Deck 21: Principles of Periodontal Surgery: Gingivectomy, Osseous Resection, and Periodontal Plastic Surgery

Question 1

Which of the following gingival procedures has a donor site for gingival tissue that is located adjacent to the recipient (grafted)site?

A)Connective tissue graft
B)Gingivectomy
C)Laterally positioned flap
D)Guided tissue regeneration

Answer 1

Laterally positioned flap

Question 2

Which of the following reasons is the primary cause of pain following periodontal surgery?

A)Tissue swelling
B)Improper oral hygiene
C)Anti-inflammatory medication
D)Analgesic medication

Answer 2

Tissue swelling

Question 3

In which of the following conditions is a gingivectomy contraindicated?

A)8 mm gingival pocket with no bone loss
B)6 mm pseudopocket as a result of cyclosporine use
C)Enlarged interdental papillae with no bone loss
D)3 mm gingival pocket without attached gingiva

Answer 3

3 mm gingival pocket without attached gingiva

Question 4

Which of the following "newer" techniques is approved for sulcular debridement?

A)Laser
B)Electrosurgery
C)Bleaching under ultraviolet
D)Ultrasonic

Question 5

All of the following sutures are absorbable except one. Which one is the exception?

A)Chromic gut
B)Vicryl
C)Monocryl
D)Ethibond

Question 6

Which of the following steps is the first procedure done during the first postoperative visit?

A)Remove the sutures.
B)Count the number of sutures in the mouth.
C)Perform subgingival scaling.
D)Polish the teeth before dressing and sutures are removed.

Question 7

After flap surgery, the flaps were sutured closely together without any gap. This flap will heal by

A)primary intention.
B)secondary intention.
C)tertiary intention.
D)It will not heal.

Question 8

Which of the following healing responses of periodontal tissues after surgery describes the reformation of tissues that were destroyed due to periodontal disease?

A)Repair
B)Reattachment
C)New attachment
D)Regeneration

Question 9

Which of the following steps should be followed for preoperative management of a patient before periodontal surgery?

A)Reinforcement of oral hygiene practices
B)Placement of a periodontal dressing
C)Instructions for suture maintenance
D)Rinsing with 3% hydrogen peroxide

Question 10

Which of the following steps should be done during administration of a local anesthetic containing epinephrine?

A)Aspirate while injecting.
B)Remove the needle from the site of injection.
C)Move the needle around inside the tissue.
D)Inject until blood is seen inside the carpule.

Question 11

Which of the following signs/symptoms may be reduced following periodontal surgery if adequate plaque control is maintained?

A)Swelling
B)Root sensitivity
C)Pain
D)Fremitus

Question 12

Which of the following periodontal conditions is best treated with gingivectomy/gingivoplasty?

A)One-wall bony defect
B)6 mm gingival pocket
C)8 mm infrabony pocket
D)Class II furcation defect

Question 13

Which of the following surgical techniques is indicated for a patient who has gingival enlargement due to nifedipine but no bone loss?

A)Gingivectomy
B)Connective tissue graft
C)Free gingival graft
D)Surgery with apically positioned flaps

Question 14

Which of the following should be used by a patient to help reduce inflammation and swelling immediately after periodontal surgery?

A)Aspirin
B)Ice packs
C)Heated packs
D)Rinsing with water

Question 15

Which of the following types of surgery is best to treat a periodontal bony lesion with deep pockets and vertical bone loss (three-wall defect)?

A)Periodontal plastic surgery
B)Implant surgery
C)Regenerative surgery
D)Mucogingival surgery

Question 16

All of the following are contraindications or reasons for a delay in periodontal surgery except one. Which one is the exception?

A)Poor oral hygiene
B)Uncontrolled diabetes mellitus
C)Unstable hypertension
D)Intravenous bisphosphonates
E)Deep periodontal pockets

Question 17

Which of the following problems may arise as a consequence of periodontal surgery?

A)Tooth mobility
B)Allergy to antibiotics
C)Sensitivity to sweets
D)Increased clotting time

Question 18

Which of the following healing processes starts after a gingivectomy?

A)Formation of new bone
B)Revascularization of periodontal ligament fibers
C)Epithelialization of the wound surface
D)Thickening of the connective tissue

Question 19

With which of the following knots are most sutures tied?

A)Surgeon's
B)Sling
C)Double
D)Single

Question 20

Which of the following periodontal conditions is best treated with a subepithelial connective tissue graft?

A)Class III furcation defect
B)Class I furcation defect
C)Soft tissue recession with exposure of root
D)Two-wall bony defect with base of pocket apical to alveolar crest

Question 21

Total pocket elimination is the primary objective for periodontal surgery.

Question 22

Regenerative periodontal surgery uses bone grafts as part of the procedure.

Question 23

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Removal of mandibular exostosis

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 24

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Vertical (moderately deep)bony defect

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 25

A ________ is defined as that loosened part of the gingiva, alveolar mucosa, and/or periosteum that is separated from the underlying periodontal structures except at its base.

Question 26

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Inadequately attached gingiva

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 27

Vicryl is a type of ________ suture.

Question 28

In a ________ flap, the gingiva, alveolar mucosa, and periosteum are reflected from the root and underlying bone surface.

Question 29

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Crown lengthening needed for a crown preparation

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 30

One of the objectives of periodontal surgery is to arrest disease progression.

Question 31

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Horizontal bone loss with periodontal pocketing

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 32

Periodontal plastic surgery would be necessary to increase the width of attached gingiva.

Question 33

If a patient has controlled hypertension, surgical procedures can be started.

Question 34

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Gingival enlargement from taking phenytoin

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 35

________ is the removal of supporting bone or bone that is in contact with the root.

Question 36

If a patient is noncompliant with oral hygiene self-care, surgical procedures should not be started.

Question 37

Preoperative management involving patient preparation for surgery involves fabrication of permanent prosthetic crowns and bridges.

Question 38

Soft tissue deficiencies are referred to as osseous defects.

Question 39

________ is the reshaping or recontouring of nonsupporting bone that is not in contact with the root.

Question 40

What is the correct description of a periodontal condition for the correct surgery procedure that would be used to correct the condition, Class II buccal furcation involvement on the mandibular first molar

A)Gingival plastic surgery
B)Regenerative surgery
C)Osseous resective surgery
D)Gingivectomy/gingivoplasty

Question 41

The primary purpose of using a periodontal dressing after surgery is for patient ________.

Question 42

________ should be achieved before a periodontal dressing is placed.

Question 43

Discuss the procedure to inform the patient who questions the use of medications during and after surgery. The patient has seen advertisements about some antibiotics.