Deck 19: Periodontal and Risk Assessment

Question 1

Which of the following is a moveable tissue loosely attached to underlying alveolar bone?

A) Gingival papilla
B) Attached gingiva
C) Alveolar mucous
D) Junctional epithelium

Answer 1

Alveolar mucous

Question 2

What is the name of the PDL fiber that extends obliquely from the cementum just beneath the junctional epithelium and functions to prevent horizontal movement of teeth?

A) Alveolar crest
B) Oblique
C) Horizontal
D) Sharpey

Answer 2

Alveolar crest

Question 3

Which of the following medications has a beneficial effect on the periodontium?

A) Phenytoin
B) Nifedipine
C) Cyclosporine
D) Tetracycline

Answer 3

Tetracycline

Question 4

The client exhibits a periodontal pocket of 6 mm. The amount of recession is 3 mm and the distance from the gingival margin to the mucogingival junction is 9 mm. What is the amount of attached gingiva present?

A) 2 mm
B) 3 mm
C) 4 mm
D) 8 mm

Question 5

Which of the following risk factors is considered the most significant for periodontal disease progression?

A) Smoking
B) Stress
C) Diet
D) Income

Question 6

The term periodontal disease includes both gingivitis and periodontitis. Gingivitis is characterized by inflammation with no loss of attachment.

A) The first statement is true, and the second statement is false.
B) The first sentence is false, and the second statement is true.
C) Both statements are true.
D) Both statements are false.

Question 7

Which probe would be best for assessing furcation involvement?

A) Marquis
B) Nabers
C) Williams
D) UNC 15

Question 8

Which of the following is a modifiable risk factor associated with periodontitis?

A) Genetics
B) Previous history of periodontitis
C) Stress
D) Gender

Question 9

Which of the following describes a gingival infection characterized by sudden onset, pain, necrosis at the tip of the interdental papillae, bleeding, and a pseudomembrane covering?

A) Herpetic gingivostomatitis
B) Necrotizing ulcerative gingivitis
C) Linear gingival erythematous
D) Hematologic gingival disease

Question 10

Upon examination of the furca, the Nabers probe will go completely through the furcation that is covered by soft tissue. This is classified as what furcation type?

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

Question 11

All of the following conditions can be observed on radiographs except one. Which is the one exception?

A) Status of the lamina dura
B) Tooth crown to root ratio
C) Height of the facial boney plate
D) Changes in the PDL space

Question 12

Periodontal disease characterized by onset at puberty, vertical bone loss, and attachment loss that is confined mostly to permanent first molars and incisors describes:

A) necrotizing periodontal disease.
B) prepubertal periodontitis.
C) localized aggressive periodontitis.
D) mucogingival periodontal disease.

Question 13

Which of the following is a genetic disorder linked to increased susceptibility to periodontal disease?

A) Chediak-Higashi syndrome
B) Myasthenia gravis
C) Burkitt's disease
D) Sialadenitis

Question 14

Which gram-negative bacteria is closely associated with localized aggressive periodontitis?

A) Aggregatibacter actinomycetemcomitans
B) Treponema denticola
C) Prevotella intermedia
D) Tannerella forsythia

Question 15

The fibrous connective tissue that surrounds and attaches the tooth roots to the alveolar bone is:

A) cementum.
B) dentin.
C) unattached gingiva.
D) periodontal ligament (PDL).

Question 16

Which of the following is a local contributing factor to periodontal disease?

A) Subgingival margin placement of a crown
B) Bleeding on probing
C) Financial stress
D) Past history of periodontitis

Question 17

Which of the following describes a degenerative noninflammatory periodontal condition resulting from heavy forces to the teeth?

A) Fremitus
B) Occlusal traumatism
C) Mucogingival condition
D) Inadequate attached gingiva

Question 18

Most periodontal infections begin in the:

A) col.
B) junctional epithelium.
C) alveolar mucosa.
D) attached gingiva.

Question 19

Which mobility classification describes a tooth that can be moved more than 1 mm in any direction but is not depressible in the socket?

A) Class I
B) Class II
C) Class III

Question 20

When the junctional epithelium has migrated below the cementoenamel junction (CEJ), but remains above the crest of alveolar bone, what type of defect is present?

A) Furcation
B) Intrabony pocket
C) Gingival dehiscence
D) Suprabony pocket

Question 22

Each of the following is a gram-negative micro-organism associated with periodontitis, except one. Which one is the exception?

A) Porphyromonas gingivalis
B) Treponema denticola
C) Streptococcus mutans
D) Aggregatibacter actinomycetemcomitans

Question 23

One to 2 mm loss of attachment (LOA) with 4 to 5 mm probing depths describes what severity of periodontal disease?

A) Slight
B) Moderate
C) Severe
D) Gingivitis

Question 24

In the initial stage of gingivitis, which inflammatory cell predominates?

A) Plasma cell
B) Lymphocytes
C) Polymorphonuclear leukocytes
D) Osteoclast

Question 25

A score of 1.5 on the Loe and Sillness plaque index indicates _____ gingivitis.

A) no
B) mild
C) moderate
D) severe

Question 26

Each of the following types of radiographs could be used for periodontal disease assessment except one. Which is the one exception?

A) Periapical
B) Panoramic
C) Horizontal bitewing
D) Vertical bitewing