Chapter 31: Maintenance for the Periodontal Patient

1. "Periodontal maintenance" includes the professional treatment provided to patients who have been previously treated for gingivitis and periodontitis. Periodontal maintenance begins immediately following the completion of nonsurgical periodontal therapy.

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

C. The first statement is true; the second is false

2. All of the following are routine components of the periodontal maintenance appointment, except:

A. Evaluation of the effectiveness of daily oral self-care

B. Reinstruction in self-care techniques

C. Placement of new restorations

D. Comprehensive periodontal assessment

C. Placement of new restorations

3. Clinical data collected at the periodontal maintenance appointment should be measured against:

A. Initial baseline data

B. Average patient data

C. Standard guidelines

D. Expected readings

A. Initial baseline data

4. The periodontal examination includes all of the following, except:

A. Inspection of tissues

B. Determination of extent of attachment loss

C. Periodontal instrumentation

D. Levels of plaque and calculus

C. Periodontal instrumentation

5. It is common for a patient to present for a periodontal maintenance appointment with a heavy accumulation of plaque caused by:

A. Lack of manual dexterity

B. Tissue shrinkage from periodontal surgery

C. Self-care instructions that were too complicated

D. All of these are correct

D. All of these are correct

6. Conservation of root substance is an important goal of periodontal debridement. Patients with little or no plaque do not require firm stroke pressure during instrumentation.

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

7. Which of the following periodontal diagnoses can receive total dental and periodontal maintenance in a general dental practice?

A. Stage I periodontitis

B. Stage II periodontitis

C. Stage III periodontitis

D. Stage IV periodontitis

A. Stage I periodontitis

8. For many patients with periodontitis, the suggested frequency of periodontal maintenance visits is every:

A. 2 months

B. 3 months

C. 4 months

D. 6 months

B. 3 months

9. Recurrent periodontitis refers to the return of the disease in a patient who has been previously successfully treated for periodontitis. Refractory periodontitis, however, refers to periodontitis that is resistant to treatment from the outset of therapy.

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

10. Reasons for a patient to be _________________ include fear of dental treatment, expense of treatment, and denial.

A. Compliant

B. Noncompliant

C. Complacent

D. Noncomplacent

B. Noncompliant

11. Strategies for improving compliance include all of the following, except:

A. Appointment reminders

B. Authoritative, consistent directives

C. Positive feedback

D. Printed self-care instructions

B. Authoritative, consistent directives

12. Root caries occur only if the root surface is exposed to the oral environment because of loss of attachment. Lesions usually begin subgingivally about 1 mm below the free gingival margin.

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

C. The first statement is true; the second is false

13. Root surfaces demineralize at a pH range of 6.2 to 6.7. Mineral loss for root surfaces during demineralization is up to 2.5 times greater than for enamel.

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

14. Fluoride varnish applied every 3 months has been shown to reduce new root caries. Actinomyces is strongly associated with the development of root caries.

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

C. The first statement is true; the second is false

15. Which of the following is considered an appropriate therapy for a patient at low risk for root caries?

A. An over-the-counter fluoride toothpaste

B. Use of 0.05% NaF rinse after snacking

C. NaF varnish

D. Daily use of an antimicrobial mouth rinse

A. An over-the-counter fluoride toothpaste

16. All of the following are reasons for recurrence of moderate chronic periodontitis, except:

A. Inability of the patient to establish adequate plaque control

B. Improper periodontal surgical technique

C. Nonspecific viral infection of the gingival tissues

D. Attempting to treat teeth with a poor prognosis

C. Nonspecific viral infection of the gingival tissues

17. Silver diamine fluoride is recommended for both desensitizing and caries arrest. Indications for using silver diamine fluoride include extreme caries risk.

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

18. All of the following statements about periodontal maintenance therapy are true, except:

A. Patients placed on maintenance every 2 to 3 months can actually gain attachment over the years

B. Most patients can retain their teeth throughout their lives with good periodontal maintenance

C. Periodontal maintenance is not successful in preventing tooth loss

D. Once begun, periodontal maintenance is continued for life of the natural dentition

C. Periodontal maintenance is not successful in preventing tooth loss

19. Which of the following is not a clinical sign of periodontal disease recurrence?

A. Pockets with exudate

B. Increasing tooth mobility

C. Pockets that bleed upon probing

D. Dentinal sensitivity

D. Dentinal sensitivity

20. ___________ is an internet-based educational program that illustrates the caries risk of an individual and possible interactions between various caries-related factors.

A. CAMBRA

B. ADA Caries Risk Assessment Form

C. Cariogram

D. None of these is correct

C. Cariogram