Deck 8: Periodontitis and Other Periodontal Conditions

Question 1

With which of the following histopathologic lesions will a patient experience bone loss?

A)Initial
B)Early
C)Established
D)Advanced

Answer 1

Initial

Question 2

Which of the following occurs for a periodontal pocket to develop?

A)Crestal bone loss
B)Interproximal bone loss
C)Apical migration of the junctional epithelium
D)Ulcerations of the sulcular epithelium

Answer 2

Apical migration of the junctional epithelium

Question 3

Which of the following is the main mechanism of alveolar and supporting bone resorption?

A)Prostaglandin
B)Hyaluronidase
C)Collagenase
D)Exotoxin

Answer 3

Prostaglandin

Question 4

Which of the following pockets is associated with a horizontal pattern of bone loss?

A)Gingival sulcus
B)Gingival pocket
C)Infrabony
D)Suprabony
E)Intrabony

Question 5

What is the relationship of the base of a suprabony pocket to the crest of bone?

A)Apical
B)Coronal
C)Lateral
D)Subgingival

Question 6

Which of the following statements is true regarding the down-growth of accumulating plaque?

A)Oral epithelium begins to get ulcerations.
B)Alveolar and supporting bone begins to resorb.
C)Gingival crevice migrates coronally.
D)Junctional epithelium migrates.

Question 7

Which of the following classifications is a three-wall bony defect?

A)Horizontal bone loss
B)Vertical bone loss
C)Fenestration
D)Dehiscence

Question 8

In which of the following lesions does attachment loss occur?

A)Early
B)Initial
C)Established
D)Advanced

Question 9

Which of the following parts of the junctional epithelium migrates apically during the advanced lesions?

A)Coronal
B)Middle third
C)Middle half
D)Apical

Question 10

Vertical or angular bone loss occurs when the inflammation travels directly from the gingival into the

A)cementum.
B)periodontal ligament.
C)enamel.
D)bone.

Question 11

All of the following descriptions relate to a one-wall bony defect except one. Which one is the exception?

A)One bony wall remains.
B)One bony wall is destroyed.
C)Can be a hemiseptum
D)Is a type of vertical defect

Question 12

Which of the following structures is considered to be the base of a pocket?

A)Junctional epithelium
B)Oral epithelium
C)Sulcular epithelium
D)Crest of alveolar bone

Question 13

The surface cementum is rough because of the detachment of the previously inserting connective tissue.

A)Both statement and reason are correct.
B)Both statement and reason are incorrect.
C)The statement is correct, but the reason is incorrect.
D)The statement is incorrect, but the reason is correct.

Question 14

Which of the following terms describes periodontal disease that was previously treated, but did not respond favorably?

A)Recurrent
B)Refractory
C)Aggressive
D)Chronic
E)Acute

Question 15

Which of the following events occurs first during the development of a periodontal pocket?

A)Alveolar and supporting bone loss
B)Destruction of periodontal ligament fibers
C)Destruction of gingival connective tissue
D)Apical migration of the junctional epithelium

Question 16

High numbers of Aggregator actinomycetemcomitans are found in

A)generalized chronic periodontitis.
B)localized chronic periodontitis.
C)generalized severe gingivitis.
D)localized aggressive periodontitis.
E)necrotizing ulcerative periodontitis.

Question 17

Which of the following types of infrabony defects occurs when two bony walls are intact?

A)Crater
B)Hemiseptum
C)Horizontal
D)Circumferential

Question 18

Which of the following diseases has host cell abnormalities?

A)Chronic periodontitis
B)Localized aggressive periodontitis
C)Necrotizing ulcerative periodontitis
D)Necrotizing ulcerative gingivitis

Question 19

The extension of the inflammatory infiltrate from the connective tissue to the interdental alveolar bone is by way of the

A)collagen fibers.
B)blood vessels.
C)collagen bundles.
D)principal fibers.

Question 20

The inflammatory infiltrate usually spreads from the gingival through the lamina propria into the bone following the

A)periodontal ligament.
B)lamina dura.
C)nutrient canals.
D)vascular pathway.

Question 21

Current concepts of the etiology of periodontitis implicate a ________ infection.

Question 22

Predominated by plasma cells and B-lymphocytes

Question 23

The primary clinical feature of periodontitis is alveolar ________ loss.

Question 24

Discuss the development of a periodontal pocket.

Question 25

Occurs about 7 days after plaque accumulation

Question 26

Migration of polymorphonuclear leukocytes

Question 27

Onset of localized aggressive periodontitis is around the ________ period.

Question 28

In periodontitis there is bone destruction and connective tissue ________ loss.

Question 29

The primary risk factor in chronic periodontitis is dental ________.

Question 30

The primary histopathological characteristic of periodontitis includes periodontal ________.

Question 31

The term that replaced adult periodontitis is ________ periodontitis.

Question 32

List the type of histopathologic lesion , associated with the following statements.

-Not clinically visible yet

A)initial
B)early
C)established
D)advanced

Question 33

Destruction of connective tissue attachment