Deck 24: Periodontics

Question 1

Periodontal flap surgery is NOT performed to:

A) cover the root surfaces of an adjacent tooth with inadequate tissue coverage
B) facilitate thorough scaling and root planing
C) provide access for osteoplasty or bone grafting procedures
D) remove necrotic tissue from the gingival wall of a periodontal pocket

Answer 1

remove necrotic tissue from the gingival wall of a periodontal pocket

Question 2

Which postoperative instruction is advised following periodontal surgery?

A) Limit smoking to once a day, preferably in the evening.
B) Exercise regularly to improve blood flow.
C) Refrain from brushing.
D) Avoid alcoholic beverages, citrus fruit, and spicy foods.

Answer 2

Avoid alcoholic beverages, citrus fruit, and spicy foods.

Question 3

A periodontal dressing serves each purpose, EXCEPT one. Which is the EXCEPTION?

A) Acts as a bandage over the surgical site.
B) Minimizes postoperative pain, infection, and hemorrhage.
C) Supports mobile teeth during the healing process.
D) Reshapes and contours the gingival tissue.

Answer 3

Reshapes and contours the gingival tissue.

Question 4

Alveolar bone is removed in which surgery?

A) Gingivectomy
B) Osteoplasty
C) Ostectomy
D) Gingivoplasty

Question 5

Which instrument is designed to clean subgingival calculus from a specific tooth surface?

A) Universal curette
B) Gracey curette
C) Chisel scaler
D) File

Question 6

Which periodontal surgery is performed to improve visibility for other surgical procedures?

A) Gingivectomy
B) Flap surgery
C) Osteoplasty
D) Gingival graft

Question 7

Radiographs are NOT used to:

A) detect interproximal bone loss
B) locate furcation involvement
C) measure the crown-root ratio
D) determine gingival recession

Question 8

The process of smoothing the surface of roots by removing abnormal tooth tissue is:

A) curettage
B) debridement
C) scaling
D) root planing

Question 9

Scraping the gingival lining of the pocket to remove necrotic tissue is:

A) gingival curettage
B) gingival debridement
C) scaling
D) root planing

Question 10

Signs and symptoms of periodontal disease include:

A) the presence of plaque and calculus
B) bleeding gums
C) dental sensitivity to cold
D) tooth discoloration or staining

Question 11

In which procedure is tissue from one site removed and sutured on another site?

A) Gingival grafting
B) Gingivectomy
C) Gingival curettage
D) Gingivoplasty

Question 12

Which instrument is calibrated in millimeters to locate and measure the depth of periodontal pockets?

A) Probe
B) Scaler
C) Explorer
D) Curette

Question 13

Healthy, normal teeth have a minor amount of mobility, recorded at:

A) 0
B) 1
C) 2
D) 3

Question 14

The primary cause of periodontal disease is:

A) calculus
B) caries
C) genetics
D) biofilm

Question 15

Information pertaining to periodontal pocket readings, furcations, tooth mobility, the presence of exudate (pus), and gingival recession is recorded in the:

A) medical history
B) dental charting and history
C) periodontal examination and charting
D) treatment progress notes

Question 16

Which instrument is designed to remove supragingival calculus from posterior teeth?

A) Sickle scaler
B) Contra-angle sickle scaler
C) Chisel scaler
D) File

Question 17

The bleeding points produced by a pocket marker indicate the:

A) location the dentist will need to place the sutures after surgery
B) depth of the pockets and show the dentist where to place the initial incisions
C) bottom of the gingival sulcus and show the dentist where the alveolar bone begins
D) beginning of the gingival grooves

Question 18

Which statement is NOT true concerning ultrasonic scalers?

A) The spray of water at the tip of the ultrasonic scaler prevents the tip from getting too hot
B) The ultrasonic scaler can be used safely for all patients.
C) The ultrasonic scaler may injure pulp tissue.
D) The spray of water continuously flushes debris and bacteria from the pocket.

Question 19

Which tool provides rapid calculus removal by converting high-frequency sound waves into mechanical energy?

A) Sickle scaler
B) Ultrasonic scaler
C) Universal curette
D) Gracey curette

Question 20

Which procedure is performed during a recall appointment as the primary treatment for gingivitis?

A) Dental prophylaxis
B) Root planing
C) Coronal polishing
D) Gingival curettage

Question 21

What percentage of the alveolar bone has been affected in generalized periodontal disease?

A) More than 15%
B) More than 20%
C) More than 25%
D) More than 30%

Question 22

Failure to identify periodontal disease at an early stage is a leading complaint in malpractice lawsuits.

Question 23

Which prevents a non-eugenol dressing from sticking to the gloves?

A) Saline solution
B) Rubbing alcohol
C) Sodium bicarbonate
D) Talc powder

Question 24

Smoking is a relatively insignificant risk factor for periodontal disease. Periodontal treatments are equally effective in smokers and nonsmokers.

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

Question 25

Match each type of periodontal disease with its characteristics.

Characterized by fetid breath and a pseudomembrane covering

A)Aggressive periodontitis
B)Early periodontitis
C)Moderate periodontitis
D)Advanced periodontitis
E)Necrotizing periodontal disease

Question 26

Which level of discomfort can the patient expect to experience after periodontal surgery?

A) None to mild
B) Mild to moderate
C) Moderate to severe
D) Severe to extreme

Question 27

A gingival graft is a procedure in which bone is taken from one side of the mouth and placed in another area.

Question 28

Match each type of periodontal disease with its characteristics.

Tooth mobility and pocket depths of 7 mm or greater

A)Aggressive periodontitis
B)Early periodontitis
C)Moderate periodontitis
D)Advanced periodontitis
E)Necrotizing periodontal disease

Question 29

Match each type of periodontal disease with its characteristics.

Early bone loss with periodontal probing depths of 3 to 4 mm

A)Aggressive periodontitis
B)Early periodontitis
C)Moderate periodontitis
D)Advanced periodontitis
E)Necrotizing periodontal disease

Question 30

Match each type of periodontal disease with its characteristics.

Moderate to deep pockets involving furcations

A)Aggressive periodontitis
B)Early periodontitis
C)Moderate periodontitis
D)Advanced periodontitis
E)Necrotizing periodontal disease

Question 31

Zinc oxide eugenol dressing:

A) has a rapid setting time
B) is the most widely used periodontal dressing
C) can be wrapped in wax paper and frozen for future use
D) is supplied as two pastes: a base and an accelerator

Question 32

Kirkland knives are kidney shaped, double ended, and are commonly used for periodontal surgery.

Question 33

Which oral habit can accelerate bone loss?

A) Mouth breathing
B) Clenching or grinding
C) Tongue thrusting
D) Nail biting

Question 34

Diseased gingival tissue is removed in which surgical procedure?

A) Gingivectomy
B) Gingivoplasty
C) Flap surgery
D) Osseous surgery

Question 35

Which is the first step in removing a periodontal dressing?

A) Irrigate the surgical area with warm saline.
B) Use dental floss to remove dressing fragments.
C) Cut the suture material free and remove sutures.
D) Insert the spoon excavator under the dressing margin.

Question 36

The surgical procedure that recontours and reshapes bone is:

A) gingivectomy
B) gingivoplasty
C) flap surgery
D) osteoplasty

Question 37

Match each type of periodontal disease with its characteristics.

Normally occurs prior to age 35 years

A)Aggressive periodontitis
B)Early periodontitis
C)Moderate periodontitis
D)Advanced periodontitis
E)Necrotizing periodontal disease

Question 38

A periodontal pocket forms when disease causes the normal gingival sulcus to become deeper than normal.