Quiz 3 (Questions 101-150)

2

During a periodontal examination a 4mm pocket is detected in the direct facial surface of tooth no. 19. The gingival margin is located at the cementoenamel junction. What type of pocket is this?

1. pesudopocket

2. periodontal pocket

3. gingival pocket

4. combination pseudopocket and periodontal pocket

5. combination gingival and periodontal pocket

2

Which situation would be an indication for gingectomy?

1. an edematous, 5mm pseudopocket

2. a fibrotic area of free gingiva the covers part of the occlusal surface of tooth no. 32

3. an infrabony pocket of 6mm on the distal aspect of tooth no. 30

4. a fibrotic periodontal pocket that extends into the alveolar mucosa

5. a localized area of acute necrotizing ulcerative gingivitis

4

The specific objective(s) of periodontal pocket elimination is (are) to

1. improve the body image of the patient and improve the tissue contour

2. improve the body image of the patient, improve the tissue contour, and remove the diseased tissue

3. remove diseased tissue

4. remove diseases tissue and assist the patient in daily plaque control

5. improve the body image of the patient, improve the tissue contour, remove diseases tissue, assist the patient in daily plaque control

1

A pyogenic granuloma

1. is also referred to as a pregnancy tumor

2. tends to occur frequently in cases of phenytoin hyperplasia

3. is usually associated with gingival recession

4. is frequently associated with juvenile periodontitis

5. is usually treated with antibiotics

3

A gingivectomy is primarily employed to treat conditions in which

1. an infrabony pocket is present

2. the base of the pocket is apically to the mucogingival junction

3. there is an adequate zone of attached gingiva

4. the tissues are edematous

5. there is a gingival recession

1

A mucogingival problem exists when

1. the base of the pocket extends apically to the mucogingival junction

2. the base of the pocket is coronal to the mucogingival junction

3. there is less than 3mm of attached gingiva

4. there is less than 5mm of alveolar mucosa

5. there is significant bone loss

5

The purpose of placing sutures after periodontal flap surgery is to

1. hold the soft tissues in place

2. hold the soft tissues in place and protect the wound

3. protect the wound and maintain the blood clot

4. hold the soft tissues in place and maintain the blood clot

5. hold the soft tissues in place, protect the wound, maintain the blood clot and prevent food impaction into the wound area

4

The advantage of gut sutures is

1. their ease of manipulation

2. they hold a knot well

3. they do not cause an inflammatory reaction

4. they dissolve

5. they do not cause any trauma to the surrounding tissues

3

An advantage of silk braided sutures is that they

1. are dissolved by the surrounding tissues

2. have antibacterial properties

3. are relatively easy to manipulate

4. are not treated by the surrounding tissues as a foreign body

5. can remain in the tissues for up to 3 weeks without creating an inflammatory response

5

The reasons for using a periodontal dressing are to

1. minimize the patient's discomfort, protect the wound from possible food impactions, minimize the chance of hemorrhage

2. protect the wound from possible food impaction, minimize the chance of hemorrhage, and help maintain tissue placement

3. protect the wound from possible food impaction, minimize the change of food impaction

4. protect the wound from possible food impaction, minimize the change of hemorrhage, and help maintain tissue placement

5. minimize the patient's discomfort, protect the wound from possible food impaction, minimize the change of hemorrhage, help protect the teeth against root sensitivity, and help maintain tissue placement

5

The purpose of using rosin in periodontal dressing is to

1. provide an antibacterial property

2. provide a slight anesthetic action

3. serve as an astringent

4. improve the taste

5. act as a filler for strength

5

Following the completion of periodontal therapy, the patient should be placed on a continued care interval of

1. every 12 months

2. every 6 months

3. every 4 months

4. every 2 months

5. no standard interval

3

Which one of the following is recommended for preventative maintenance with dental implants?

1. ultrasonic scaler

2. titanium tipped curet

3. chlorhexidine

4. coarse polishing paste

5. stainless steel curets

1

Dental implants are commonly made of

1. titanium

2. gold

3. aluminum

4. teflon

5. bonded acrylic resin

4

The single best criterion for evaluation the success of periodontal debridement/ root planning and oral hygiene 4 to 6 weeks post treatment is

1. all calculus removed

2. a smooth and glasslike appearance of the root

3. lack of accumulation of supra and sub-gingival plaque

4. no evidence of bleeding upon probing

5. no probing depth greater then 3mm

2

Which of the following products raises safety concerns with long term use?

