Question 1

Which of the following techniques will allow pus to be drained from the gingival crevice?&#10;A)Use probe or curet to open pocket entrance&#10;B)Brush area with a hard-bristled toothbrush&#10;C)Application of cold gauze&#10;D)Application of heated gutta percha point

Accepted Answer

Using a probe or curet can open the pocket entrance and allow for pus to be drained from the gingival crevice. Brushing with a hard-bristled toothbrush can lead to further irritation and damage, application of cold gauze or heated gutta percha point would not be effective in draining pus from the crevice.

Question 2

All of the following statements are true about a periodontal abscess except one. Which one is the exception?&#10;A)It develops as a result of a bacterial infection.&#10;B)It occurs as a result of calculus that obstructs sulcular drainage.&#10;C)It can cause alveolar bone destruction.&#10;D)It resolves spontaneously without treatment.

Accepted Answer

A periodontal abscess does not typically resolve spontaneously without treatment. It requires professional intervention to drain the pus and address the underlying infection.

Question 3

Which of the following abscesses is the most common involving the periodontium?&#10;A)Gingival&#10;B)Periodontal&#10;C)Pericoronal&#10;D)Periapical

Accepted Answer

Periodontal abscesses are the most common type of abscesses involving the periodontium, which is the tissue surrounding and supporting the teeth. Gingival abscesses occur in the gum tissue and are less common than periodontal abscesses. Pericoronal abscesses occur in tissue around partially erupted teeth, and periapical abscesses involve the root of the tooth.

Question 4

A radiograph showing a radiolucent area on the lateral aspect of the tooth is most likely diagnosed as&#10;A)an endodontic abscess.&#10;B)periocoronitis.&#10;C)a periodontal abscess.&#10;D)a gingival abscess.

Accepted Answer

A radiolucent area on the lateral aspect of the tooth is most likely indicative of a periodontal abscess, which typically shows up as a radiolucent area lateral to the tooth root. Endodontic abscesses are typically seen as a radiolucent area at the apex of the tooth root, while periocoronitis is an inflammation of the tissue around the crown of a partially erupted tooth and may not necessarily show up as a radiolucent area. A gingival abscess would not show up on a radiograph as it is a localized infection in the gum tissue.

Question 5

Which of the following microorganisms is highly associated with periodontal abscess and pus formation?&#10;A)Aggregator actinomycetemcomitans&#10;B)Porphyromonas gingivalis&#10;C)Streptococcus mutans&#10;D)Staphylococcus aureus

Accepted Answer

Porphyromonas gingivalis is a gram-negative anaerobic bacteria that is frequently associated with periodontal disease and abscess formation. It is known to cause tissue destruction and pus formation in the periodontal pocket. The other microorganisms listed are not typically associated with periodontal abscesses.

Question 6

An operculum will disappear once the tooth is&#10;A)orthodontically moved.&#10;B)splinted to the adjacent tooth.&#10;C)intruded into position.&#10;D)extracted.

Accepted Answer

An operculum is a flap of gum tissue that may cover a partially erupted tooth, particularly a wisdom tooth. It can be a source of pain and infection. The best way to remove an operculum is by extracting the underlying tooth, so the correct answer is D. Orthodontic movement, splinting, or intrusion would not address the issue of an operculum.

Question 7

Which of the following treatments should be performed on a patient with a gingival abscess?&#10;A)Extraction of offending tooth&#10;B)Debridement of affected area&#10;C)Periodontal surgery with regeneration&#10;D)Endodontic therapy

Accepted Answer

A gingival abscess is an infection that is localized in the gingival tissue, often due to a foreign body lodged in the gum or food impaction. Treatment should involve debridement of the affected area to remove the source of infection and allow for drainage. Extraction of the offending tooth is only necessary if it is the cause of the abscess. Periodontal surgery with regeneration and endodontic therapy are not appropriate treatments for a gingival abscess.

Question 8

Which of the following features describes a gingival abscess?&#10;A)Develops over a long period of time&#10;B)Develops fairly rapidly&#10;C)Usually ruptures on its own&#10;D)Expands rapidly along the gingival margin

Accepted Answer

A gingival abscess typically develops fairly rapidly and is characterized by a localized area of pus formation within the gingiva. It may be associated with pain, swelling, and redness. It may or may not rupture on its own. It does not develop over a long period of time and does not expand rapidly along the gingival margin.

