Chapter 8, 9, 10, 11, 12-Perio
12. 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
One critical component of NPD is advanced age. NPD is more commonly found in the 40 year and older age group. Select one: A. Both statements are false B. The first statement is false; the second statement is true C. The first statement is true; the second statement is false D. Both statements are true
A. Both statements are false
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? Select one: A. Disease progression is slow B. Moderate periodontitis C. Disease progression is rapid D. Slight periodontitis
A. Disease progression is slow
All of the following bacterial species are associated with increased intensity of gingivitis in adolescents, EXCEPT: Select one: A. Gram-negative diplococci spirochetes B. Selenomonas C. Leptotrichia D. Actinomyces
A. Gram-negative diplococci spirochetes
A thorough informed consent includes all of the following EXCEPT: Select one: A. Guaranteeing treatment outcomes to the patient B. Explaining the diagnosis to the patient and why treatment would be necessary C. Discussing the known risks and benefits of the proposed periodontal treatment D. Presenting alternative treatment options
A. Guaranteeing treatment outcomes to the patient
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? Select one: A. Localized periodontitis B. Refractory periodontitis C. Redundant periodontitis D. Recurrent periodontitis
A. Localized periodontitis
A sequential outline of the measures to be carried out by the dentist, the dental hygienist, and the patient to eliminate disease and restore a healthy periodontal environment is termed: Select one: A. Master periodontal treatment plan B. Periodontal maintenance C. Collective outline of treatment D. Nonsurgical periodontal instrumentation
A. Master periodontal treatment plan
Which of the following specifies a PRECISE periodontal disease classification of the patient's periodontal health status? Select one: A. Assigning an insurance code to the patient case B. Assigning a diagnosis based on the AAP Classification of Periodontal Diseases & Conditions C. Assigning a Periodontal Screening and Recording (PSR) code D. Assigning a periodontal case type of I, II, or III
B. Assigning a diagnosis based on the AAP Classification of Periodontal Diseases & Conditions
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. Select one: A. The first statement is false; the second is true B. Both statements are true C. The first statement is true; the second is false D. Both statements are false
B. Both statements are true
Gingival recession is the most common mucogingival deformity. Absence of attached gingiva predisposes a person to gingival recession. Select one: A. Both statements are false B. Both statements are true C. The first statement is false; the second statement is true D. The first statement is true; the second statement is false
B. Both statements are true
It is important to use both clinical findings and radiographs during the clinical assessment process. The dental team must make every effort to detect periodontitis before there is obvious radiographic evidence of alveolar bone loss. Select one: A. The first statement is false; the first statement is true B. Both statements are true C. Both statements are false D. The first statement is true; the second statement is false
B. Both statements are true
The clinical measurement(s) that determine(s) the difference between gingivitis and periodontitis is the __________________. Select one: A. Pocket depth readings B. Clinical loss of attachment C. Clinical mobility and furcation involvement D. Level of the free gingival margin
B. Clinical loss of attachment
The two sources of expertise that bring equally important forms of experience to decision-making process are: Select one: A. Treatment options and values B. Clinician and patient C. Dental hygienist and dentist D. Standard of care and textbook
B. Clinician and patient
When arriving at a treatment decision: Select one: A. Explain to the patient that your professional judgment is more valuable than what they may think is best B. Confirm the decision with the patient and assist them in following through C. Confirm the decision with the dentist D. Forego asking the patient if they have any further questions so as not to hold the process up
B. Confirm the decision with the patient and assist them in following through
A GENERALIZED, pronounced overgrowth of the gingival tissue, first seen in the papillae of the anterior sextants is a common clinical characteristic of which of the following periodontal diseases? Select one: A. Oral contraceptive--associated gingivitis B. Drug-influenced gingival enlargement C. Pregnancy-associated gingivitis D. Gingival disease associated with endocrine system and fluctuations in sex hormones
B. Drug-influenced gingival enlargement
A disorder of the mucous membranes due to an allergic reaction or infection that includes swollen lips with extensive crust formation is termed: Select one: A. Gingival disease of specific bacterial origin B. Erythema multiforme C. Oral lichen planus D. Primary herpetic gingivostomatitis (PHG)
B. Erythema multiforme
The descriptive modifier "generalized" is a term used to determine disease ___________. Select one: A. Progression B. Extent C. Severity D. Duration
