Deck 12: Periodontal Diseases: The Assessment Phase

Question 1

Which of the following describes the presence of bleeding on probing?

A)Occurs when there is a disruption of the sulcular epithelium
B)Considered to be an indicator for disease activity
C)Determines the amount of attachment loss
D)Determines the amount of alveolar bone loss

Answer 1

Occurs when there is a disruption of the sulcular epithelium

Question 2

The gingival landmark that is the entrance to the crevice is called

A)attached gingival.
B)free gingival.
C)marginal gingival.
D)gingival pocket.

Answer 2

marginal gingival.

Question 3

All of the following are causes of pathologic tooth mobility except one. Which one is the exception?

A)Bone loss
B)Gingival recession
C)Occlusal trauma
D)Gingival inflammation

Answer 3

Gingival recession

Question 4

Each of the following terms is used to describe the health or disease of the gingival tissues except one. Which one is the exception?

A)Contour
B)Size
C)Consistency
D)Percussion
E)Surface texture

Question 5

Which of the following structures is used for measuring the amount of gingival (soft tissue)recession?

A)CEJ and free gingival margin
B)CEJ and apical extent of probe
C)Free gingival margin and apical extent of probe
D)Free gingival margin and mucogingival junction

Question 6

Suppuration is also referred to as

A)gingival bleeding.
B)purulent exudate.
C)dental plaque.
D)dental calculus.
E)dental biofilm.

Question 7

In the above questions, the attachment loss (in mm)is

A)1.
B)2.
C)3.
D)4.
E)5.

Question 8

Before a periodontal site can be labeled as disease-active, there must be a change in clinical attachment level of

A)1-2 mm.
B)2-3 mm.
C)3-4 mm.
D)4-5 mm.
E)5-7 mm.

Question 9

Gingival (soft tissue)recession is measured according to the

A)position of the marginal gingival.
B)depth of the pockets.
C)level of the mucogingival junction.
D)level of the soft tissue attachment.

Question 10

Which of the following terms describes mobility of a tooth under function (e.g., chewing, lateral excersions)?

A)Tooth fremitus
B)Pathologic migration
C)Clinical attachment loss
D)Tooth mobility

Question 11

Several factors affect the probing depths achieved when completing a periodontal chart. One of the limitations is presence of inflammation, which can result in a reading shallower than the actual probing depth.

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

Question 12

Which of the following terms describes the movement of teeth due to the disruption of forces that normally maintain physiologic tooth position?

A)Tooth fremitus
B)Tooth mobility
C)Pathologic migration
D)Attachment loss

Question 13

The mesiofacial site on the maxillary left canine has a probing depth of 3 mm and 2 mm of soft tissue recession. The clinical attachment level (in mm)is

A)1)
B)2)
C)3)
D)4)
E)5)

Question 14

Which of the following structures is used for measuring the clinical attachment level?

A)CEJ and free gingival margin
B)CEJ and apical extent of probe
C)Free gingival margin and apical extent of probe
D)Free gingival margin and mucogingival junction

Question 15

The primary purpose of periodontal probing is to determine the extent of detachment of which of the following periodontal structures from the tooth surface?

A)Periodontal ligament fibers
B)Gingival fibers
C)Junctional epithelium
D)Sulcular epithelium

Question 16

Which of the following instruments is best for measuring the vertical component of bone loss in a furcation defect?

A)Nabers probe
B)Periodontal probe
C)11/12 explorer
D)Curet
E)Scaler

Question 17

The periodontal probe is slightly angled when measuring the probing depth on interproximal surfaces of posterior teeth because of the

A)deeper pockets.
B)wider root surface.
C)col.
D)bone.

Question 18

Which of the following terms describes the loss of interradicular bone?

A)Mucogingival defect
B)Furcation involvement
C)Attachment loss
D)Pathologic migration

Question 19

Clinical attachment level is synonymous with clinical attachment loss because clinical attachment levels are determined by the measurement from the marginal gingival to the apical extent of the periodontal probe.

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 20

All of the following are etiologic factors for gingival recession except one. Which one is the exception?

A)Toothbrushing
B)Orthodontic movement
C)Oral habits
D)Occlusal trauma
E)Anatomic variations

Question 21

Mouth breathing may cause gingival recession.

Question 22

________ is the most commonly used physical screening method for measuring the depth of the gingival sulcus.

Question 23

Hormonal levels are a ________ factor for gingival inflammation.

Question 24

What is the cause of the patient's chief complaint?

Question 25

Papillae of ________ teeth are flatter in shape.

Question 26

Changes in the contour of the gingival can reflect past periodontal tissue destruction.

Question 27

Contour of the gingival is determined by the shapes and positions of the teeth.

Question 28

Gingival consistency refers to the ________ of the underlying connective tissue.

Question 29

The purpose of a gingival assessment is to determine noninflammatory and ________ changes of the gingival tissues.

Question 30

The gingival of a heavy smoker is usually red and bleeding.

Question 31

Clinical attachment level is the measurement from the ________ to the most apical extent of the periodontal probe.

Question 32

What is the cause of the condition of this patient's gingiva?

Question 33

Gingival enlargement refers to the position of the free gingival margin.

Question 34

The absence of gingival redness is indicative of the absence of ________.

Question 35

Probing depth is the measurement of the distance from the ________ to the most apical extent of the periodontal probe.

Question 36

Gingival recession refers to the position of the mucogingival junction.

Question 37

Papillae of ________ teeth are pyramidal in shape.

Question 38

Fibrotic gingival indicates a chronic inflammatory condition.

Question 39

Periodontal disease activity is defined as the ________ loss of connective tissue attachment.

Question 40

Bleeding sites indicate disease activity.

Question 41

How do you assess if this patient has attachment loss?