Deck 10: Treatment Planning for the Periodontal Patient

Question 1

The elements of informed consent include all of the following factors except one.Which factor is the exception?

A) Consent is implied.
B) Risks and benefits are listed.
C) Prognosis, if treatment is performed.
D) Prognosis, if treatment is not performed.

Answer 1

Consent is implied.

Question 2

The dental hygiene care plan is the portion of treatment that is the responsibility of the dental hygienist.It is a component of the comprehensive care plan and includes all of the following elements except one.Which element is the exception?

A) Restorative care
B) Patient education
C) Maintenance care
D) Nonsurgical periodontal therapy

Answer 2

Restorative care

Question 3

The treatment plan is a guideline for the management of comprehensive periodontal and restorative care.The treatment plan is essential for every periodontal patient.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Answer 3

Both statements are TRUE.

Question 4

The phase of treatment that addresses any periodontal emergency is called the:

A) Preliminary phase
B) Phase I therapy
C) Phase II therapy
D) Phase III therapy
E) Phase IV therapy

Question 5

What aspect of this patient's history and clinical findings would likely be the best motivational tool for continued attention to his daily oral hygiene practices?

A) His interest in his general health
B) His history of periodontal disease
C) A strong desire to avoid more periodontal surgery
D) An interest in proving his ability to brush and floss correctly

Question 6

Patient education takes place during which phase of the treatment plan?

A) Restorative
B) Preliminary
C) Etiologic treatment
D) Maintenance
E) Surgical

Question 7

An appropriate treatment plan includes the consideration of the wishes of the patient.The dental hygienist decides on the treatment plan and informs the patient of the extent of disease.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 8

All of the following factors should be considered in establishing a dental hygiene care plan for this patient except one.Which factor is the exception?

A) Probing pocket depths
B) Patient cooperation and sensitivity
C) Amount of calculus and attachment loss
D) Expenses incurred for previous periodontal treatments
E) Patient's general health and tolerance of treatment

Question 9

Which of the following is not a goal of the treatment plan?

A) Maintain health.
B) Eliminate and control the causes of the disease.
C) Prevent the recurrence of the disease.
D) Address the patient's concerns.
E) All of the above are goals of the treatment plan. f. None of the above are goals of the treatment plan.

Question 10

All of the following factors influence the number and length of treatment visits for dental hygiene care except one.Which factor is the exception?

A) Age of the patient
B) Furcation involvement
C) Number of teeth present
D) Amount of subgingival calculus
E) Amount of supragingival calculus

Question 11

If the patient refuses any further recommended periodontal treatment after careful explanation by the periodontist and the dental hygienist,then the term for that option is:

A) Negligence
B) Implied consent
C) Informed refusal
D) Informed consent

Question 12

What are the most critical factors to be considered in scheduling this patient?

A) Amount of calculus present
B) Severity of disease and amount of calculus present
C) Amount of calculus present and length of appointment sessions
D) Severity of disease, amount of calculus present, and need for patient education

Question 13

The treatment plan is developed after the patient's health history has been reviewed and vital signs have been taken.The treatment plan outlines the procedures used for assessment and care to restore the patient's oral health.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.

Question 14

An effective change in behavior for this patient's oral hygiene will be dependent on:

A) Cost of the treatment
B) Level of informed consent
C) Number of appointments required
D) Understanding the classifications of periodontal disease
E) Understanding the relationship between gum problems and plaque biofilm control

Question 15

Which phase is considered a lifetime phase?

A) Restorative
B) Preliminary
C) Etiologic treatment
D) Maintenance
E) Surgical

Question 16

Scaling,root débridement,and planing are performed during which phase of the treatment plan?

A) Restorative
B) Preliminary
C) Etiologic treatment
D) Maintenance
E) Surgical

Question 17

Please use the following case description to complete the following exercises.
Mr.VMC is a 52-year-old white man who recently completed treatment with a periodontist in another part of the state.New to the area, he is referred to a new practice by a colleague at work.He has a history of rheumatic fever and is interested in his general and dental health.He was not pleased about having periodontal surgery in the past; consequently, he performs a complicated regimen of oral cleaning twice a day to avoid further surgery.The dental hygienist is the first person in the office to see and treat Mr.VMc.
What phase of treatment will the dental hygienist be providing for this patient?

A) Preliminary phase
B) Phase I therapy
C) Phase II therapy
D) Phase III therapy
E) Phase IV therapy

Question 18

After entering the treatment rendered in the patient's chart,the dental hygienist discovers that the wrong blood pressure reading was entered.The best course of action for the dental hygienist is to:

A) Erase the incorrect numbers, and then enter the correct ones.
B) Use White Out correction tape to delete the incorrect numbers, and then enter the correct ones.
C) Black out the incorrect numbers to make them illegible, and then enter the correct ones.
D) Draw a line through the incorrect information while maintaining its readability, enter the correct information, and then sign or initial the modification.