B. Extent
Diabetes-associated gingivitis is an example of: Select one: A. Gingival disease of genetic origin B. Gingival disease modified by a systemic factor C. Dental plaque--induced gingival disease D. Gingival disease modified by malnutrition
B. Gingival disease modified by a systemic factor
Necrotizing periodontal diseases include all of the following EXCEPT: Select one: A. Necrotizing gingivitis B. Necrotizing mucogingiva C. Necrotizing stomatitis D. Necrotizing periodontitis
B. Necrotizing mucogingiva
All of the following statements are true about probing an implant EXCEPT: Select one: A. Too much pressure will cause the probe to penetrate the biologic seal B. No probing is recommended as a part of implant maintenance C. Probing measurements are taken from a fixed reference point D. A metal probe may be used if there is light pressure
B. No probing is recommended as a part of implant maintenance
Nicotine cessation counseling is part of which phase of a periodontal master treatment plan? Select one: A. Maintenance therapy phase B. Nonsurgical periodontal therapy phase C. Surgical therapy phase D. Preliminary therapy phase
B. Nonsurgical periodontal therapy phase
Periodontal instrumentation is part of which periodontal therapy phase? Select one: A. Preliminary therapy phase B. Nonsurgical periodontal therapy phase C. Maintenance therapy phase D. Surgical therapy phase
B. Nonsurgical periodontal therapy phase
All of the following are considered Decision Aids EXCEPT: Select one: A. AAP website on periodontal disease that presents risks and benefits of surgery B. Office-produced document outlining standard treatment procedures for all patients with periodontal disease C. Video depicting options available for treatment D. Pamphlet explaining periodontal disease and consequences of not receiving treatment
B. Office-produced document outlining standard treatment procedures for all patients with periodontal disease
The term for periodontitis in the tissues surrounding an osseointegrated dental implant, resulting in loss of alveolar bone is called ______________. Select one: A. Peri-implant gingivitis B. Peri-implantitis C. Implant periodontitis D. A or C
B. 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. Which of the following is the most likely disease classification for this patient? Select one: A. Refractory periodontitis B. Periodontitis C. Nonplaque-induced gingival disease D. Plaque-induced gingivitis
B. 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? Select one: A. Nonplaque-induced gingival disease B. Periodontitis C. Refractory periodontitis D. Plaque-induced gingivitis
B. Periodontitis
A LOCALIZED, mushroom-shaped gingival mass projecting from the gingival papilla is a common clinical characteristic of which of the following periodontal diseases? Select one: A. Drug-influenced gingival enlargement B. Pregnancy-associated gingivitis C. Gingival disease associated with endocrine system and fluctuations in sex hormones D. Oral contraceptive--associated gingivitis
B. 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? Select one: A. Erythema multiforme B. Primary herpetic gingivostomatitis (PHG) C. Gingival disease of specific bacterial origin D. Oral lichen planus
B. Primary herpetic gingivostomatitis (PHG)
A patient who exhibits loss of interproximal attachment associated with horizontal bone loss is said to have which Cairo Classification? Select one: A. RT3 B. RT2 C. RT0 D. RT1
B. 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? Select one: A. Refractory periodontitis B. Recurrent periodontitis C. Periodontitis D. Redundant periodontitis
B. Recurrent periodontitis
All of the following are optimal treatment modalities in treating periodontal disease EXCEPT: Select one: A. Periodontal instrumentation to remove microbial etiology B. Removing diseased cementum during root scaling C. Repairing overhanging margins on restorations D. Periodontal surgery
B. Removing diseased cementum during root scaling
Which of the following scalers is best for instrumenting around implants?: Select one: A. Universal ultrasonic tip B. Scaler made of titanium C. A gold-tipped curette D. Sickle scaler constructed of plastic
B. Scaler made of titanium
Which of the following factors is considered the MOST significant risk factor for developing periodontal disease? Select one: A. Long-term use of medicines that cause gingival overgrowth B. Smoking cigarettes C. Chronic poor home-care D. Stress
B. Smoking cigarettes
Risk factors for periodontal disease other than plaque biofilms include all of the following EXCEPT: Select one: A. Systemic diseases B. Socioeconomic factors C. Pregnancy D. Heredity
B. Socioeconomic factors
An extended family of patients receiving care at your dental office has a long history of diabetes and periodontitis. The great grandmother, grandmother, grandfather, and mother of your 10-year-old patient all have well-controlled diabetes and periodontitis that does not respond well to periodontal therapy. The mother asks what can be done to help her 10-year-old avoid periodontitis. All of the following are good recommendations, EXCEPT: Select one: A. Explain to the mother that at the present time, we are unable to eliminate genetic risk factors for periodontal disease B. Suggest genetic testing of the child for the possibility of a genetic risk factor for periodontitis, such as abnormal PMN function C. Suggest that she make the family physician aware of the long history of diabetes in the family D. Encourage the mother to help the child form good daily self-care habits
