Deck 15: Problem-Evidence-Based Treatment Planning

Question 1

Which of the following methods of treatment planning is generally followed?

A)Patient dictated
B)Four phases
C)Least expensive first
D)Whatever insurance pays

Answer 1

Four phases

Question 2

Based on clinical and radiographic findings, which of the following problems is generally addressed first?

A)Chief complaint
B)Occlusal trauma
C)Periodontal disease
D)Defective restorations

Answer 2

Chief complaint

Question 3

A patient complains of bleeding gums and bad breath. All of the following items from the problem list contribute to her chief complaint except one. Which one is the exception?

A)Gingivitis
B)Smoking
C)Occlusal trauma
D)Periodontitis
E)Poor oral hygiene

Answer 3

Occlusal trauma

Question 4

For which of the following periodontal diseases are systemic antibiotics indicated in treatment?

A)Medication-induced gingivitis
B)Plaque-induced gingivitis
C)Chronic periodontitis
D)Aggressive periodontitis
E)Occlusal trauma

Question 5

A patient presents with no gingival bleeding, light supragingival plaque, and calculus. The problem list is otherwise noncontributory. Which of the following treatments is best for this patient?

A)Oral prophylaxis
B)Subgingival root debridement
C)Periodontal surgery
D)Referral to periodontist

Question 6

Based on the problem list, which of the following treatments is indicated for a patient presenting with deep probing depths (e.g., 4-6 mm)?

A)Reduction with nonsurgical and surgical procedures
B)Stabilize teeth
C)Brush biopsy
D)Adjust occlusion

Question 7

A patient is diagnosed with aggressive periodontitis. Which of the following treatment plans should initially be followed?

A)Referral to periodontist
B)Immediate periodontal surgery
C)Place patient on a chlorhexidine rinse.
D)Perform periodontal debridement with the placement of controlled-release device into the deeper pockets.

Question 8

According to the Guidelines for Management of Patients with Periodontal Diseases, a level 2 patient should be treated by the

A)dental hygienist only.
B)dental hygienist and general dentist.
C)dental hygienist and periodontist.
D)dental hygienist, general dentist, and periodontist.

Question 9

A document called Guidelines for Management of Patients with Periodontal Diseases is published and released by the

A)American Dental Association.
B)American Academy of Oral Medicine.
C)American Medical Association.
D)American Academy of Periodontology.

Question 10

Based on the problem list, which of the following concerns is directed toward a patient presenting with deep probing depths?

A)Oral cancer
B)Difficulty with access
C)Root caries
D)Compliance

Question 11

The primary goal of periodontal therapy is to

A)give the patient the most affordable treatment.
B)restore the periodontium to a functional state of health.
C)allow the patient to accommodate parafunctional habits.
D)determine how the patient will react to medications.

Question 12

Based on the problem list, which of the following treatments is indicated for a patient presenting with fremitus?

A)Permanent splinting
B)Replacement of missing teeth
C)Adjust occlusion
D)Use of orthodontic appliances

Question 13

A patient presents with red gingiva that bleeds and blisters when slightly touched. The epithelium peels off from the underlying connective tissue. Which of the following diseases is suggestive of this presentation?

A)Mucocutaneous disorder
B)Gingivitis
C)Chronic periodontitis
D)Periodontitis associated with diabetes mellitus
E)Necrotizing ulcerative gingivitis

Question 14

The objective of the Guidelines for Management of Patients with Periodontal Diseases is to

A)help determine if a patient needs specialty care.
B)route the patient to the best physician.
C)determine the need for adjunctive periodontal care.
D)aid in treatment planning.

Question 15

Which of the following factors is involved in risk assessment?

A)Determine either predisposition for developing periodontal conditions.
B)Do genetic testing.
C)Have patient go to his or her physician.
D)Perform after treatment planning is completed.

Question 16

Which of the following terms refers to the prediction of the future course of a disease?

A)Diagnosis
B)Prognosis
C)Treatment
D)Assessment

Question 17

Which of the following methods is most appropriate for use in formulating a periodontal treatment plan?

A)Problem list
B)Patient's desires
C)PICO survey
D)Previser system

Question 18

A 50-year-old patient presents with a problem list consisting of deep probing depths, vertical and horizontal bone defects, and soft tissue recession. Which of the following is the sequence of care for this patient?

A)Periodontal debridement, oral hygiene instructions, surgery
B)Oral hygiene instructions, periodontal debridement, reevaluation, surgery, and/or referral to periodontist
C)Periodontal debridement and periodontal surgery and then referral to periodontist
D)Oral hygiene instructions, periodontal debridement

Question 19

A patient presents with mobility of the mandibular incisors. There is a moderate amount of bone loss. Based on the problem list, which of the following concerns is applicable?

A)Poor oral hygiene
B)Patient comfort
C)Delayed wound healing
D)Esthetics

Question 20

On the periodontal problem list, which of the following is a concern during treatment of a patient with diabetes and periodontal disease?

A)Increased dentinal hypersensitivity
B)Decreased severity of disease
C)Accelerated wound healing
D)Delayed wound healing

Question 21

Match the term describing a component of treatment planning for regenerative surgery

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

Question 22

Treatment of plaque-induced gingivitis requires periodontal surgery.

Question 23

Once surgically treated, phenytoin-induced gingival enlargement will not recur.

Question 24

Match the term describing a component of treatment planning for final crown and bridge

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

Question 25

Match the term describing a component of treatment planning for extraction of hopeless teeth

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

Question 26

Match the term describing a component of treatment planning for periodontal debridement

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

Question 27

It is important to incorporate ________ assessment into treatment planning.

Question 28

Match the term describing a component of treatment planning for maintenance care

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

Question 29

Management of most periodontal patients demands continued ________ and adjustments to ongoing care.

Question 30

Risk assessment is an important part of periodontal treatment planning.

Question 31

The first step in developing a treatment plan should be to determine individual goals for each patient.

Question 32

Treatment of patients with chronic periodontitis begins with ________ hygiene instructions.

Question 33

Periodontal treatment planning is directed toward ________-based learning.

Question 34

A tooth has a hopeless prognosis if it has greater than 50% bone loss.

Question 35

The goal of phase I periodontal therapy is to ________ all etiologic and risk factors.

Question 36

Referral to a periodontist is never necessary.

Question 37

A patient has numerous periodontal sites that measure 6-8 mm probing depths with buccal furcation involvement. Mobility is slight. Gingival inflammation and bleeding is generalized. The patient is a smoker. Write a short treatment plan.

Question 38

Match the term describing a component of treatment planning for correction of amalgam overhangs

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

Question 39

All inflammatory periodontal diseases are caused by dental biofilms.

Question 40

Controlling periodontal inflammation is the initial treatment objective of periodontal therapy.