1. chlorhexidine

2. hydrogen peroxide

3. sodium benzoate

4. listerine

5. triclosan

5

Use of which the following is most successful as a means of bacterial plaque control?

1. penicillin

2. dextranase

3. sulfonamides

4. tetracycline

5. chlorhexidine

2

Nonsteroidal antiinflammatory drugs have which of the following effects in periodontal therapy?

1. elimination of inflammation

2. inhibiting bone loss

3. anesthetic effect

4. reducing bleeding

5. antimicrobial effect

1

Which of the following antibiotics is not indicated for periodontal therapy?

1. erythromycin

2. metronidazole

3. tetracycline

4. augmentin

5. ciprofloxacin

4

Which of the following conditions exists when a patient demonstrates attachment loss and is infected by periodontal pathogens after appropriate treatment?

1. adult periodontitis

2. desquamative gingivitis

3. linear gingival erythema

4. refractory periodontitis

5. early onset periodontitis

4

What is the relationship between gingivitis and periodontitis?

1. gingivitis will always progress to periodonitits if untreated

2. both gingivitis and periodontitis results in attachment loss

3. both gingivitis and periodontitis are manifested by alveolar bone loss

4. both gingivitis and peridontitis can result in probing depths greater than 3mm

5. periodontitis precedes gingivitis in the periodontal lesion

4

What is the objective/rationale for periodontal debridement/root planing?

1. to treat established periodontal disease and prevent periodontal disease

2. to treat established periodontal disease, prevent periodontal disease, and establish condition conductive to healing of the periodontium

3. to prevent periodontal disease and eliminate pathogenic microorganisms or shift subgingival microflora toward less harmful microorganisms

4. to treat established periodontal disease, establish conditions conductive to healing of the periodontium and eliminate pathogenic microorganisms or shift subgingival microflora toward less harmful microorganisms

4

Gingivitis is initiated most often by

1. malocclusion

2. a hormonal imbalance

3. a vitamine deficiency

4. microorganisms and their products

5. psychosocial factors

2

The incidence of periodontal disease is most highly correlated with

1. increasing age

2. poor oral hygiene

3. systemic disease

4. poor nutritional status

5. occlusal trauma

5

The most important single factor determining the frequency of continued care appointments for periodontal care is

1. amount of alveolar bone loss

2. prognosis of the case

3. amount of calculus present at the reevaluation

4. patient motivation

5. state of health or disease evident at the time of reevaluation

2

A probe reading of 6mm measures the distance from the

1. marginal ridge to the epithelial attachment

2. epithelial attachment to the gingival margin

3. alveolar crest to the gingival margin

4. cementoenamel junction to the gingival margin

5. cementoenamel junction to the epithelial attachment

4

Which of the following is the most reliable clinical sign of gingival inflammation?

1. redness of the gingiva

2. loss of stippling

3. blunted papillae

4. bleeding upon gentle probing

5. probing depth

3

Which of the following clinical signs and symptoms is characteristic of necrotizing ulcerative gingivitis?

1. painless

2. periodontal pocket formation

3. ulcerated, crater-like gingival lesions

4. gingival bleeding

5. severe erythema

3

Which of the following methods is most successful for prevention of periodontal disease?

1. regular oral self care practices and periodontal debridement/root planing

2. local delivery of antibiotics and periodontal debridement/root planing

3. regular oral self care practices and regular oral prophylaxis

4. regular oral self care practices, regular oral prophylaxis, and antimicrobial mouthrinses

5. regular oral self care practives, peridontal debridement/root plaining, and antimicrobial mouthrinses

5

The primary purpose of periodontal debridement is to

1. remove all clinically detectable calculus

2. remove all plaque-retentive factors

3. removed diseased cementum and calculus

4. create a smooth tooth surface

5. restore health of gingival tissues

2

Studies of the natural history of periodontal disease have shown that

1. incidence of periodontitis is related to the amount of plaque and calculus present

2. periodontal therapy or oral self care will slow rate of attachment loss in periodontitis

3. individuals will process from gingivitis to periodontitis even without periodontal therapy

4. periodontal disease is usually rapidly progressive if untreated

3

Which of the following factors increases an individuals's risk of attachment loss?

1. female gender

2. ethnicity

3. tobacco use

4. phenytoin

5. vitamin c deficiency

3

Bleeding upon gentle probing is indicative of

1. food impaction

2. crestal bone loss

3. ulceration of the sulcular epithelium

4. apical migration of the epithelial attchment

5. all of the above