B. Suggest genetic testing of the child for the possibility of a genetic risk factor for periodontitis, such as abnormal PMN function
All of the following are true of periodontitis, EXCEPT: Select one: A. Host response plays an important role in pathogenesis B. The disease always progresses at a rapid rate C. Gingival bleeding is a common clinical finding D. Signs may include periodontal pockets and tooth mobility
B. The disease always progresses at a rapid rate
Informed refusal means the patient gives notice to the health care provider that they do not want any treatment before even entering into the decision-making process. Any statement made by the patient on refusing treatment must be made in writing and added to the patient record. Select one: A. Both statements are true B. The first statement is false; the second is true C. The first statement is true; the second is false D. Both statements are false
B. The first statement is false; the second is true
A local risk factor for periodontitis can be acquired OR anatomical. Concavities and furcations are local risk factors acquired over time. Select one: A. Both statements are true B. The first statement is true; the second false C. The first statement is false; the second true D. Both statements are false
B. The first statement is true; the second false
The clinical signs of inflammation seen in pediatric patients are not as intense as that seen in a young adult patient with the same quantity of plaque biofilm. Likewise, the clinical signs of inflammation seen in geriatric patients are not as intense as that seen in a young adult patient with the same quantity of plaque biofilm. Select one: A. Both statements are false B. The first statement is true; the second is false C. The first statement is false; the second is true D. Both statements are true
B. The first statement is true; the second is false
Informed consent is a patient's voluntary agreement to proposed treatment. But just because a patient has been well informed about treatment options, it does not mean there will be better treatment outcomes. Select one: A. Both statements are true B. The first statement is true; the second statement is false C. Both statements are false D. The first statement is false; the second statement is true
B. 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. Select one: A. Both statements are true B. The first statement is true; the second statement is false C. The first statement is false; the second statement is true D. Both statements are false
B. The first statement is true; the second statement is false
17. In the photograph below, which of the following indicate that the disease has progressed to periodontitis in the mandibular anterior teeth? a) Tissue color change b) Cratered papilla c) Loss of alveolar bone d) Loss of stippling
C
18. 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
7. 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
Basic legal requirements to demonstrate informed consent include all of the following EXCEPT: Select one: A. A verbal consent must be written as close to verbatim as possible in the treatment record B. Consent must be written out in easily understood language C. A periodontal diagnosis must be presented and written using professional terminology D. Patients or legal guardian must sign the consent form
C. A periodontal diagnosis must be presented and written using professional terminology
Osseointegration is regarded as successful if there is: Select one: A. Only slight radiographic evidence of bone loss around the implant B. Discomfort only when in function C. Absence of gingival inflammation of peri-implant tissues D. No more than a class II clinical mobility
C. Absence of gingival inflammation of peri-implant tissues
Red, swollen gingival tissues are examples of clinically visible, overt signs of inflammation. An example of a hidden sign of inflammation is: Select one: A. Recession of the gingival margin B. Changes in tissue consistency C. Alveolar bone loss D. Changes in tissue contour
C. Alveolar bone loss
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. Select one: A. The first statement is false; the second is true B. Both statements are true C. Both statements are false D. The first statement is true; the second is false
C. Both statements are false
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. Select one: A. Both statements are false B. The first statement is true; the second is false C. Both statements are true D. The first statement is false; the second is true
C. Both statements are 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. Select one: A. The first statement is false; the second is true B. The first statement is true; the second is false C. Both statements are true D. Both statements are false
C. Both statements are true
All of the following are common sources for intraoral allergic reactions EXCEPT: Select one: A. Cinnamon flavoring in chewing gum B. Carvone in toothpaste C. Fluoride embedded in dental floss D. Spearmint flavoring in mouthwash
