the following statements best reflects the current theory regarding the progression of periodontal disease? a. Periodontal disease worsens throughout the entire mouth at a slow and constant rate b. All cases of untreated gingivitis lead to periodontitis c. Destruction does not occur in all parts of the mouth at the same time d. Tissue destruction occurs at the same rate throughout the mouth
C
30. Is used to measure group periodontal needs a. Modified Gingival Index b. Gingival Bleeding Index c. Community and Periodontal Index of Treatment Needs d. Periodontal Screening and Recording e. Eastman Interdental Bleeding Index
C
37. Epithelial extensions into connective tissue and JE apical to the CEJ a. Health b. Gingivitis c. Periodontitis d. None of the above
C
42. __________________________ results when bone resorption occurs in uneven, oblique directions. a. Osseous Crater b. Suprabony c. Infrabony d. Horizontal
C
44. What is a grade II furcation involvement? a. Exposure of furcation with bone remaining between roots b. Complete loss of bone between roots c. Loss of some bone between roots d. Severe bone loss and furcation is clearly visible
C
10. Microscopically, the coronal most portion of the junctional epithelium is detached from the root surface. What is the state of the periodontium? a. Health b. Gingivitis c. Periodontal disease d. Periodontitis
D
11.Microscopically, there is permanent destruction of some or all of the periodontal ligament fibers and alveolar bone. What is the state of the periodontium? a. Health b. Gingivitis c. Periodontal disease d. Periodontitis
D
14. Which type of bone loss creates infrabony pockets? a. Interdental bone loss b. Horizontal bone loss c. Vertical bone loss d. Circumferential bone loss
D
17. What type of bone resorption occurs in an uneven oblique direction affecting only one tooth? a. Osseous crater b. Horizontal bone loss c. Vertical bone loss d. Infrabony defect
D
19. 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? a. Health b. Gingivitis c. Periodontal disease d. Periodontitis
D
22. All of the following are differences between chronic periodontitis and aggressive periodontitis EXCEPT which one? a. Aggressive periodontitis is less common than chronic periodontitis b. Chronic periodontitis usually progresses at a slow to moderate rate, and aggressive periodontitis progresses at a rapid rate c. Bacterial plaque and calculus are frequent findings with chronic periodontitis, and aggressive periodontitis can progress in the presence of small amounts of bacterial plaque d. 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 in chronic periodontitis
D
29. Assesses periodontal health in a rapid manner a. Modified Gingival Index b. Gingival Bleeding Index c. Community and Periodontal Index of Treatment Needs d. Periodontal Screening and Recording e. Eastman Interdental Bleeding Index
D
32. Assesses presence of inflammation and bleeding in the interdental area upon toothpick insertion. a. Gingival Bleeding Index b. Periodontal Index c. Periodontal Disease Index d. Eastman Interdental Bleeding Index e. Periodontal Screening and Recording
D
34. A unique type of periodontal disease that involves tissue necrosis a. Periodontitis as Manifestation of Systemic Disease b. Periodontal Abscess c. Aggressive Periodontitis d. Necrotizing Periodontitis e. Chronic Periodontitis
D
39. Excess ________________________ conceal the redness caused by increase blood flow, making tissues appear less red. a. Periodontal Fibers b. Gingival Fibers c. Sharpey's fibers d. Collagen fibers e. All of the above
D
43. Which type of bony defect has the BEST prognosis following periodontal therapy? a. Type III mobility b. One-wall bony defect c. Two-wall bony defect d. Three-wall bony defect e. C and D are correct
D
50. Which one of the following types of pocket has its base located apical to the alveolar crest as evidenced on a radiograph? a. Gingival b. Psuedo c. Suprabony d. Infrabony
D
9.A patient's gingiva is pink in color and there is no recession of the gingival margin. Plaque biofilm on the teeth is light. The hygienist decides after a visual inspection with a mouth mirror that this patient has a healthy periodontium. Is the hygienist correct? a. Yes, because in gingivitis the tissue color is red and there may not be recession. b. Yes, because in periodontitis the tissue color is purplish red and this patient only has light biofilm plaque. c. No, because the tissue can be pink in gingivitis. d. No, because it is impossible to tell the state of the periodontium with just a visual inspection
D
1.A patient exhibits a bacterial infection of all parts of the periodontium. Which of the following is a state of her periodontium? a. Health b. Gingivitis c. Periodontal Disease d. Periodontitis
D. Periodontitis
8. A patient's gingival margin is at the cementoenamel junction. There is no bleeding upon probing. Microscopically, the junctional epithelium is apical to the cementoenamel junction on the cementum. Which of the following is the state of his periodontium? a. Health b. Gingivitis c. Periodontal disease d. Periodontitis
D. Periodontitis
6. All of the following statements about CHRONIC gingivitis are true except which one? a. Chronic gingivitis can last for years. b. Gingivitis can cause the body to form collagen fibers in the gingival connective tissue. c. Excess collagen fibers may conceal redness of the gingiva. d. Recession of the gingival margin from 3 to 5 mm usually is present.
D. Recession of the gingival margin from 3 to 5mm usually is present.
7. All of the following are characteristic of PERIODONTITIS except one which one? a. In periodontitis, the gingival margin does not adapt closely to the tooth. b. Interdental papillae may not fill the embrasure spaces if the patient has periodontitis. c. With periodontitis, there may be bleeding upon gentle probing. d. The tissue damage in periodontitis is reversible; the body can repair the damage.
D. The tissue damage in periodontitis is reversible; the body can repair the damage.
2.A patient experiences swollen, red gingival tissues with no bone loss. The hygienist records "periodontal disease" in the patient chart. Is this notation accurate? a. No, because this patient has gingivitis, not periodontal disease. b. No, because there is no bone loss so this cannot be periodontal disease. c. No, since the patient has no bone loss, the periodontium is healthy. d. Yes, because gingivitis is a periodontal disease.
D. Yes, because gingivitis is a periodontal disease.
36. The most common form of periodontitis a. Periodontitis as Manifestation of Systemic Disease b. Periodontal Abscess c. Aggressive Periodontitis d. Necrotizing Periodontitis e. Chronic Periodontitis
E
45. Which of the following is the first clinical feature of dental plaque-induced gingivitis? a. Tooth mobility b. Drifting of the anterior teeth c. Periodontal pocket formation d. Gingival recession e. Bleeding on probing
E
49. Assesses presence of inflammation and bleeding in the interdental area upon toothpick insertion. a. Community and Periodontal Index of Treatment Needs (CPITN) b. Modified Gingival Index c. Periodontal Disease Index d. Periodontal Screening and Recording e. Eastman Interdental Bleeding Index
E