Question 19

Please use the following case description to complete the following exercises.
Mrs.DJJ is a 34-year-old Hispanic woman with a history of slightly elevated blood pressure.She is not taking any medications and is not allergic to anything except pollen.Her family history is unremarkable, and she states that her periodontal condition is of great concern to her because she is a backup singer for a musical group in a movie studio.She is also concerned about "getting cavities." The patient is new to the periodontal practice and has undergone a complete dental assessment.Mrs.DJJ has been diagnosed as having chronic periodontitis with moderate amounts of calculus in all quadrants.The tissue in the lower right sextant is of concern to the periodontist and the patient because it is red and inflamed.The dental hygienist has been asked to create a treatment plan and to manage the patient's care before referring her to Dr.DBC for further evaluation.The patient is concerned about how many appointments the treatment will take to complete.
What phase of treatment will the dental hygienist be providing for this patient?

A) Preliminary phase
B) Phase I therapy
C) Phase II therapy
D) Phase III therapy
E) Phase IV therapy

Question 20

The average interval for periodontal maintenance appointments for patients with moderate-to-advanced periodontal disease is:

A) 2 months
B) 3 months
C) 4 months
D) 6 months
E) 9 months

Question 21

Based on the current AAP Classification of Periodontal Diseases and Conditions,what level of CAL is considered moderate periodontal disease?

A) 1 to 2 mm
B) 3 to 4 mm
C) 5 to 6 mm
D) 7 to 8 mm

Question 22

Re-evaluation should be scheduled to monitor the patient's tissue response after nonsurgical periodontal therapy.How soon after treatment should the re-evaluation appointment be scheduled?

A) 1 week
B) 2 weeks
C) 4 weeks
D) 6 weeks
E) 3 months

Question 23

A treatment plan has the greatest chance for success when the dentist,the hygienist,and the patient work together as a team.

Question 24

________________ is permission to proceed with treatment that the patient grants to the clinician.

Question 25

Although essential for some patients,a treatment plan may not be needed for every periodontal patient.

Question 26

MATCHING
Match the following treatment phases with the description:
Phase III

A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment

Question 27

The progress notes should include:

A) Dates of changed or cancelled appointments
B) Summaries of telephone calls related to treatment or problems
C) Recall plan
D) Description of service, teeth or area, anesthetic, and noteworthy clinical occurrences
E) All of the above

Question 28

At the first appointment,gross scaling and removing the bulk of the calculus deposits are completed.The fine scaling appointment is scheduled 2 weeks after the gross scaling appointment,which allows time for the tissue to heal to access easily the remaining deposits.Removing the remaining deposits at a subsequent appointment is an effective method of calculus removal.

A) All statements are TRUE.
B) All statements are FALSE.
C) The first statement is TRUE, and the other statements are FALSE.
D) The first statement is FALSE, and the other statements are TRUE.

Question 29

Under the current American Academy of Periodontology (AAP)Classification of Periodontal Diseases and Conditions,the severity of disease is determined by:

A) Recession
B) Pocket depth
C) Bleeding on probing
D) Clinical attachment loss (CAL)
E) Inadequate attached gingiva

Question 30

MATCHING
Match the following treatment phases with the description:
Phase IV

A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment

Question 31

MATCHING
Match the following treatment phases with the description:
Phase I

A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment

Question 32

The current accepted technique for nonsurgical periodontal therapy is to gross scale the entire dentition and have the patient return in 2 weeks for fine scaling.

Question 33

MATCHING
Match the following treatment phases with the description:
Preliminary phase

A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment

Question 34

When writing the patient's treatment plan,which of the following should be taken into consideration?

A) Amount of supragingival and subgingival calculus
B) Pocket depths and furcations
C) Margins of restorations, caries, and developmental anomalies
D) Patient limitations, sensitivity, and cooperation
E) All of the above

Question 35

What three things should the patient always be informed of before treatment?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Question 36

What is the correct order for the dental hygiene process of care?

A) Diagnosis, assessment, planning, implementation, evaluation
B) Assessment, evaluation, diagnosis, planning, implementation
C) Evaluation, assessment, diagnosis, planning, implementation
D) Assessment, diagnosis, planning, implementation, evaluation
E) Planning, assessment, evaluation, diagnosis, implementation

Question 37

Which of the following is part of the informed consent?

A) Description of the procedure
B) Prognosis if the recommended procedure is performed
C) Risks that could result from the procedure
D) Presentation of other options
E) All of the above

Question 38

MATCHING
Match the following treatment phases with the description:
Phase II

A)Restorative treatment
B)Maintenance treatment
C)Emergency treatment
D)Treatment of the cause
E)Surgical treatment

Question 39

If a mistake is made in the progress notes,what should be done to correct it?

A) Erase the incorrect entry, and rewrite the correct information in the area that was erased.
B) Mark out the incorrect entry to make it illegible, and write the correct entry next to it.
C) Use White Out correction tape to cover the incorrect entry, and write the correct entry on top of it.
D) Mark a single line through the incorrect entry, and write the correct entry next to it.
E) Mark a double line through the incorrect entry, and write the correct entry next to it.

Question 40

Treatment notes should be accurate,concise,and in chronological order.Treatment notes should be written legibly in pencil or pen.

A) Both statements are TRUE.
B) Both statements are FALSE.
C) The first statement is TRUE, and the second statement is FALSE.
D) The first statement is FALSE, and the second statement is TRUE.