C. Fluoride embedded in dental floss
Connective tissue fibers run perpendicular to the implant surface. Junctional epithelium does NOT attach to the implant surface. Select one: A. Both statements are true B. The first statement is true; the second is false C. The first statement is false; the second is true D. Both statements are false
D. Both statements are false
Legal claims against healthcare providers usually consist of three parts including not informing the patient properly. Judges tend to look for what a reasonable patient would want to know. Select one: A. The first statement is true; the second statement is false B. Both statements are false C. The first statement is false; the second statement is true D. Both statements are true
D. Both statements are true
Refractory periodontitis occurs despite good self-care and appropriate therapy and regular maintenance visits. Recurrent periodontitis occurs because the patient did not control the bacterial plaque biofilm and/or the periodontal disease was not adequately treated. Select one: A. The first statement is true; the second is false B. Both statements are false C. The first statement is false; the second is true D. Both statements are true
D. Both statements are true
The dentist has a legal responsibility to arrive at a periodontal diagnosis for every patient. The dental hygienist plays an important role in planning for nonsurgical periodontal therapy. Select one: A. The first statement is false; the second is true B. Both statements are false C. The first statement is true; the second is false D. Both statements are true
D. Both statements are true
Letting the patient know there are several options for home care or treatment is: Select one: A. Not recommended. Keep the options to yourself B. More effective if you explain in professional terms C. Serves to just confuse the patient when trying to explain the care plan D. Builds trust in the relationship
D. Builds trust in the relationship
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? Select one: A. Class 0 B. Class III C. Class II D. Class I
D. Class I
All of the following are characteristics of shared decision making EXCEPT: Select one: A. Document the agreed upon periodontal care plan and make arrangements for follow-up B. Elicit the patient's ideas, concerns and expectations C. Care plan is developed in partnership with the patient D. Consult with the dentist and other health care professionals but not the patient
D. Consult with the dentist and other health care professionals but not the patient
By far the most common type of periodontal disease is: Select one: A. Gingival disease modified by systemic factors B. Allergy-induced gingivitis C. Nonplaque-induced gingivitis D. Gingivitis associated with dental plaque only
D. Gingivitis associated with dental plaque only
All of the following questions are considered fundamental in guiding the dental team during the diagnosis process EXCEPT: Select one: A. Does the clinical assessment indicate disease or health? B. What type of gingivitis or periodontitis? C. Is the disease gingivitis or periodontitis? D. Have all the clinical assessment procedures been completed correctly?
D. Have all the clinical assessment procedures been completed correctly?
Disease sites that have not responded successfully to treatment are characterized by: Select one: A. Pain in the localized area B. White fibrotic gingival tissue C. Plaque levels compatible with healthy gingiva D. Increasing clinical attachment loss
D. Increasing clinical attachment loss
All of the following are characteristics of periodontitis EXCEPT: Select one: A. Disease progresses at a slow to moderate rate B. Can be modified by cigarette smoking C. Radiographic evidence of horizontal bone loss D. Most common in adults who are younger than age 35 years
D. Most common in adults who are younger than age 35 years
Dental implants should be checked radiographically at least __________. Select one: A. Every 2 months B. Every other year C. Every 6 months D. Once a year
D. Once a year
Associated symptoms of NPD include all of the following EXCEPT: Select one: A. Excessive salivation B. Fetid odor C. Swollen lymph nodes D. Pigmented gingiva
D. Pigmented gingiva
Which of the following is considered a dental plaque--induced gingival disease with a modifying factor? Select one: A. Linear gingival erythema B. Primary herpetic gingivostomatitis C. Erythema multiforme D. Pregnancy-associated gingivitis
D. Pregnancy-associated gingivitis
All of the following are steps in the SHARE approach for decision-making EXCEPT: Select one: A. Evaluate B. Assess C. Reach D. Prioritize
D. Prioritize
The yellow-white or grayish tissue slough covering affected gingival tissues in NPD is called: Select one: A. Gingival derma B. Gingival halo C. Fibrin D. Pseudomembrane
D. Pseudomembrane
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: Select one: A. Recurrent disease B. Refractory disease C. Generalized disease D. Site-specific disease
D. Site-specific disease
Self-care around the implant can be accomplished using any of the following cleaning aids EXCEPT a(n): Select one: A. Implant floss B. End-tufted brush C. Soft bristle brush D. Standard wire interproximal brush