Question 9

In which of the following conditions is trismus usually evident?&#10;A)Periodontal abscess&#10;B)Gingival abscess&#10;C)Periapical abscess&#10;D)Pericoronal abscess

Accepted Answer

Trismus, or difficulty opening the mouth, is most commonly associated with pericoronal abscesses, as they often involve the third molar and can cause significant swelling and inflammation in the surrounding tissues. Periodontal, gingival, and periapical abscesses may cause pain and swelling, but typically do not result in trismus unless they become very severe.

Question 10

Which of the following treatments should initially be performed on a patient with a periodontal abscess?&#10;A)Administer an antibiotic&#10;B)Perform endodontic therapy&#10;C)Periodontal debridement/periodontal surgery&#10;D)Recommend antibacterial rinse

Accepted Answer

Periodontal debridement/periodontal surgery is the initial treatment for a periodontal abscess. This involves cleaning out the affected area and removing any infected tissue. Antibiotics may also be prescribed, but they should not be the sole treatment for a periodontal abscess. Endodontic therapy may be necessary in some cases, but it is not typically the first choice of treatment for a periodontal abscess. An antibacterial rinse may be recommended as part of post-treatment care, but it is not a standalone treatment for a periodontal abscess.

Question 11

Establishing drainage of a periodontal abscess may be difficult because the&#10;A)pocket is occluded.&#10;B)pocket is too shallow.&#10;C)tooth is nonvital.&#10;D)tooth is extruded.

Accepted Answer

The answer of Establishing drainage of a periodontal abscess may...

Question 12

A periodontal abscess is primarily composed of&#10;A)bacteria, dental calculus.&#10;B)bacteria, plasma cells, neutrophils.&#10;C)bacteria, dead tissue, neutrophils.&#10;D)dental calculus only.

Accepted Answer

The answer of A periodontal abscess is primarily composed of&#10;A)bacteria,...

Question 13

Which of the following microorganisms is cultivated from pus of a tooth with a periodontal abscess?&#10;A)Gram-negative anaerobic rods&#10;B)Gram-negative facultative cocci&#10;C)Gram-negative nonmotile cocci and rods&#10;D)Gram-positive facultative aerobics&#10;E)Gram-positive anaerobic rods

Accepted Answer

The answer of Which of the following microorganisms is cultivated...

Question 14

All of the following signs and symptoms are present in a periodontal abscess except one. Which one is the exception?&#10;A)Suppuration&#10;B)Swelling&#10;C)Tooth looseness&#10;D)Tooth extrusion&#10;E)Tooth fracture

Accepted Answer

The answer of All of the following signs and symptoms...

Question 15

All of the following are features of a tooth with a gingival abscess except one. Which one is the exception?&#10;A)Severe periodontitis&#10;B)Localized infection&#10;C)Usually painful&#10;D)Edematous tissue

Accepted Answer

The answer of All of the following are features of...

Question 16

A periodontal abscess originates from the&#10;A)pulp.&#10;B)soft tissue wall of pocket.&#10;C)root cementum.&#10;D)dentin.

Accepted Answer

The answer of A periodontal abscess originates from the&#10;A)pulp.&#10;B)soft tissue...

Question 17

Which of the following statements is associated with a periodontal abscess?&#10;A)Clinical features are similar to peri-implantitis.&#10;B)Tooth intrusion is a common finding.&#10;C)Microflora resembles that of chronic periodontitis lesions.&#10;D)Suppuration comes from the occlusal surface of the tooth.

Accepted Answer

The answer of Which of the following statements is associated...

Question 18

Which of the chief complaints is common for a developing periodontal abscess?&#10;A)&#34;I have pressure in my gums.&#34;&#10;B)&#34;I feel the tooth is coming out.&#34;&#10;C)&#34;I think my tooth feels big.&#34;&#10;D)&#34;My gums are tight.&#34;

Accepted Answer

The answer of Which of the chief complaints is common...

Question 19

Which of the following happens if an acute periodontal abscess is not treated?&#10;A)Tooth will be lost&#10;B)Reverts to a gingival abscess&#10;C)Becomes a chronic abscess&#10;D)Results in a pericoronal abscess

Accepted Answer

The answer of Which of the following happens if an...

Question 20

Which of the following is a factor that could cause the formation of a gingival abscess?&#10;A)Toothbrushing&#10;B)Poppy seeds&#10;C)Drinking hot beverages&#10;D)Overzealous flossing

Accepted Answer

The answer of Which of the following is a factor...

Question 21

Define a gingival abscess.

Accepted Answer

The answer of Define a gingival abscess....

Question 22

Define a periodontal abscess.

Accepted Answer

The answer of Define a periodontal abscess....

Deck 11: Abscesses of the Periodontium