Deck 30: Decision Making Related to Nonsurgical Periodontal Therapy

Question 1

When should an appointment for PM therapy or pretreatment occur if the objectives of 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
E) 16 to 20 weeks

Answer 1

4 weeks after reevaluation

Question 2

NSPT is part of what phase of periodontal care planning?

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

Answer 2

Phase I

Question 3

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
E) stability

Answer 3

quiescence

Question 4

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
E) Edema

Question 5

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

A) 2 months
B) 3 months
C) 4 months
D) 6 months
E) 9 months

Question 6

All of the following are goals of periodontal maintenance except one. Which one is the exception?

A) To prevent or minimize the recurrence and progression of periodontal disease among clients who have been treated for gingivitis, periodontitis, and peri-implantitis
B) To prevent or reduce the incidence of tooth loss
C) Bone surrounding the apical third of the tooth
D) A decrease in periodontal probing depths
E) To increase the probability of locating and treating other diseases and conditions

Question 7

How long should 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) Until 1 to 2 mm of clinical attachment level is gained
E) For the life of the dentition or its implant replacements

Question 8

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
E) Elimination of spirochetes.

Question 9

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

A) furcal anatomy.
B) difficulty in accessing area.
C) persistence of pathogenic microflora in the area.
D) location of the gingival margin in relation to the fulcra.
E) no instruments that adapt to the furca.

Question 10

Periodontal debridement includes all of the following except removal of:

A) all clinically detectable plaque biofilm retentive factors.
B) detectable calculus and embedded cementum.
C) cementum or surface dentin that is rough.
D) all subgingival plaque biofilm and its byproducts, evidenced by signs of inflammation.
E) all clinically detectable plaque biofilm retentive factors on and adjacent to implants (calculus, possible cement).

Question 11

What is the first stage of periodontal therapy?

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

Question 12

All of the following are therapeutic interventions for gingivitis except:

A) subgingival calculus and plaque biofilm removal.
B) oral self-care education.
C) supragingival calculus and plaque biofilm removal.
D) application of in-office 2% sodium fluoride therapy.
E) antimicrobial therapy.

Question 13

The therapeutic endpoint for nonsurgical periodontal therapy includes all of the following except:

A) reduction of pocket depth.
B) restoration of gingival health.
C) elimination of infectious microorganisms.
D) improved or stable clinical attachment level.
E) significant reduction in bleeding on probing.

Question 14

What phase of the dental hygiene process includes the delivery of the preventive and therapeutic procedures to meet the client's human needs?

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

Question 15

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
E) Root planing

Question 16

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-release drug delivery therapy for pockets greater than 5 mm that do not respond to mechanical therapy
D) Periodontal maintenance (PM) at 6-month intervals
E) Evaluation for surgery

Question 17

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
E) Reevaluation of NSPT

Question 18

Periodontal diagnosis is determined by analyzing disease characteristics including all of the following except:

A) extent.
B) severity.
C) classification.
D) bleeding on probing.

Question 19

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

A) they progress slowly.
B) they respond in an unpredictable manner.
C) therapy includes oral self-care.
D) antimicrobial agents or devices might be useful for therapy.
E) therapy includes periodontal debridement.

Question 20

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

A) modifying host risk factors.
B) establishing an environment to resolve inflammation.
C) eliminating the need for periodontal surgery in the future.
D) eliminating or controlling the infection to prevent reinfection.
E) modifying environmental risk factors.

Question 21

Characteristics of aggressive periodontal disease include all of the following except:

A) familiar aggregation.
B) disease that progresses rapidly.
C) disease that progresses slowly.
D) a healthy client.
E) vertical bone loss.

Question 22

What does refractory mean in terms of periodontal disease states?

A) Aggressive periodontitis that does not respond to recommended therapy
B) Chronic periodontitis 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
E) A category for diagnosis when no other category can be identified

Question 23

Laser therapy may prove useful in NSPT in the future for which of the following?

A) Gingival curettage
B) Elimination of subgingival periodontal pathogens
C) Assisted periodontal debridement
D) Periodontal debridement therapy
E) Antimicrobial therapy

Question 24

Periodontal surgery should be considered in all of the following cases except:

A) access for removal of disease causative factors is needed.
B) furcations are present.
C) persistence of diseased sites with deep periodontal pockets are evident.
D) regeneration or reconstruction of the periodontal tissues is indicated.
E) gain in clinical attachment level is not detected.

Question 25

Possible host modulation agents include all of the following except:

A) flurbiprofen.
B) subantimicrobial-dosage doxycycline (SDD).
C) amoxicillin.
D) naproxen.
E) ibuprofen.

Question 26

Which of the following describes the rationale for full-mouth disinfection?

A) It is useful in NSPT to save time and money for the client.
B) It reduces the chance of recommending antimicrobial therapy after initial therapy.
C) It has an advantage over traditional full-mouth scaling and root planing.
D) It requires less time on the part of the practitioner in NSPT.
E) It is thought to reduce reinfection of nontreated sites.

Question 27

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
E) To initiate the healing process