D. Standard wire interproximal brush
Patients with advanced periodontitis can best be classified according to the ADA periodontal case types. Patients with advanced periodontitis are in a class of their own. Select one: A. The first statement is true; the second is false B. Both statements are false C. Both statements are true D. The first statement is false; the second is true
D. The first statement is false; the second is true
Acute Gingivitis has a brief duration that is improved with good self-care. Chronic gingivitis lasts a long time and always develops into periodontitis. Select one: A. The first statement is false; the second is true B. Both statements are false C. Both statements are true D. The first statement is true; the second is false
D. 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. Select one: A. The first statement is false; the second statement is true B. Both statements are false C. Both statements are true D. The first statement is true; the second statement is false
D. 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 Select one: A. Both statements are false B. Both statements are true C. The first statement is false; the second statement is true D. The first statement is true; the second statement is false
D. The first statement is true; the second statement is false
A patient has periodontal disease with moderate plaque biofilm. The hygienist informs the patient that she is going to develop periodontitis if she does not improve her oral self-care. Is this hygienist providing accurate educational advice to the patient? Select one: A. No, because in most patients with chronic gingivitis never progresses to periodontitis B. Yes, because the terms "periodontal disease" and "periodontitis" are synonymous (words that mean the same thing) C. No, because if this patent has periodontal disease, she obviously is not interested in improving her daily self-care and may feel that the hygienist is "nagging" her D. Yes, without good self-care periodontal disease progresses from chronic gingivitis to periodontitis
A. No, because in most patients with chronic gingivitis never progresses to periodontitis
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? Select one: A. No, because the tissues can have these characteristics in periodontitis B. Yes, because the tissues have a normal color, contour, and consistency
A. No, because the tissues can have these characteristics in periodontitis
Failure for the dental hygienist to obtain consent before providing treatment to a patient can result in all of the following EXCEPT: Select one: A. Noncompliance B. Malpractice C. Negligence D. Battery
A. Noncompliance
Gingival diseases of specific bacterial origin would be considered: Select one: A. Nonplaque-induced gingival disease B. Gingival disease modified by systemic factors C. Gingival disease modified by medication D. Dental plaque--induced gingival disease
A. Nonplaque-induced gingival disease
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: Select one: A. Oral lichen planus B. Primary herpetic gingivostomatitis (PHG) C. Gingival disease of specific bacterial origin D. Erythema multiforme
A. Oral lichen planus
The tissues that surround the implant are termed the: Select one: A. Peri-implant tissues B. Transgingival tissues C. Periodontium D. None of these
A. Peri-implant tissues
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? Select one: 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
The therapeutic endpoints of periodontal therapy include all of the following EXCEPT: Select one: A. Reduction of periodontal pockets by 3 mm B. Preserving teeth and periodontium in a state of health C. Elimination of microbial etiology D. Preventing reoccurrence of periodontal disease
A. Reduction of periodontal pockets by 3 mm
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? Select one: A. Refractory periodontitis B. Periodontitis C. Redundant periodontitis D. Recurrent periodontitis
A. Refractory periodontitis
Eventually, gingivitis always progresses to periodontitis. It is the body's host response that causes tissue destruction in periodontal disease. Select one: A. The first statement is false; the second true B. The first statement is true; the second false C. Both statements are false D. Both statements are true
A. The first statement is false; the second true
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. Select one: A. The first statement is true; the second is false B. The first statement is false; the second is true C. Both statements are false D. Both statements are true
A. The first statement is true; the second is false
If the clinical periodontal assessment reveals an absence of overt signs of gingival inflammation, the periodontium is healthy. If a patient has recession by no inflammation, no further assessment is needed to determine health or disease. Select one: A. The first statement is true; the second statement is false B. Both statements are true C. Both statements are false D. The first statement is false; the second statement is true
A. The first statement is true; the second statement is false
A patient who presents with clear, thin delicate gingiva is said to have which periodontal biotype? Select one: A. Thin scalloped B. Thick scalloped C. Thin flat D. Thick flat
A. Thin scalloped
