Deck 28: Decision Making Related to Nonsurgical Periodontal Therapy

Question 1

What is known as the restoration of gingival health,reduction in pocket depth,and a gain in or maintenance of a stable clinical attachment level?

A) Root planing
B) Therapeutic endpoint
C) Periodontal debridement of the entire mouth
D) Oral prophylaxis

Answer 1

Therapeutic endpoint

Question 2

Periodontal debridement includes all of the following except which one?

A) Removal of all clinically detectable plaque biofilm retentive factors
B) Removal of detectable calculus and embedded cementum
C) Removal of cementum or surface dentin that is rough or impregnated with calculus
D) Removal of all subgingival plaque biofilm and its byproducts,evidenced by signs of inflammation

Answer 2

Removal of cementum or surface dentin that is rough or impregnated with calculus

Question 3

Periodontal diagnosis is determined by analyzing disease characteristics including all of the following except which one?

A) Extent
B) Severity
C) Classification
D) Bleeding on provocation

Answer 3

Bleeding on provocation

Question 4

All of the following are true about chronic disease states of plaque-induced gingivitis and periodontitis except which one?

A) They progress slowly.
B) They respond in an unpredictable manner.
C) Therapy includes oral self-care and debridement.
D) Antimicrobial agents or devices might be useful for therapy.

Question 5

Which of the following is the first clinical feature of inflammatory periodontal disease?

A) Tooth mobility
B) Drifting of the anterior teeth
C) Periodontal pocket formation
D) Bleeding on probing

Question 6

All of the following are therapeutic interventions for gingivitis except which one?

A) Subgingival calculus and plaque biofilm removal
B) Oral health instruction
C) Supragingival calculus and plaque biofilm removal
D) Application of in-office 2% sodium fluoride

Question 7

Which of the following would a competent dental hygienist be least likely to recommend to a client diagnosed with aggressive periodontitis?

A) A medical evaluation
B) Modification of periodontal disease risk factors
C) Controlled-released drug delivery therapy for pockets greater than 5 mm that do not respond to mechanical therapy
D) Periodontal maintenance (PM)at 6-month intervals

Question 8

What is the first stage of periodontal therapy?

A) Supportive periodontal therapy
B) Active therapy
C) Nonsurgical periodontal therapy (NSPT)
D) Surgical periodontal therapy

Question 9

When periodontitis is recognized,nonsurgical periodontal therapy (NSPT)is initiated for all of the following purposes except which one?

A) Modifying host and environmental risk factors
B) Establishing an environment to help resolve inflammation
C) Eliminating the need for periodontal surgery in the future
D) Eliminating or controlling the infection to prevent reinfection

Question 10

Challenges facing the dental hygienist in mechanical therapy adjacent to furcation involvement include all of the following except which one?

A) Furcal anatomy
B) Difficulty in accessing area
C) Persistence of pathogenic microflora in the area
D) No mechanized inserts that fit the furca

Question 11

How long should periodontal maintenance (PM)continue for a client?

A) One year after initial therapy
B) Five years after active therapy
C) Until periodontal attachment loss is halted
D) For the life of the dentition or its implant replacements

Question 12

All of the following describe minibladed curets except which one?

A) The blade is thinner than on the standard area-specific curet.
B) The blades are curved upward as compared with the standard area-specific curet.
C) The terminal shank is 3 mm longer than on the standard area-specific curet.
D) The blade length is reduced by 50% when compared with the standard area-specific curet.

Question 13

Research findings indicate that after scaling and root planing the most predictable outcome is which of the following?

A) Osseous repair
B) Elimination of Aggregatibacter actinomycetemcomitans
C) A decrease in the percentage of cocci and nonmotile microbes
D) A reduction in the percentage of motile microbes and spirochetes

Question 14

The therapeutic endpoint for nonsurgical periodontal therapy includes all of the following except one which one?

A) Reduction of pocket depth
B) Restoration of gingival health
C) Elimination of infectious microorganisms
D) Improved or stable clinical attachment level

Question 15

What phase of the dental hygiene process includes the delivery of the preventive and therapeutic procedures identified in the individualized care plan to meet client human needs?

A) Assessment
B) Planning
C) Implementation
D) Evaluation

Question 16

When should an appointment for periodontal maintenance (PM)therapy occur if the objectives of nonsurgical periodontal therapy (NSPT)are not reached as determined at the reevaluation visit?

A) 2 weeks after reevaluation
B) 4 weeks after reevaluation
C) 8 to 10 weeks after reevaluation
D) 12 to 14 weeks after reevaluation

Question 17

A client has just completed therapy for the control of chronic periodontal disease.The client is compliant with recommendations and has responded well to therapy.What is the recommended continued-care (periodontal maintenance,recare,recall)interval?

A) 3 months
B) 4 months
C) 5 months
D) 6 months

Question 18

In the case of periodontitis,the first area to be involved in bone resorption is which of the following?

A) Cribriform plate
B) Cancellous plate
C) Bone surrounding the apical third of the tooth
D) Cortical plate of the interdental septum

Question 19

Periods of _____ are characterized by a reduced inflammatory response and little or no loss of bone and connective tissue attachment.

A) Immunosuppression
B) Quiescence
C) Necrotizing ulcerative periodontitis
D) Aggressive periodontal disease

Question 20

Nonsurgical periodontal therapy (NSPT)is part of what phase of periodontal care planning?

A) Phase I
B) Phase II
C) Phase III
D) Phase IV

Question 21

Pharmacotherapeutic nonsurgical pocket therapy includes all of the following except which one?

A) Systemic antimicrobial agents
B) Mechanized instrumentation
C) Topical antimicrobial agents
D) Controlled-delivery antimicrobial agents

Question 22

What does refractory mean in terms of periodontal disease states?

A) Aggressive periodontal disease that does not respond to recommended therapy
B) Chronic periodontal disease that responds to antimicrobial therapy in addition to mechanical therapy
C) Periodontal disease that continues to progress despite client compliance with recommended oral self-care and professional care
D) Bone or attachment loss that is ongoing at the time of the examination

Question 23

What is the objective of therapeutic scaling and root planing?

A) To remove as little root structure as possible while returning adjacent tissues to health
B) To remove cementum or surface dentin that is rough or impregnated with calculus until it is glossy,smooth,and hard
C) To remove cementum contaminated with toxins or microorganisms
D) To remove all subgingival plaque biofilm and its byproducts

Question 24

Characteristics of aggressive periodontal disease include all of the following except which one?

A) Familiar aggregation
B) Disease that progresses rapidly
C) A healthy client
D) Disease that progresses slowly

Question 25

Which of the following nonsurgical periodontal therapies is appropriate for a client with early periodontitis?

A) Oral prophylaxis
B) Gingival curettage
C) Gingivectomy
D) Therapeutic scaling and periodontal debridement