Module 2 Knowledge Check Perio

Healthy tissue consistency includes all of the following EXCEPT: a) Attached gingiva that attaches to underlying enamel b) Resilient (elastic) tissue that resists compression c) Stippled appearance may be evident on the surface of the attached gingiva d) Resists gentle pressure and springs back immediately

a) Attached gingiva that attaches to underlying enamel

Gingivitis may cause tissue margins to move in what direction? a) Coronal b) Apical c) Lateral d) Labial

a) Coronal

By far the most common type of periodontal disease is: a) Generalized periodontitis b) Periodontitis modified by systemic factors c) Necrotizing periodontitis d) Refractory periodontitis

a) Generalized periodontitis

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? 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

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? 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: a) Pigmented gingiva b) Fetid odor c) Excessive salivation d) Swollen lymph nodes

a) Pigmented gingiva

In the photograph below, the tissue color change around the anterior teeth and premolars is an example of which of the following gingival diseases? a) Plaque-induced gingivitis b) Gingival disease modified by medications c) Pregnancy-associated gingivitis d) Gingivitis from an allergic reaction

a) Plaque-induced gingivitis

The dental clinician notes the following clinical signs during the periodontal assessment of an young male teenager:• Moderate 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 the hygienist suspect for this patient? a) Plaque-induced gingivitis by bacteria only b) Puberty-associated gingivitis c) Chronic gingivitis d) Drug-influenced gingivitis

a) Plaque-induced gingivitis by bacteria only

Which of the following is considered a dental plaque--induced gingival disease with a modifying factor? a) Pregnancy-associated gingivitis b) Primary herpetic gingivostomatitis c) Erythema multiforme d) Linear gingival erythema

a) 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? a) Primary herpetic gingivostomatitis (PHG) b) Gingival disease of specific bacterial origin c) Erythema multiforme d) Oral lichen planus

a) Primary herpetic gingivostomatitis (PHG)

Increased fluid in inflamed gingival tissue can cause the tissue to be characterized by: 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

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. 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

One critical component of NPD is advanced age. NPD is more commonly found in the 40 year and older age group. 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

Gingival papillae that are enlarged and expand out of the interproximal spaces are described as: a) Blunted papilla b) Bulbous papilla c) Cratered papilla d) Soft, spongy tissue

b) Bulbous papilla

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? a) Class 0 b) Class I c) Class II d) Class III

b) Class I

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? a) Plaque-induced gingivitis b) Nonplaque-induced gingival disease c) Periodontitis d) Refractory periodontitis

c) 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? You Answered a) Plaque-induced gingivitis b) Nonplaque-induced gingival disease c) Periodontitis d) Refractory periodontitis

c) Periodontitis

The yellow-white or grayish tissue slough covering affected gingival tissues in NPD is called: 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? 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? a) Periodontitis b) Redundant periodontitis c) Recurrent periodontitis d) Refractory periodontitis

c) Recurrent periodontitis

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. 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

Necrotizing periodontal diseases is characterized by papillae that appear cratered. Although tissues in NPD appear fiery red, they are not painful. 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

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 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

In the photograph below, all of the following statements are true EXCEPT: 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

Healthy gingival tissue in the human population: a) May be pigmented b) May be various shades of pink c) Will have papilla that comes to a point and fill the space between teeth d) All of these

d) All of these

In the photograph below, which of the following clinical signs indicate(s) that the patient has gingivitis? a) Tissue pigmentation b) Swollen marginal tissue c) Bleeding d) B and C

d) B and C

Hygienists should be alert for signs of gingival inflammation. Which sign of inflammation usually is the FIRST sign seen clinically? a) Changes in tissue color b) Changes in tissue contours c) Changes in tissue texture d) Bleeding on gentle probing

d) Bleeding on gentle probing

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: 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 are typical warning signs of periodontitis EXCEPT: a) Bad taste in the mouth b) Loose teeth c) Red, swollen gingiva d) Pain

d) Pain

A patient who presents with clear, thin delicate gingiva is said to have which periodontal biotype? a) Thick flat b) Thick scalloped c) Thin flat d) Thin scalloped

d) Thin scalloped

All of the following are characteristics of periodontitis EXCEPT: a) Radiographic evidence of horizontal bone loss b) Can be modified by cigarette smoking c) Most common in adults who are younger than age 35 years d) Disease progresses at a slow to moderate rate

c) Most common in adults who are younger than age 35 years

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: 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

Necrotizing periodontal diseases include all of the following EXCEPT: a) Necrotizing stomatitis b) Necrotizing mucogingiva c) Necrotizing periodontitis d) Necrotizing gingivitis

b) Necrotizing mucogingiva

The difference in severity between Stage II periodontitis and Stage III periodontitis is that: a) There is less than 4 mm bone loss in Stage II periodontitis and greater than 6 mm in Stage III periodontitis b) 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 c) Clinical attachment loss is between 1 and2 mm in Stage II periodontitis and 3 and 4 mm in Stage III periodontitis

b) 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

Gingival papillae with a concave appearance are described as: a) Blunted papilla b) Bulbous papilla c) Cratered papilla d) Soft, spongy tissue

c) Cratered papilla

A disorder of the mucous membranes due to an allergic reaction or infection that includes swollen lips with extensive crust formation is termed: a) Primary herpetic gingivostomatitis (PHG) b) Gingival disease of specific bacterial origin c) Erythema multiforme d) Oral lichen planus

c) Erythema multiforme

Which of the following statements best describes diffuse inflammation? 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: a) Actinomyces b) Gram-negative diplococci spirochetes c) Leptotrichia d) Selenomonas

c) Leptotrichia

In the photograph below, which of the following indicate that the disease has progressed to periodontitis? a) Tissue color change b) Cratered papilla c) Loss of alveolar bone d) Loss of stippling

c) Loss of alveolar bone