The dental clinician notes the following clinical signs during the periodontal assessment of a young female teenager:• A small amount of 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? Select one: A. Plaque-induced gingivitis B. Gingival diseases of a specific bacterial origin C. Gingival disease associated with endocrine system and fluctuations in sex hormones D. Drug-influenced gingival enlargement
C. 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: Select one: A. Primary herpetic gingivostomatitis (PHG) B. Oral lichen planus C. Gingival disease of specific bacterial origin D. Erythema multiforme
C. Gingival disease of specific bacterial origin
All of the following are true about documenting disease severity and extent EXCEPT: Select one: A. If there is up to 8 mm of attachment loss in multiple teeth with many missing teeth, disease is Stage IV B. If less than 30% of the teeth have attachment loss, disease is localized C. If there is no attachment loss but generalized gingival inflammation, it is Stage 0 D. If there is clinical attachment loss it is moderate Stage II
C. If there is no attachment loss but generalized gingival inflammation, it is Stage 0
Which phase in the periodontal master treatment plan includes all measures used to keep periodontitis from recurring once the inflammatory disease is brought under control? Select one: A. Nonsurgical periodontal therapy phase B. Preliminary therapy phase C. Maintenance therapy phase D. Surgical therapy phase
C. Maintenance therapy phase
All of the following statements about NG are FALSE EXCEPT: Select one: A. NG develops in young people who have an excess of protein in their diets B. NG is seen more in people of Asian descent than any other race group C. NG is seen more in people with high levels of emotional and personal stress D. NG is rarely seen in children living in developing countries
C. 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: Select one: A. Loose teeth B. Red, swollen gingiva C. Pain D. Bad taste in the mouth
C. Pain
The most frequently occurring form of periodontitis is: Select one: A. Periodontitis as a manifestation of systemic disease B. Gingivitis associated with dental plaque only C. Periodontitis D. Necrotizing periodontal diseases
C. Periodontitis
The difference in severity between Stage II periodontitis and Stage III periodontitis is that: Select one: A. There is no bleeding detected upon probing in Stage II periodontitis but definitely bleeding upon probing in Stage III periodontitis B. There is less than 4 mm bone loss in Stage II periodontitis and greater than 6 mm in Stage III periodontitis C. 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 D. Clinical attachment loss is between 1 and2 mm in Stage II periodontitis and 3 and 4 mm in Stage III periodontitis
C. 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 FDI World Dental Federation considers oral health to be a fixed, unchangeable state of well-being. Oral health includes the ability to speak, smile, and swallow with confidence. Select one: A. Both statements are false B. The first statement is true; the second false C. The first statement is false; the second true D. Both statements are true
C. The first statement is false; the second true
It is possible for a patient to have more than one periodontal condition. Always make a definitive periodontal diagnosis regardless if you are uncertain of which type and category to place the patient. Select one: A. Both statements are false B. The first statement is false; the first is true C. The first statement is true; the second is false D. Both statements are true
C. The first statement is true; the second is false
All of the following are true about dental implants, EXCEPT: Select one: A. Gingival fibers and periodontal ligaments do not attach to the titanium surface of the implant B. The implant is surrounded by junctional epithelium, connective tissue, and alveolar bone C. There is keratinized tissue around the dental implant, as in a natural tooth D. Periodontal pathogens destroy bone more rapidly along a dental implant than natural tooth
C. There is keratinized tissue around the dental implant, as in a natural tooth
The portion of the implant that protrudes through the tissue into the mouth is called the: Select one: A. Implant body B. Prosthesis C. Implant fixture D. Abutment post
D. Abutment post
Biologic equilibrium in periodontal health means there is a balance between: Select one: A. Bacterial plaque biofilms and local risk factors B. Local risk factors and acquired risk factors C. Local contributing factors and systemic factors D. Bacterial plaque biofilms and the host response
D. Bacterial plaque biofilms and the host response
A patient refuses to comply with self-care recommendations but is more than willing to have the dental health team "do whatever is necessary to keep my mouth healthy." In addition, the patient is a smoker and so has a lot of extrinsic stain. How can the dental team help this patient? Select one: A. Frequent periodontal instrumentation to help disrupt plaque biofilms B. Frequent polishing with an abrasive prophy paste to remove extrinsic stain C. Inform the patient about the effects of smoking on the periodontium and recommend smoking cessation D. Both A and C
D. Both A and C
