Deck 14: Periodontal Disease

Question 1

People with periodontal disease have a greater risk for:

A)respiratory infections.
B)low-birth-weight babies.
C)heart attacks and stroke.
D)all of the above.

Answer 1

all of the above.

Question 2

The reason why women with severe periodontal disease have a greater risk for preterm low-birth-weight (PLBW) babies is thought to be due to:

A)increased placental bacteremia causing the infant to reject the mother.
B)certain biochemicals produced with periodontal disease, which may create hormones that cause early uterine contractions and labor.
C)increased metabolic requirement due to bacterial load.
D)the rise in basal metabolic rate (BMR) due to the constant, chronic inflammatory response.

Answer 2

certain biochemicals produced with periodontal disease, which may create hormones that cause early uterine contractions and labor.

Question 3

Periodontal disease generally is not triggered by which of the following factors?

A)Use of mouth rinses
B)Malocclusions
C)Nutritional deficiencies
D)Some blood pressure medications

Answer 3

Use of mouth rinses

Question 4

Which of the following is a characteristic of gingivitis?

A)Difficult to treat and control
B)Loss of connective tissue
C)Loss of bone
D)Inflammation of gingival tissue

Question 5

Perioscopy uses:

A)a miniature camera attached to a tiny probe that is placed into the sulcus.
B)time-release antibiotic spheres delivered in a mouth tray.
C)a surgical microscope with use of gingival retraction cord.
D)reflection of tissue and treatment of root surfaces with fibronectin.

Question 6

An individual with chronic periodontal disease is more prone to pneumonia.

Question 7

Which form of periodontal disease is reversible?

A)Gingivitis
B)Periodontitis
C)Both of the above
D)Neither of the above

Question 8

Periodontal disease is considered to be generalized if more than _____% of sites in the mouth are affected.

A)10
B)30
C)50
D)90

Question 9

_____ is a soft mass of bacterial deposits that covers the tooth surface.

A)Calculus
B)Plaque
C)Scum
D)Subgingival calculus

Question 10

The _____ is made up of the structures that surround,support,and are attached to the teeth.

A)cementum
B)alveolar bone
C)periodontal ligament
D)periodontium

Question 11

Subgingival calculus:

A)is found above the margin of the gingiva.
B)is visible as a yellowish-white deposit.
C)occurs frequently near the openings of Wharton's ducts and Stensen's ducts.
D)is dark green or black in color due to staining from subgingival bleeding.

Question 12

The leading cause of tooth loss in adults is:

A)caries.
B)old age.
C)periodontal disease.
D)lack of home care.

Question 13

Which of the following is a factor influencing the ability of plaque to cause periodontal disease?

A)Type of bacteria present
B)Length of time bacteria is left undisturbed
C)Patient's response to bacteria
D)All of the above

Question 14

_____ cannot be removed by the patient and must be removed by the dentist or the dental hygienist with scaling instruments.

A)Food debris
B)Plaque
C)Calculus
D)Erythrosine stain

Question 15

Which is not true of perioscopy?

A)It is a new procedure that uses a miniature dental endoscope with video, lighting, and magnification technology to look into a deep subgingival pocket.
B)It is able to determine the precise location of root deposits, granulation tissue, caries, and root fractures.
C)It assists the operator in identifying and removing calculus that might have been missed.
D)It is painful and requires the use of a local anesthetic before use.

Question 16

The two basic forms of periodontal disease are:

A)gingivitis and calculus.
B)calculus and plaque.
C)plaque and periodontitis.
D)gingivitis and periodontitis.

Question 17

Inflammation of the supporting tissues of the teeth,which extends into the connective tissue and alveolar bone,is called:

A)gingivitis.
B)supragingival calculus.
C)periodontitis.
D)inflamed gingiva.

Question 18

Periodontitis is differentiated from gingivitis by:

A)inflammation.
B)loss of attachment.
C)tight adaptation of tissue to teeth.
D)increased pocket depth without loss of attachment.

Question 19

What percent of American adults have some sort of periodontal disease?

A)35%
B)49%
C)60%
D)75%

Question 20

Which of the following is not a relationship between periodontal disease and cardiovascular disease?

A)Oral bacteria can easily spread into the bloodstream.
B)Oral bacteria may attach to fatty plaques in the coronary arteries, contributing to clot formation and heart attacks.
C)A person with periodontal disease is more than three times more susceptible to coronary heart disease and stroke.
D)All of the above show the relationship.

Question 21

A pregnant woman expecting her first child has moderate periodontal disease.Treatment should be delayed until after the baby is born.

Question 22

Which is not true of subgingival calculus?

A)It forms below the root surface.
B)It can be dark due to staining.
C)It is site specific.
D)It increases the damage caused by oral bacteria.

Question 23

An individual patient's response to oral bacteria and periodontal treatment is constant and predictable.

Question 24

Which characteristic is unique to diabetes mellitus-associated gingivitis?

A)Inflammation present at the gingival margin
B)Bleeding
C)Severity not related to plaque control
D)Changes in contour

Question 25

The primary cause of periodontal disease is:

A)bacterial plaque.
B)poorly fitting restorations.
C)stress.
D)none of the above.

Question 26

All of the following systemic conditions may lead to sex hormone gingival disease except:

A)puberty.
B)pregnancy.
C)menstrual cycle.
D)lack of vitamin C.

Question 27

A patient complaining of bleeding gum tissue has one of the first signs of gingivitis.

Question 28

_____ is not a risk factor for periodontal disease.

A)Smoking
B)Osteoporosis
C)Good oral hygiene
D)Stress

Question 29

A probing depth of more than _____ mm is a clinical characteristic of gingival inflammation.

A)2
B)3
C)4
D)6

Question 30

The type of gingival infection that has rapid onset,pain,and necrosis of gingival papillae that leads to fetid breath is:

A)juvenile periodontitis.
B)prepubertal periodontitis.
C)necrotizing ulcerative gingivitis.
D)none of the above.

Question 31

Healthy gum tissue is not:

A)pink.
B)attached and stippled.
C)soft and spongy.
D)firm.

Question 32

A 50-year-old woman arrives in your dental office and complains of loose teeth,a bad taste in her mouth,and pain.Based on your knowledge,what do you think is occurring?

A)Gingivitis
B)Slight periodontitis
C)Moderate periodontitis
D)None of the above

Question 33

Which of the following is NOT a characteristic of chronic periodontitis?

A)Is most prevalent in adults, and severity increases with age
B)Is characterized by inflammation of the supporting structures of the teeth
C)Leads to destruction of the periodontal ligament and loss of adjacent bone
D)Occurs before 35 years of age

Question 34

One of the best ways to protect against malpractice suits alleging that a dentist failed to diagnose periodontal disease is documenting oral hygiene instructions given to the patient on the patient's charts.

Question 35

Which of the following is NOT a characteristic of aggressive periodontitis?

A)Is most prevalent in adults, and severity increases with age
B)Occurs before 35 years of age
C)Is a rapidly progressive form of periodontitis
D)Is not generally associated with other systemic diseases

Question 36

Tissue recession is associated with gingivitis.